Household Budget

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ITEM

PAID TO:

MONTHLY AMT.

PROPOSED AMT.

Food and Groceries

     

Groceries

     

Meals outside the home

     

Other:____________________

     

Professional Fees

     

Physician

     

Dentist

     

Eye care

     

Veterinarian

     

Hair stylist

     

Attorney

     

Other:____________________

     

Other:____________________

     

Other:____________________

     

Entertainment and Travel

     

Movies/video tapes

     

Dining out

     

Sporting events

     

Concerts

     

Travel

     

Other:______________

     

Total, this page