690 Flatbush Avenue West Hartford, CT 06110-1308

860 236-9350 800 856-6400 toll free 860 523-9101 fax

One Carriage Place Downtown Waterbury 203 756-6100

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Bankruptcy Household Expense Worksheet

* Required

Your Name(s)*

Phone Number(s) with Area Code*

Last 4 Digits of SS #*

Please enter only dollar amounts (no cents).

Do not include the dollar sign, the decimal point or comma's.

Weekly Expenses:

Food and Groceries

Work and School Lunches

Gasoline

Day Care

Church Contributions

Alimony Paid

Child Support Paid

Other

Monthly Expenses:

Rent or 1st Mortgage

2nd Mortgage

3rd Mortgage

Electricity

Home Heating Oil

Gas Heat

Home Telephone

Cell Phone(s)

Cable TV

Internet

Clothing

Laundry & Dry Cleaning

Grooming

Public Transportation & Parking

Recreation, Clubs, Entertainment

Newspapers, Magazines, Books

Car Loan 1

Car Loan 2

Other Charitable Contributions

Renter's Insurance

Life Insurance (Not Deducted from Paycheck)

Health Insurance (Not Deducted from Paycheck)

Other Insurance (Not Deducted from Paycheck)

Delinquent Tax Payments

Student Loan Payments

Furniture Loan Payments

Installment Loan Payments

Total Credit Card Payments

Support of Dependents Not Living at Home

Other

Quarterly Expenses (once every 3 months):

Water and Sewer

Semiannual Expenses (once every 6 months):

Real Estate Taxes (If Not Included in Mortgage)

Homeowner's Insurance (If Not Included in Mortgage)

Automobile Insurance

Automobile Taxes

College Tuition

Private Elementary or Secondary School Tuition

Annual Expenses:

Car Repairs

Medical and Dental Expenses (Not Covered by Insurance)

Home Maintenance (Repairs, Snow Removal, Lawn Care and Other Upkeep)

Connecticut Debt Relief By Filing Bankruptcy

Congress has designated Serrano & Serrano, LLC a debt relief agency.

We help people file for debt relief under the Bankruptcy Code.

Spanish Spoken

Hablamos Espanol

Go To BANKRUPTCY Home Page

	Please note that our law firm's website is designed to provide only general legal information. This information is not intended to be legal advice for your individual situation. Call us for personal injury, Social Security, divorce, bankruptcy, immigration, workers compensation and criminal cases. Portuguese Spanish
John Serrano		Gabriel Serrano

Serrano & Serrano, LLC
Connecticut Attorneys

Bankruptcy Household Expense Worksheet

Connecticut Debt Relief By Filing Bankruptcy

Serrano & Serrano, LLC Connecticut Attorneys

Serrano & Serrano, LLC
Connecticut Attorneys