BUDGET WORKSHEET

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Budget Worksheet

Name: Enter Name

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Email: Enter Email

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Wages:

Required

Public Assistance / Child Support:

Required

Alimony:

Required

Interest / Dividends:

Required

Social Security:

Required

Other 1:

Required

Other 2:

Required

Other 3:

Required

Other 4:

Required

Other 5:

Required

Home Phone:

Required

Cell Phone:

Required

Home Address: Enter Address

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City: Enter City

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State: Enter State

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Zip code: Enter Zip

Required

Property Taxes & Insurance:

Required

Trash Collection:

Required

Car Payment(s):

Required

2nd Car Payment:

Required

3rd Car Payment:

Required

Car Insurance Payment(s):

Required

2nd Car Insurance:

Required

3rd Car Insurance:

Required

Other Misc. Loan Payments:

Required

Health Insurance:

Required

Day / Elder Care:

Required

Rent / Mortgage:

Required

Savings:

Required

Gas (for Home):

Required

Electricity:

Required

Water:

Required

Home Phone Expense:

Required

Cell Phone Expense:

Required

Food (Grocery):

Required

Dining Out:

Required

Transportation (Gas):

Required

Monthly Car Maintenance:

Required

Education (Student Loans):

Required

Other Personal Expenses 1:

Required

Other Personal Expenses 2:

Required

Total Monthly Income: Enter dollar amount

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Total Monthly Expense: Enter dollar amount

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Image Verification:

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MY INCOME

MY EXPENSES

FIXED EXPENSES

FIXED EXPENSES

CONTACT US

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806.747.5937

website@nelcdc.org

CONNECT WITH US

ADDRESS

P. O. Box 3893

Lubbock, TX 79452