Children's Home Sciety Family Services
Estimated Actual Actual Actual Actual Actual Actual
Monthly Month 1 Month 2 Month 3 Month 4 Month 5 Month 6
INCOME
INCOME
INCOME
FOOD STAMPS
MFIP
CHILD SUPPORT
RENTAL
SSI
SSDI
ADOPTION ASSISTANCE
TOTAL INCOME 0.00
EXPENSES
RENT
1ST MORTGAGE
2ND MORTGAGE
PROPERTY TAXES
HOMEOWNER/RENTER INS
HEAT / GAS
ELECTRICITY
TELEPHONE
LONG DISTANCE
PAGER / CELL PHONE
INTERNET
WATER / SEWER / TRASH
FOOD / GROCERIES
AUTOMOBILE PAYMENT
GAS / OIL FOR AUTOMOBILE
BUS FARE / PARKING
CHILD CARE
ALIMONY / CHILD SUPPORT
STUDENT LOANS
SAVINGS / 401K / 403B PLAN
TOTAL CREDIT PAYMENTS
OUTSTANDING MEDICAL BILLS
IRS
SAVE / SET ASIDE
AUTO INSURANCE
AUTO REPAIR / MAINTENANCE
LICENSE TABS
HEALTH / LIFE INSURANCE
DOCTOR / DENTIST / RX / GLASSES
HOUSE MAINTENANCE
FLEXIBLE SPENDING
WORK RELATED FOOD / TAKE OUT
SCHOOL LUNCHES / ACTIVITIES
PET FOOD / VET
CLUB MEMBERSHIPS / HEALTH
DRY CLEANING / LAUNDRY
HOUSEHOLD SUPPLIES
TOILETRIES / HAIRCUTS
GIFTS / PRESENTS / HOLIDAYS
ENTERTAINMENT / HOBBIES
CABLE TV
DONATIONS
CLOTHING
SMOKING / ALCOHOL / SODA
ALLOWANCES
TOTAL FLEXIBLE SPENDING 0.00
TOTAL EXPENSES 0.00
NET INCOME / (LOSS) 0.00