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