Expenditure Form


Directions: For each category add all totals under the Monthly Itemized column and enter the Grand Total in the Monthly Total column for that category.

I. Enter information into categories below.

1. MORTGAGE PAYMENTS OR RENT$__________
2. CAR EXPENSES$__________
Car Payment $__________
Insurance $__________
Gasoline$__________
Repair $__________
Other$__________
CAR GRAND TOTAL$__________
3. HOUSEHOLD UTILITIES
Electricity$__________
Telephone$__________
Water$__________
Gas$__________
Garbage$__________
Cable$__________
Other$__________
UTILITIES GRAND TOTAL$__________
4. HOUSEHOLD (EXPENSES)$__________
Misc. Repairs/Improvements$__________
Yard Expenses$__________
Domestic Help$__________
Furniture$__________
Carpet Cleaning$__________
Property Tax $__________
Other $__________
HOUSEHOLD GRAND TOTAL$__________
5. GROCERIES$__________
Food $__________
Household Supplies$__________
School Lunches$__________
Work Lunches $__________
GROCERIES GRAND TOTAL$__________
6. INSURANCE$__________
Automotive$__________
Life $__________
Health$__________
Burial$__________
Home$__________
Other $__________
INSURANCE GRAND TOTAL$__________
7. CLOTHING$__________
Name________________$__________
Name________________$__________
Name________________$__________
Name________________$__________
CLOTHING GRAND TOTAL$__________
8. DRY CLEANING AND LAUNDRY $__________
9. MEDICAL/DENTAL/DRUG $__________
10. GIFTS$__________
Birthdays(family,friends)$__________
Weddings$__________
Mother's Day$__________
Father's Day$__________
Christmas$__________
Graduation$__________
Anniversary$__________
Other(funerals, Easter, Valentines)$__________
Gifts Grand Total$__________
$__________
11. ALLOWANCE (haircuts, mad money)$__________
Name________________$__________
Name________________ $__________
Name________________ $__________
ALLOWANCE GRAND TOTAL$__________
12. PUBLICATIONS$__________
Newspapers$__________
Magazines - Him$__________
Magazines - Her$__________
PUBLICATIONS GRAND TOTAL$__________
13. ENTERTAINMENT$__________
Weekend Entertainment (movies, dining, etc.)$__________
Baby-sitter $__________
Winter Sports$__________
Summer Sports$__________
Other$__________
ENTERTAINMENT GRAND TOTAL$__________
14. FAMILY ADVANCEMENT(piano lessons,etc)$__________
Adult $__________
Children$__________
FAMILY ADVANCEMENT TOTAL$__________
15. CONTRIBUTIONS$__________
Charity$__________
Church $__________
CONTRIBUTIONS GRAND TOTAL$__________
16. MISCELLANEOUS /SLUSH FUND$__________
17. CHARGE CARDS $__________
Bank Cards$__________
Department Store Cards$__________
Gas$__________
Other$__________
CHARGE CARDS GRAND TOTAL$__________
18. LOANS$__________
Bank Loans $__________
Other Loans$__________
LOANS GRAND TOTAL$__________
19. SAVINGS$__________
Retirement$__________
College $__________
Vacations$__________
Christmas Club$__________
Investments$__________
Other$__________
SAVINGS GRAND TOTAL$__________
20. OTHER $__________
II.ADD ALL GRAND TOTALS IN THE MONTHLY TOTAL COLUMN AND ENTER THE AMOUNT ON LINE 21.
21. MONTHLY EXPENSES $__________
III. Multiply the amount in line 21 by 12 and enter the amount in line 22.
ANNUAL TOTAL$__________

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