Monthly Expenses Form

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MONTHLY EXPENSES FORM
Please note that a free mediation service may also be provided on the date for service of summons and also the court mentions date. This
service will help you to explore options for a possible settlement, thereby saving you costs and time. You are encouraged to make use of the
service to facilitate a quick and effective management of the case.
Name :
Mr / Ms
Case No.
MSS
/ 200
NRIC / Passport No. :
Occupation :
Gross Income
Nett Income
per month : S$
per month : S$
Per Month
Per Month
Debt / Loan Profile
I) PERSONAL EXPENSES
II)
DEBT /
S$
LOAN
S$
Mortgage Loan
Cash
Credit Cards
Credit Card
Total outstanding
(total min.payment)
Issuing Bank
amount as of today
CPF
Rental
Hire Purchases
1.
$
(total min.payment)
Telephone
Others:
2.
$
(Residence & Mobile)
Electricity / Water / Gas
1.
3.
$
Conservancy Charges
2.
4.
$
Cable TV / Internet
3.
5.
$
Food / Groceries
Total:
B
Sub Total
$
Eating Out
Age
Clothing
Name of Child(ren)
III) CHILD(REN) EXPENSES
Personal Insurance
1.
No. of Child(ren) applied for :
Medical
2.
_____________
Cigarette / Alcohol
3.
Vehicle Loan
Total expenses for all
Per
4.
children
Month
Motor Insurance and Road
5.
S$
Tax
Public Transport
Food / Groceries
Notes:
Domestic
Levy $
Clothing / Diaper
Servant
Salary $
Allowance for Parents
Medical
Entertainment
Personal Insurance
Hobbies and Sports
Tour and Family Outings
School Expenses
(Books/Stationery)
Others
Transport
1.
Pocket Money
2.
School Fees
3.
Childcare
4.
Enrichment / Tuition
5.
Entertainment
Hobbies and Sports
6.
Tour and Family Outings
Sub Total
A
Sub Total
C
Grand Total
(A+B+C)
$
$
Total Monthly Expenses
$

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