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Monthly Expenses
Monthly Expense Form
Client’s First & Last Name:
What bankruptcy chapter are you filing?
- Select -
Chapter 7
Chapter 13
Chapter 11
Dependents
Yes
No
Relationship
Age
Lives with:
Yes
No
Relationship
Age
Lives with:
Yes
No
Relationship
Age
Lives with:
Yes
No
Relationship
Age
Lives with:
Yes
No
Relationship
Age
Lives with:
Yes
No
Rent or 1st Mortgage
Real Estate Taxes
Property, Homeowner’s, or Rental Insurance
Home Maintenance, Repair, an Upkeep Expenses
Homeowners Association Dues
Condominium Dues
HELOC’s (Home Equity Loans)
2nd Mortgage Payments
Electricity, Heat, Natural Gas
Water, Sewer, Garbage
Telephone, Cell Phone, Internet, Satellite, Cable
Other Utilities?
Food and Housekeeping Supplies
Childcare and Children’s Education Costs
Clothing, Laundry, Dry Cleaning
Personal Care Products and Services
Medical & Dental (out of Pocket)
Transportation (Gas, Maintenance, Bus, Train, NOT PAYMENTS)
Misc. Entertainment (Books, Movies, Streaming services)
Charitable and Religious Donations
Life Insurance: (Not Deducted from wages)
Health Insurance (Not Deducted from wages)
Vehicle Insurance
Other Insurance:
Other Taxes (Not Deducted from Wages)
Vehicle 1
Vehicle 2
Payments of Alimony, Maintenance, and Support to Others
Other Payments that Support Others Who Do NOT Live with You
Pet Expenses
Other Expenses (Provide Descriptions):
Submit
