Worksheet of Monthly Income and Expenses
Note: The first 4 pages of this form are the most important. If you can complete them before our discussion of support, that will save you time and money. If you prefer to complete them during a mediation session, or with our Dispute Resolution Associate, that’s fine, too.
Please base these figures on a monthly average. Please translate all items ( e.g., weekly allowances, semi-annual insurance, etc.) into average monthly amounts.
Rental/mortgage and household:
Childcare: daycare, nanny, work-related
Food and supplies
Travel (you and children) ....Annual vacation, trip to see Grandparents, unreimbursed work Travel, weekend trips, school trips, etc.
Entertainment...Videos, children’s parties, movies, Concerts, CD’s, I-Pod downloads, Theater, etc.
Haircuts, manicures, personalcare
Gym membership, YMCA, other Dues and club memberships
a) List of installment debts (car payments, credit cards, etc.):