BANKRUPTCY WORKSHEET: YOUR EXPENSES
 Fill Out Completely and Print Out.  DEBTOR(S)
 Rent or home mortgage payment  $
 Does this include property insurance?  $
 Does this include real estate taxes?  $
 Electricity and heating fuel (average monthly)  $
 Water and sewer (average monthly)  $
 Telephone (average monthly)  $
 Other utilities (average monthly, i.e., cable tv, etc.)  $
 Home maintenance (repairs and upkeep)  $
 Food  $
 Clothing  $
 Laundry and dry cleaning  $
 Medical and dental expenses  $
 Transportation (not including car payments)  $
 Recreation, clubs and entertainment, newspapers, etc.  $
 Charitable contributions  $
 Homeowner's or renter's insurance  $
 Life insurance  $
 Health insurance (not taken out of pay check)  $
 Auto insurance  $
 DEBTOR(S)Other insurance - specify  $
 Taxes not deducted from wages or included in home mortgage payments  $
 Installment auto payments  $
 Other installment payments not included in Chapter 13 Plan  $
 Alimony, maintenance and support paid to others  $
 Payments for dependents not living at your home  $
 Operation expenses of business, profession, or farm  $
 Personal care items/toiletries  $
 Supplements  $
 Household cleaning supplies  $
 Hair cuts  $
 Tobacco products  $
 Child care  $
 Diapers and baby items  $
 School lunches  $
 School activities  $
 Children's activities/athletics  $
 Musical instruments  $
 Meals out  $
 Music lessons  $
 Veterinary expenses  $
 Pet food & supplies  $
 Postage  $
 auto licensing fees  $
 Other expenses: please itemize  $
 Attorney fees  $

 TOTAL EXPENSES:

  $