Form I - Financial Information Page 8

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NOTE: If you share an expense with another person, list only the amount that you pay. Convert all
expenses to monthly amounts. All amounts provided should be converted into monthly figures (see the
Guide for Form E or G) and should be reflective of that actual expense. Provide an estimate if necessary.
Monthly Amount
Monthly Amount
A.
Compulsory Deductions
F.
Adult Household Members
Income Tax
Clothing
Employment insurance
Haircare
Canada Pension Plan
Toiletries, cosmetics
Employer pension
Education fees, supplies
Other (specify)
Entertainment & recreation
Fitness
Insurance
B.
Household Expenses
Charitable donations
Gifts to others
Groceries & household supplies
Meals outside of the home
Alcohol, tobacco
Furnishings and equipment
G.
Children
Telephone
Cable service
Child care (regular expense)
Laundry & dry cleaning
Babysitting (occasional)
Newspapers, periodicals
Clothing
Haircare
Stationery, computer supplies
Vacation
Allowances
Pet care
School fees & supplies
Entertainment & recreation
C.
Housing (Primary Residence)
Insurance
Rent or mortgage
Gift (toys, books, etc.)
Taxes
Activities, lessons & supplies
Home insurance
Camp
Heat
Gift to other children
Electricity
Water
H.
Savings for the future
House repairs and maintenance
RRSP
Yard maintenance
RESP
Other (specify)
Other (specify)
D.
Health
I.
Debt (other than mortgage)
Medical Insurance
Drugs (after insurance)
Dental (after insurance)
Optical (after insurance)
J.
Lease payments (specify)
Other (specify)
K.
Support payments to others
E.
Transportation
(see note below the table):
Public transit, taxis, etc.
Car operation
L.
Reserve for income taxes
Gas and oil
Insurance & licence
Maintenance
Parking
M.
Other (specify)
SUBTOTAL 2 (F+G+H+I+J+K+L+M)
$0.00
SUBTOTAL 1 (A+B+C+D+E)
$0.00
TOTAL
$0.00
(SUBTOTAL 1 + SUBTOTAL 2)
Form I
Financial Statement
Page 8

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