Monthly Budget Form

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FORM 5B
MONTHLY BUDGET FORM
______________________________________________________________________
Name Applicant 1
Name Applicant 2
Net Monthly Income:
Applicant 1: ______________________ Applicant 2: __________________________
Other: ___________________________ Other: _________________________________
Total Monthly Income: __________________________________
Monthly Household Expenses:
Mortgage/Rent*:
Utilities:
Insurance (Home/other):
Groceries/Personal Items:
House Repair/Maintenance:
Car/Transport Expenses:
Clothing:
Entertainment/Gifts:
Other:
Other:
Total Household Expenses:
___________________
Bank and Other Loans: Please list your debt, including student loans, credit card debt,
car loans, second mortgages and any other liabilities carried by you or your family.
*Please list here the current balance on your mortgage, if applicable.
Bank/Company Name
Current Balance
Monthly Payment
Total Monthly Debt Payments
___________________
Grand Total of Monthly Expenses/Bills
___________________
Monthly Discretionary Income
___________________

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