Monthly Budget Form - Excel by kmv19141

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									                                  MONTHLY BUDGET FORM
                             Month for which the budget is completed:
                             <Enter Month and Year Here>
 Name:          <Enter Your Name>
 Employer:      <Enter Name of Employer>

                                         MONTHLY INCOME
 Monthly Income Before Deductions
 Food stamps (Not included in income or expenses)
 Current Total Savings Balance

 Monthly Take Home Pay
 TANF
 SSI
 Student Loan
 Other:         <Describe here>
                                                      (A) Eligible Income Total:

                                     MONTHLY EXPENSES
 Essentials:
 Rent
 Utilities (water, electric, gas)
 Telephone/Cell Phone
 Groceries (cash, not food stamps)
 Non-food Groceries (e.g. deodorant, shampoo, etc.)
 Essential Clothing
 Transportation
 Tuition/Books/GED testing/School Supplies
 Health Insurance Premiums
 Finance Charges/Fees (cashiers checks)
 Unexpected Essential Repairs (e.g. car repairs)
 Child Care
 Laundry
 Diapers/Baby Care Items
 Monthly Savings Deposits
                                                    (B)Total Essential Expenses:
 Non-Essentials:
 Entertainment (movies, cable TV, etc)
 Internet Access
 Cigarettes
 Eating Out
 Other:         <Describe here>
                                             (C) Total Non-Essential Expenses:
                                                    (D) Total Monthly Expenses:

                                          (E) INCOME LESS EXPENSES (A-D):

For Office Use Only:
PALS Stipend Needed Amount $____________

								
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