Domestic Relations Income & Expense Form

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Domestic Relations Income & Expense Form

Expenses Of

Name

v.

List

$

Per

From

Nets

Monthly Expenses

1. Household

Mortgage/Rent

Second Mortgage

Property Tax

House Repairs

Homeowner’s Insurance

Homeowner Association

Condo Fee

TOTAL

2. Utilities
Electricity
Water
Telephone
Cable T.V.
Gas/Heating
Lawn Care
Exterminator
Maid Service
Pool Care
Cellular Phone
Pager Service
TOTAL
3. Living Expenses
Groceries
Lunches
Laundry
Uniforms/Personal
Grooming
Clothing
TOTAL
Recreation
Entertainment
Vacations
Hobbies
Newspapers
Magazines
TOTAL
Health Expenses
Glasses/Contacts
Prescriptions
Therapist
Doctor
Dentist
Insurance
TOTAL
Automobile
Payment
Insurance
Repair
Parking
Tolls/Fees
License/Tags/Inspec.
TOTAL
Child Expenses
School Tuition
School Supplies
Lunch Money
Day Care
School Clothes
Sport Activities
Tutor
Lessons
TOTAL
Miscellaneous
Child Support
Spousal Support
Child Support
Gas/Oil
Christmas/Birthday
Church/Charity
Life Insurance
Retirement/IRA’s
Property Tax
Attorney Fees
Spas/Clubs
Veterinarian
Pet Grooming
TOTAL
Charge Accounts
Creditor
Charge

TOTAL
TOTAL OF ALL LIVING EXPENSES
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