Dependents* ~ Dependents are defined as any person that lives with you that you support.

Cash on Hand* ~ Any and all cash you have that you keep in your wallet or purse, in a piggy bank, under your mattress, in a safety deposit box, etc.

Home Mortgage - Unpaid* ~ The balance in full that you are still owing on the mortgage for your primary residence.

Other Real Estate Loans* ~ The total combined monies you owe on any real estate or land that you own that is NOT your primary residence.

Business Loan* ~ The balance you owe on any loan taken out specifically for business purposes.

Certificate of Deposit* ~ Commonly referred to as a 'CD' ~ The total dollar amount you have invested in all CD accounts you have in your name.

Auto Loan* ~ Total dollar amount of the balances you still owe for any loan you took out specifically for a vehicle.

Stock Investments* ~ Total dollar amount you have invested in all stocks you currently own.

Student Loan* ~ Total dollar amount of any loans you still owe money on that were used specifically for schooling.

Bond Investments*

Personal Loan* ~ Total dollar amount of any loans not specified above, such as for personal finances, home improvement, vacations, or emergencies.

Mutual Funds* ~ Total dollar amount you have invested in all mutual funds, which are described as purchasing a group of stocks thru an investor.

Other Loan*

Life Insurance* ~ Total dollar amount of the value of all life insurance policies issued in your name.

Life Insurance Loan*

Residence Market Value*

Credit Cards* ~ Total dollar amount you owe on the balances of all credit cards in your name or that you have assumed responsibility for and pay on regularly.

Other Real Estate*

Debts to Others* ~ All other debts owed by you that are not previously specified, including debts owed to friends and family members.

Business Net Worth*

IRA(S)*

401K(S)*

Keogh*

Annuities*

Automobiles*

Debts Owed You*

Estate/Trust Interest*

Other Assets*

Gross Wages*

Mortgage/Rent Pymts*

Gross Commissions*

Real Estate Payments*

Interests*

Auto Loan Payments*

Dividends*

Student Loan Payments*

Rental Income* ~ Total dollar amount you receive for any and all properties you collect rent on including houses, apartments, apartment buildings, a room or space within your residence, land and/or storage provisions.

Personal Loan Payments*

Alimony/Child Support* ~ The entire dollar amount of all payments received by you, either for yourself or on behalf of your children.

Misc. Loan Payments*

Tips/Gratuities* ~ The total dollar amount of all tips and gratuities you receive, such as tips if you are a waiter/waitress, or your percentage of gratuities paid to a company you are employed by, for services rendered, such as a catering company.

Combined Utilities* ~ The total dollar amount you pay for all your utilities, including gas, electricity, water, garbage, phone, cell phone, cable, satellite, internet connection, etc.

Government Assistance* ~ The total dollar amount you receive from the government, including welfare, food stamps, GA, unemployment insurance or disability, grants, school loans and any other payments you receive regularly from the government.

Food* ~ The total cost of ALL food you purchase, not just your weekly shopping trips, but also the quick runs to pick up extra items, the stops at convenience stores for snacks, trips to the wholesale outlets, purchases of meats or other products in bulk and/or delivered to you, or ordered thru the internet.

Other* ~ The total dollar amount you receive as income not specified previously, such as U.S. military reserves pay, lottery, lotto or sweepstakes payouts and any other payments you receive regularly.

Health Care Items* ~ Includes all medications you purchase, not only prescription drugs, but also the cough syrup, and other sundry items you stock in your medicine cabinet, items obtained from specialty health and wellness stores, such as herbs and vitamins.

Toiletries/House Items* ~ Includes all household items, such as paper products (toilet paper, tissues, paper towels, napkins), hair cleansing, styling and maintenance supplies, toothpaste and brushes, deodorants, feminine hygiene products, dishwashing/dishwasher liquids, household cleaning supplies and equipment, computer and accessories supplies and equipment.

Auto Insurance Pymts* ~ The total dollar amount you pay for insurance on all vehicles you own/lease/drive.

Health Insurance Pymts* ~ The total dollar amount you pay to all health care providers and other health insurance plans.

Auto Maintenance* ~ Includes all money paid for the upkeep and regular maintenance of all vehicles you own and drive, such as gasoline, oil, lube and oil changes, tires, tire rotation, and all other aspects of auto maintenance.

Home Owner's Expenses*

Clothing* ~ Includes the purchase of basics such as undergarments, school clothes, work attire, casual wear, special occasion purchases, cost of personal shopper, children's sports uniforms, and all clothes purchased over the internet and/or via the television.

Recreation* ~ Includes going out to dinner, trips to the theater or movies, rental movies, health club memberships, camping trips, weekend driving excursions (cost of gas), amusement parks, museums, aquariums, solariums, costs for the equipment and its maintenance for sports activities, sporting events, and all other forms of entertainment.

Transportation* ~ Includes taxis, buses, limosines, ferries, subways, light rail, trains or any other form of transportation you regularly use other than your own personal vehicles.

Doctors/Dentists* ~ The total dollar amount of all payments you make to any doctors, dentists, orthodontists, psychiatrists, psychologists or other specialists you see regularly.

Child/DayCare* ~ Total dollar amount you spend for all children, including regular daycare fees and babysitting charges.

Pet Care* ~ Total dollar amount spent on all pets, including food, toys, kitty litter, grooming supplies, veterinarian visits, medications, cleaning supplies specific to pets, breeding fees, show entry fees and any other expenses associated with a pet you own.

Credit Card Payments* ~ Total dollar amount you pay for all your credit cards combined, including late fees, interest and annual fees.

Tithing* ~ Total dollar amount you tithe regularly to the religious affiliation of your choice, including tithing for all special projects such as new buildings or missionaries.

Charity Donations* ~ Total dollar amount you regularly donate to all charities you support combined.

Life Insurance Pymts* ~ Total dollar amount you pay on all life insurance policies that you have purchased.

Misc. Daily Expenses* ~ Includes any items you purchase daily not specified above, such as coffee and related items, cigarettes, cigars, chewing tobacco, chewing gum, or candy.

Other Expenses* ~ Total dollar amount of any expenses not covered previously.