Monthly Personal Budget Worksheet # 1202


Name:_____________________________________ Date:____________________________

Instructions:
To get a better idea of your monthly revenue and expenses, complete this form below.
MONTHLY REVENUE
Salary 1 $ ________________
Salary 2 $ ________________
Other income $ ________________
Total income $ ________________
TOTAL MONTHLY REVENUE $ ________________
MONTHLY EXPENSES
Rent or mortgage payment each month $ ________________
Utilities (gas, water, electric) $ ________________
Maintenance and repairs $ ________________
Cable TV/ subscription TV $ ________________
Telephone $ ________________
Insurance—auto $ ________________
Insurance—health $ ________________
Insurance—life $ ________________
Insurance—personal property $ ________________
Groceries $ ________________
Entertainment $ ________________
Clothing $ ________________
Car (vehicle) loan payment $ ________________
Car, gas and oil $ ________________
Car maintenance and repairs $ ________________
Car insurance $ ________________
Car registration fee $ ________________
Parking $ ________________
Public transportation $ ________________
Groceries $ ________________
Food away from home $ ________________
Sundries (newspapers, magazines) $ ________________
Cigarettes $ ________________
Physical, sporting activities $ ________________
Personal grooming $ ________________
Pocket money $ ________________
Medical expenses $ ________________
Tuition and fees $ ________________
Books and materials $ ________________
Loan payments (other than car loan) $ ________________
Credit cards $ ________________
Child care expenses $ ________________
Other $ ________________
TOTAL MONTHLY EXPENSES $ ________________
TOTAL MONTHLY REVENUE $ ________________
BALANCE (Revenue-Expenses) $ ________________
This form may be copied for personal use by active members of myADHD.com. For further information refer to:www.myADHD.com.

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