Linda Scher
Family Mediator and Facilitator



BUDGET
WORKSHEET

Woman
Current

Future
Man
Current

Future
Children
Current

INCOME






Gross monthly income




Net monthly income




Support payments/benefits




TOTAL INCOME




MONTHLY EXPENSES






BASIC LIVING EXPENSES






Food and household supplies




Housing:




Rent/Mortgage




Taxes




Repairs/maintenance




Utilities & Services:




Electricity/gas




Water/sewer




Telephone




Garbage




Cable/wood/other




Insurance:




House/renter's




Car(s)




Life




Medical/dental




Transportation:




Car pmt./bus fare




Gas & repairs




Child Care




Educational Costs




Debt repayment/installments




Health care




Clothing




Laundry




Grooming/personal items




Uniforms/dues/work costs




Misc.




Subtotal Basic Expenses




OPTIONAL EXPENSES






Social and religious org.




Lessons and memberships




Pets and hobbies




Entertainment




Savings/retirement




Travel/vacations




Emergencies




Gifts/misc.




Subtotal Optional Expenses




IMMEDIATE NEEDS & COSTS






First/last month's rent




Security/utility deposit




Repairs




Legal/court fees




Counseling/mediation




Other




Subtotal Immediate Expenses




COMBINED EXPENSE TOTAL





All text, graphics & information on this site © 2004 Linda Scher