Financial Statement Page 2
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5BORROWER MONTHLY INCOME
Gross
Net
Wages, Job 1
Wages, Job 2
Wages, Job 3
Wages, Job 4
Self employed, job 1
Self employed, job 2
Social Security 1
Social Security 2
Social Security 3
Social Security 4
Pension 1
Pension 2
Child Support/Alimony
Food Stamps
Unemployment
Other ____________
Other ____________
TOTAL
SURPLUS/DEFICIT
Write total net income
Write total expenses in the
Subtract "expenses" from "net
in the space below
space below
income" and write number below
Additional questions to be answered on next page
Page 2 of 5
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