Form 2f-P-409 - Income And Expense Statement Page 2

Download a blank fillable Form 2f-P-409 - Income And Expense Statement in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 2f-P-409 - Income And Expense Statement with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

EXPENSES
Do not list expenses which are paid by payroll deduction.
Housing, expenses per month:
rent, mortgage, agreement of sale ................................ $ ____________
insurance if not included above .................................... $ ____________
Real Property taxes (if paid separately) ........................ $ ____________
Utilities, gas, water, elec., telephone etc. ...................... $ ____________
Transportation, expenses per month:
Car payment, lease, rental ............................................ $ ____________
Insurance on vehicle .................................................... $ ____________
Maintenance (repairs) .................................................. $ ____________
Operating (gas, oil & tires) .......................................... $ ____________
Total Housing and Transportation expenses ..................................................................................... $ ____________
Debt service (all monthly payments, eg. credit cards, charges, finance company, personal loans)...... $ ____________
Personal Expenses per month:
Self
Children No.( _ )
Food ............................................................................... $ ____________
$ ____________
Clothing ......................................................................... $ ____________
$ ____________
Medical and Dental ........................................................ $ ____________
$ ____________
Laundry & Cleaning ....................................................... $ ____________
$ ____________
Personal articles ............................................................. $ ____________
$ ____________
Recreation (movies etc) .................................................. $ ____________
$ ____________
School (include food) ..................................................... $ ____________
$ ____________
Household ...................................................................... $ ____________
$ ____________
Bus (on monthly basis) ................................................... $ ____________
$ ____________
Other (_____________________) .................................. $ ____________
$ ____________
Payment to others for dependent care .........................................................
$ ____________
Sub Totals .......................................................... $ ____________
$ ____________
Total Personal expenses................................................................................$ ___________
Grand Total expenses: Housing, Trans., Debt & personal .......................................................... $ ____________
Savings, <Deficiency>: Income minus Expenses ....................................................................... $ ____________
Explain in detail where savings are invested, or if there is a <deficiency>, who provides the funds to maintain
the level of spending indicated in this income and expense statement. (Use separate sheet if more space is needed.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
CERTIFICATION
I hereby declare under the penalty of perjury that I have supplied the information used in this Income and Expense
Statement and have reviewed this statement and I certify that the information is accurate, complete and correct.
❑
❑
DATE
PLAINTIFF’S
DEFENDANT’S SIGNATURE
Reprographics (01/12)
2F-P-409
INCOME & EXPENSE STATEMENT

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Income And Expense Statement (aka Profit And Loss Statement) Income And Expense Statement (aka Profit And Loss Statement) Legal
Form Dor 82300 - Income And Expense Statement And Affidavit Form Dor 82300 - Income And Expense Statement And Affidavit Financial
Form 65 - Monthly Income And Expense Statement Of The Bankrupt And The Family Unit And Information (or Amended Information) Concerning The Financial Situation Of The Individual Bankrupt Form 65 - Monthly Income And Expense Statement Of The Bankrupt And The Family Unit And Information (or Amended Information) Concerning The Financial Situation Of The Individual Bankrupt Legal
Form Dor 82300 - Income And Expense Statement And Affidavit Form Dor 82300 - Income And Expense Statement And Affidavit Financial
Form 1998rpie - Income And Expense Statement - Agreement To Use The 1999 Tax Commission Form 1998rpie - Income And Expense Statement - Agreement To Use The 1999 Tax Commission Financial
Income And Expense Statement Income And Expense Statement Legal
Income And Expense Statement Income And Expense Statement Financial
Income And Expense Statement Template Income And Expense Statement Template Financial
Income And Expense Statement For Defendant Income And Expense Statement For Defendant Financial
Income And Expense Statement For Plaintiff Income And Expense Statement For Plaintiff Financial

Related Categories

Parent category: Legal
Download
Go
Page of 2