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Monthly Living Expenses Form

Our offices will ask that the form below be completed prior to meeting with us. You will be asked to complete exactly this sort of budget form by the bankruptcy trustee if you file for bankruptcy. The court will use information about your monthly expenses to determine how much money you have left over each month to make payments in a Chapter 13 repayment plan.

In the fields below you should not worry about exact numbers when entering a dollar amount. You are estimating your monthly expenditures, so try to give an accurate round number if you don't know the exact amount to enter.


For your security, this page will not cache your data. Closing this window or advancing to the next page will erase any information from the form below. So be sure to print out a paper copy to save your information. Your printer will convert the information you provide below into a simple printer-friendly form.

Your Income: [Earnings & Benefits]Budget of Monthly Living Expences.

Client Earnings
Source of Income:
Gross Monthly Earnings:
Net Monthly Earnings:
Your Check Comes:
Your Spouse's Income: [Earnings & Benefits]Spousal Earnings
Source of Income:
Gross Monthly Earnings:
Net Monthly Earnings:
Your Spouse's Check Comes:
Monthly ExpensesMonthly Expenses
Housing  
  
$ 
   
Utilities  
    Electricity and Natural Gas $ 
    Water $ 
    Garbage $ 
    Home Phone [local & long distance service] $ 
    Cellular Phone $ 
  
$ 
    Internet Service $ 
   
Medical & Dental $ 
   
Groceries $ 
   
Clothing $ 
   
Laundry & Dry Cleaning $ 
    [include detergent & fabric care products]  
   
Hygiene $ 
    [include soap, shampoo, toothpaste, etc.
    do not include salon or spa visits]		  
   
Transportation  
    Auto License and Registration Fees $ 
  
$ 
    Fuel $ 
    Service, Maintenance, & Repair $ 
    Parking $ 
        [include parking lot or at a garage,
        or a permit for street parking]		  
    Public Transit $ 
        [MUNI, BART, Golden Gate Transit,
        SamTrans, CalTrain, etc.]		  
    Tolls $ 
        [include FastTrack]  
   
Insurance Payments  
    Life Insurance $ 
    Medical, Dental & Vision $ 
  
$ 
    Automotive Insurance $ 
   
Taxes    
    [do not include taxes which are deducted
     from your pay check]		  
    Federal & State Taxes $ 
    Property Taxes $ 
   
Education $ 
    [tuition and fees, books and materials,
    student loan payments, etc.]		  
   
Support Payments $ 
    [include alimony, spousal, or child support]  
   
Support of individuals who do not live with you $ 
   
Charitable Contributions $ 
    [includes tithing to religious groups]  
   
Business Expenses  
    You may itemize your business expenses in the lines below  
$ 
$ 
$ 
$ 
$ 
   
Other Expenses  
    [child care, pet care, etc.]
    You may itemize these expenses below		  
$ 
$ 
$ 
$ 
$ 
   
TotalTotal
Total Monthly Expenditure    
 $ 
Print
 


Remember, for your security, the information you enter on this page is neither preserved, nor sent to our servers. Advancing to another page or closing this window will erase all the data you have entered above, so be sure to send a copy of this page to your printer before you leave.

 

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We represent clients throughout Northern California, San Francisco Bay Area, North Bay and East Bay, including the counties of Alameda, Contra Costa, Marin County, San Francisco, Napa, Sonoma, San Mateo and Santa Clara.