| Source |
Amount |
| Savings |
$ |
| Rent or mortgage |
$ |
| Groceries |
$ |
| Meals and snacks eaten out |
$ |
| Utilities (electricity, heat, water, etc.) |
$ |
| Wheelchair and accessibility equipment |
$ |
| Bus fare or pass |
$ |
| Car payments |
$ |
| Gas |
$ |
| Car insurance |
$ |
| Car repairs |
$ |
| Parking fees |
$ |
| Child care |
$ |
| Child support payments |
$ |
| Car loan |
$ |
| School loan |
$ |
| Tuition and fees |
$ |
| Credit card bills |
$ |
| Cable TV/satellite TV |
$ |
| Internet |
$ |
| Health insurance, prescription drugs, and doctor/dentist bills |
$ |
| Clothing/uniforms |
$ |
| Entertainment (movies, sporting events, concerts, etc.) |
$ |
| Telephone, cellphone, pager |
$ |
| Pet care |
$ |
| Personal (haircuts, toiletries, etc.) |
$ |
| Pet care |
$ |
| Other special needs care items (catheters, pumps, etc.) |
$ |
| Miscellaneous (gifts, vacations, etc.) |
$ |
| |
$ |
| |
$ |
| TOTAL EXPENSES |
$ |
