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Must be 8 digits. Currently Entered: 0 digits.
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Do you pay rent/mortgage? *
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Do you pay for food/groceries? *
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General Expenses
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Typical 2024 monthly expense- rent/mortgage *
$
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Estimated 2025 monthly expense- rent/mortgage *
$
.
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Typical 2024 monthly expense- food/groceries *
$
.
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Estimated 2025 monthly expense- food/groceries *
$
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Typical 2024 monthly expense- clothing *
$
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Estimated 2025 monthly expense- clothing *
$
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Utilities
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Typical 2024 monthly expense- gas/electricity/water *
$
.
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Estimated 2025 monthly expense- gas/electricity/water *
$
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Typical 2024 monthly expense- phone/cable/internet *
$
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Estimated 2025 monthly expense- phone/cable/internet *
$
.
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Transportation
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Typical 2024 monthly expense- gasoline *
$
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Estimated 2025 monthly expense- gasoline *
$
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Do you have a car payment? *
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Typical 2024 monthly expense- car #1 payments *
$
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Estimated 2025 monthly expense- car #1 payments *
$
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Do you have a 2nd car payment? *
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Typical 2024 monthly expense- car #2 payments *
$
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Estimated 2025 monthly expense- car #2 payments *
$
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Do you have any additional car payment? *
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Include additional car payments typical 2024, estimated 2025 monthly expenses, make, model, year as well as, if the car payments are due to a lease or "to-own" in the other section below.
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Typical 2024 monthly expense- car insurance *
$
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Estimated 2025 monthly expense- car insurance *
$
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Typical 2024 monthly expense- bus fare *
$
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Estimated 2025 monthly expense- bus fare *
$
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Personal/Miscellaneous
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Typical 2024 monthly expense- medical/dental/optical not covered by insurance *
$
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Estimated 2025 monthly expense- medical/dental/optical not covered by insurance *
$
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Typical 2024 monthly expense- child care *
$
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Estimated 2025 monthly expense- child care *
$
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Typical 2024 monthly expense- elementary/secondary school tuition *
$
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Estimated 2025 monthly expense- elementary/secondary school tuition *
$
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Typical 2024 monthly expense- consumer credit *
$
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Estimated 2025 monthly expense- consumer credit *
$
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Other
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Typical 2024 monthly expense- other expense #1 *
$
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Estimated 2025 monthly expense- other expense #1 *
$
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Typical 2024 monthly expense- other expense #2 *
$
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Estimated 2025 monthly expense- other expense #2 *
$
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Typical 2024 monthly expense- other expense #3 *
$
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Estimated 2025 monthly expense- other expense #3 *
$
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Total
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Typical 2024 monthly expense total *
$
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Estimated 2025 monthly expense total *
$
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Wite N/A if not applicable
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Certification Statement *
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