Income and Expenses
Lake County Housing Authority is HUD Approved Housing Counseling Agency # 80113
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Income
Please enter monthly net income (AFTER taxes / deductions) for ALL Household Members.
Income and Sources
*
Person 1
Person 2
Person 3
Person 4
Income Wages
Soc Sec/ Retirement
Disability
Cash Earned
Gifts
Child Support Received
Alimony Received
Other
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Monthly Expenses
*
Cost Per Month
Mortgage / Rent
Home Equity Loan
Renters / Home Insurance
HOA fees / Pet Fees
Home Maintenance
Phone
Internet
Cable
Streaming Services (Netflix, Hulu, HBO)
Natural Gas
Electricity
Garbage
Water / Sewer
Auto Payments
Auto Insurance
Gasoline
Plate Renewal
Oil Changes
Car Maintenance / Repairs
Groceries
Dining Out
Toiletries / Paper Goods
Dry Cleaning
Cleaning Service
Hospice / Domestic Help
Education / Tuition
Daycare / Babysitting
Health Insurance
Co-Pays
Life / Other Insurance
Doctor's Bills
Prescription Drugs
Dental Work
Hair Cuts / Manicures
Credit Cards
Student Loans
Alimony Paid
Child Support Paid
Personal Loans
Collections
App Subscriptions (Amazon, Tinder)
Gym Fees
Hobbies / Sports
Tickets / Events
Vacation / Travel
Charitable Giving
Holiday Gifts
Alcohol/Tobacco
Gambling / Wagers
Other
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Should be Empty: