Debt Solvency Inc.

The Professional Debt Mediation Firm

Stop Wage Garnishments, Stop a Repossession, Stop Creditor Judgments, Stop Collection Calls, Avoid a Court Appearance, Alternative to Filing Bankruptcy



Budget Worksheet



Tell us as much as you can about your current budget. Be sure to list the important expenses that you must pay each month. Only list the income that you can prove, do not include income from sources such as (bonuses, over-time or assistance from a family member).



 
Email Address
Your Full Name
Monthly Take Home Pay
Rent or Mortgage Rent
Mortgage
Monthly Amount
Car Payment
Auto Insurance
Transportation Cost (gas, repair etc.)
Utilities (electric, gas etc.)
Telephone (include cell phone)
Internet/Cable/Satellite
Groceries
Healthcare (medical, dental etc.)
Child Support Payment
Education (student loan, etc.)
Entertainment/Recreation
Other Expenses (explain)