Household Budget Worksheet, page 4 of 4

	page 1 | page 2 | page 3 | page 4
Prepared By:			Date Prepared:
Item	Paid To:		Monthly Amount		Proposed Amount
Legal Obligations
Alimony/Child Support
Payments on Lien or Judgment
Other
Other
Miscellaneous
Dues
Health Club
Postage
School Tuition
Child Care
Other 1
Other 2
Your Own Personal Items
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Total (this page)
Total (from page 1)
Total (from page 2)
Total (from page 3)
GRAND TOTAL