How to Prepare Financial Information Before You Talk To Your Lender?

HOUSEHOLD FINANCIAL INFORMATION
INCOME BUDGET FOR HOUSEHOLD

SOURCE OF INCOME LAST MO. ACTUAL THIS MO. EXPECTED THIS MO. ACTUAL ADJUSTED MONTHLY
Employment $ $ $ $
Overtime __________________________________________________________
Child Support/Alimony ________________________________________________________
Pension ________________________________________________________
Interest _________________________________________________________
Public Benefits __________________________________________________________ __________________________________________________________
Dividends
Trust Payments __________________________________________________________
Royalties __________________________________________________________
Rents Received ___________________________________________________________
Other (List) ___________________________________________________________

TOTAL (MONTHLY) $ $ $ $

NOTES/ANTICIPATED CHANGES:________

EXPENSE BUDGET FOR HOUSEHOLD

TYPE OF EXPENSE LAST MO. ACTUAL THIS MO. EXPECTED THIS MO. ACTUAL ADJUSTED MONTHLY
Payroll Deductions $ $ $ $
Income Tax Withheld ____________________________________
Social Security ____________________________________
FICA
Wage Garnishments ____________________________________ Credit Union _______________________________________
Other ______________________________________
Home Related Expenses
Mortgage or Rent ______________________________________
Second Mortgage ______________________________________
Third Mortgage ______________________________________
Real Estate Taxes ______________________________________
Insurance ______________________________________
Condo Fees & Assessments ______________
Mobile Home Lot Rent ________
Home Maintenance/ Upkeep ___________________
Utilities ___________________________________
Gas ___________________________________________________
Electric ___________________
Oil ___________________
Water/Sewer ____________________
Telephone:
Land Line ________________
Cell ________________
Cable TV ________________
Internet
Other ________________
Food
Eating Out ________________
Groceries ________________
Clothing _______________________
Laundry and Cleaning _____________________
Medical _______________________
Current Needs _______________________
Prescriptions _______________________
Dental _______________________
Insurance Co-Payments or Premiums
Other _________________________________
Transportation _________________________
Auto Payments _________________________________
Car Insurance _________________________________
Gas and Maintenance _________________________
Public Transportation _______________________
Life Insurance _________________________
Alimony or Support Paid _________________________
School Expenses _________________________
Student Loan Payments _________________________
Entertainment _________________________
Newspapers/Magazines _________________________
Charity/Church _________________________
Pet Expenses _________________________
Amounts Owed on Debts _________________________
Credit Card________________________________________
___________________
Credit Card
___________________
Credit Card
___________________
Medical Bill
___________________
Medical Bill
___________________
Other Back Bills (List)
___________________
___________________
Cosigned Debts
Business Debts (List)
___________________
___________________
Other Expenses (List)
___________________
___________________
Miscellaneous
TOTAL

Other Important Debt Issues:

Wage Garnishments Yes______ No______
Pending Court Cases Yes______ No______
Pending Utility Shut-offs Yes _____ No _____
Car Loan Defaults or Repossessions Tax Debts Yes ____ No____
Student Loan Debts Yes_____ No_____

Other:
Notes/Anticipated Changes:
Describe Assets and Other Resources:

Savings Yes______ No______ Amount $______________

Court Cases Pending Against Others Yes______ No__________
Value $______________

Anticipated Tax Refunds Yes______ No____________
Amount $______________

Assets Which Can Be Sold Yes ______ No______ Value $______________

Pension or Retirement Funds Yes______ No______ Value $______________

Other Assets and Notes:

INCOME AND EXPENSE TOTALS

Last Mo. Actual This Mo. Expected This Mo. Actual Adjusted Expected
A. Total Projected Monthly Income
B. Total Projected Monthly Expenses
Excess Income or Shortfall (A minus B)

Notes:

OTHER INFORMATION

1. Have you made an effort to arrange a workout on their own? What result?


2. Have you filed bankruptcy? If so when? Current status of case if still pending? If bankruptcy is over, what result?


3. Other issues which came up during this time.


4. Questions and open issues that must be resolved.