Client Monthly Budget

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Client Monthly Budget Client ID: Client: Co-Client: Essential Monthly Expenses Budgeted Expenses Current Counselor: Budget Additional Note Proposed Adj Monthly Housing Expenses Drive-First Drive-Home Equ Drive-Third Property Tax Gas & electric Telephone Water/Sewer Household Expenses Groceries Transportation Car Registration Insurance Gasoline Public Transportation Child Care/Spousal Support Day Care/Sitting Spousal/Child Support Other Medical Premium Medical – Other Emergency/Music Savings Cable Service Cell Phone Internet Credit cards Total Other Debts (Client Pays Directly) Debt Budget Current Reduction Notes Reductions Bus /Subway fares Misc (If paid out of pocket) (Other out of pocket medical expenses) Begin to build a savings account for any unexpected expenses. phone Bat: (Average) Cell only $0 Additional Proposed Adj Total $0 $0 $0 $0 Also includes trash Grocery/Houshold supplies are based on an avg of $275/mth for a single adult and $125/mth child age 12 and under. 2adults avg $500/mth/couple national aver $1000 Transportation costs should not exceed 15% to 25% of net income. 3450 Wilshire Blvd #777 Los Angeless, California 90010 Tax: 626-965-7070 Fax: 312-625-8804 Email: info@ tlslawgroup.com Website: www.tlslawgroup.com

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