Form Fl-150 - Living Expenses - Divorce Financial Solutions

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Client(s):
Date:
Monthly
Annual
Avg Mo.
Item
Expenses
Expenses
Expenses
Home
13a.1 Mortgage or Rent
(a.) Average Principal
(b.) Average Interest
13a2
Property taxes
13a3
Homeowners Insurance
Association dues
Total Home
13a4
Residence Maintenance & Repairs
Gardening
Domestic
Pool service
Pest control
Security
Trash hauling
Cleaning service.
Appliance maintenance
Minor household repairs
Other
Total Maintenance & Repairs
13b
Health-care costs not paid by insurance
Medical insurance premium
Medical in excess of insurance
Dental in excess of insurance
Orthodontia
Rx in excess of insurance
Non-Rx
Eye care
Therapy in excess of insurance
Physical fitness
Other
Total Health-care
13c
Childcare
Childcare
Babysitting
Camp
Lessons
Tutoring
Sports activities
Clubs
Allowances
Lunch / Milk money
Entertainment / Recreation
Field trips
Tuition
Housing
Books / Supplies
Uniforms
Parking
Other
Total Childcare
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