Net Salary...................................................
Pension/Annuities......................................
Family/Allowance....................................
Alimony/Child Support............................
Employment Insurance Benefits.............
Social Assistance......................................
Rental Income...........................................
Other Income............................................
Non-discretionary Expenses
Child Support and/or Spousal Payments...................................................................................
Child Care.......................................................................................................................................
Health-related expenses (medical, drug, dental)..................................................................
Fines/Penalties being paid..........................................................................................................
Interest paid on student loans....................................................................................................
Employment-related expenses..................................................................................................
Debts where stay has been lifted by court...............................................................................
Discretionary Expenses
Food and Meals............................................................................................................................
Rent/Mortgage & Property Taxes..............................................................................................
House/Tenant Insurance.............................................................................................................
Heating and/or Gas.....................................................................................................................
Electricity........................................................................................................................................
Telephone......................................................................................................................................
Cable..............................................................................................................................................
Clothing..........................................................................................................................................
Life Insurance................................................................................................................................
Vehice (Gas/repairs/lease payment).......................................................................................
Vehicle Insurance........................................................................................................................
Public Transportation....................................................................................................................
Laundry & Dry Cleaning...............................................................................................................
Children's Education and Allowances......................................................................................
Hair Care........................................................................................................................................
Tobacco.........................................................................................................................................
Entertainment................................................................................................................................