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Monthly Income and Expense Worksheet

Use this Monthly Income and Expense Worksheet to help determine what your monthly income and expenses will be when you begin repaying your loan.

Monthly Income

NOTE: Some of your income or expenses may not be payable on a monthly basis. Please adjust the figures to reflect them as monthly payments. This will help you have a more accurate picture of your monthly financial activity.

Net Wages (Take-home pay after taxes, Social Security, and other deductions)
    Self
    Spouse
Other Income
    Child Support/Alimony
    Interest/Dividends/Investments Income
    Tax Refunds/Other Income

Monthly Expenses

Student Loan Payments
    Federal Stafford Loan
    Federal Direct Loan
    Perkins Loan
    Federal Consolidation Loan
    Nursing Student Loan
    Health Education Assistance Loan
    Federal PLUS Loan
    Federal Supplemental Loans for Students (SLS)
    Other Educational Loans
Personal Health
    General health insurance/Hospitalization
    Cancer Care/Other medical and dental insurance
    Non-reimbursed health care
    Non-reimbursed medicines/Vitamins
Housing & Housing Maintenance
    Rent/Mortgage
    Property Taxes
    Homeowners/Rental insurance
    Electricity/Gas
    Water/Sewer
    Garbage handling
    Telephone
    Repairs/Maintenance (house, yard, appliances)
    Furnishings (furniture, linen, appliances)
Child Care
    Day care/Pre-school
    Baby/Child sitting
    Child support you must pay
    Allowances
Clothing and Grooming
    New clothing/Shoes
    Repairs/Alterations
    Dry cleaning/Laundry
    Hair care/Toiletries/Cosmetics
Gifts/Donations
    Birthdays/Anniversaries
    Other Holidays
    Church/Charities
Transportation
    Car payment/Lease
    Car insurance
    Gas/Oil/Tires/Car registration/Inspection
    Driver's license/Tags/Car registration/Inspection
    Public transportation
Food
    Groceries
    Outside meals/Food delivered to home
    Outside snacks/Coffee breaks
    Pet food
    Other items usually purchased with groceries
Savings/Retirement
    Savings deposits
    IRA deposits/Annuities
    CD's/Money Market Funds
    Stocks/Bonds/Other investments
Other Debt Payments
    Major credit cards/Store charge cards
    Installment loans with a bank, savings & loan, credit union or store
    Loans from relatives/friends
Professional and Financial Services and Fees
    Life/Disability insurance
    Attorneys/Accounting fees
    Banking/Credit card fees
    Union/Professional dues
    Tuition/Special training
Recreation
    Cable/Internet
    Entertainment (movies, plays, home)
    Sports (spectator, participation)
    Hobbies/Special interests
    Vacations/Short trips
Miscellaneous
    Work-related uniforms/Special equipment
    Non-reimbursed employee expenses (business entertaining, etc.)
    Alimony you must pay
    Emergency/Other unexpected expenses
 
    Total Monthly Income
 
    Total Monthly Expenses
 

 

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