Mac Form 710 - Uniform Borrower Assistance Form Page 11

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ND
HOME EXPENSES - 2
HOME
st
1
Lien Monthly Payment
nd
2
Lien Monthly Payment
Monthly Rent Payment
Monthly HOA Dues
Monthly Prop Taxes & Ins (if
not included in payment)
Monthly Home Repairs
Monthly Cable TV
Monthly Electricity
Monthly Natural Gas
Monthly Phone/Internet
Monthly Sewer/Water
Other Monthly Home Expenses
Please describe other below:
Total Monthly Home Expenses
MONTHLY FAMILY EXPENSES
Monthly Auto Maintenance/Gas
Monthly Food
Monthly Medical/Dental (out of
pocket costs, not insurance
premium)
Monthly Alimony Paid
Monthly Child Support Paid
Monthly Child Care
Monthly Entertainment
Monthly School Tuition
Other Monthly Family Expenses
Please describe other below:
Total Monthly Family Expenses
Other Monthly Expenses
Please describe other below:
Total Monthly Work Expenses

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Parent category: Financial