1

2

3

4

5

NAME OF BILLS

MNTHLY OWED MIN

MO/TOTAL PAID

AMOUNT SAVED

TOTAL PAYCHECKS

HOUSE

AUTO

Student Loans

CREDIT CARDS

_________ B: $________

RENTS

_________ B: $________

DIVIDENDS

REFUNDS

ELECTRIC

GAS

PHONE

CABLE

SEWER

WATER

DRY CLEANING

YARD MAINT

DAY CARE

CELL PHONE

INSURANCE

TRASH PICKUP

INTERNET

NEWSPAPER

GAS

GROCERIES

DOCTOR

SPENDING $$$

MISC.

IRA - SEP

MONEY MARKET

401K

TOTAL

SURVIVAL NUMBER

TOTAL CHECKS WROTE

TOTAL MONTHLY SAVED

NET INCOME FOR MONTH

Money Market Balance_______________________________

Money Market Float

(needs to be)_______________________________________

% Saved of Net Reserve

This Month_________________________________________

$ Saved YTD _______________________________________

Cash Net Worth ____________________________________

TOTAL NET WORTH ____________________________

NET WORTH

        401k Balance______________________________

        Mutual Fund Balance_______________________

        Stock Balance_____________________________

        Equity in Home____________________________

        Equity in Rentals___________________________