WORKING THE RECOVERY STEPS
STEP FOUR
Made a searching and fearless moral and financial inventory of ourselves
FINANCIAL INVENTORY
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Income Source |
Description/Comments |
Amount (before any deductions) |
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Primary Job |
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Secondary Job |
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Unemployment |
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Disability |
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Pension |
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Social Security |
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General Assistance |
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Food Stamps |
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Property Income |
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Investment Income |
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Alimony |
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Child Support |
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Spouse’s Available Income |
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Other Income (describe) |
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Total Monthly Income |
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- In the middle column describe the source of the income and make any comments. If income varies from month to month (i.e. sales commissions), make that note here. If there are any garnishments or if the income is going to expire soon that should be noted here.
- In the right-hand column, make your best conservative estimate of the average monthly amount. If the income is weekly, multiply the amount by 52 and divide by 12, double bi-monthly amounts. Initially don’t include any occasional or uncertain income sources such as annual bonuses, tax refunds, expected gifts etc. Try to keep this as simple as possible. In the Spouse’s Available Income, only list the amount that will go towards their share of family expenses. Their wages or other income should not be used to pay gambling debts.
- Add up the amounts and put the sum under Total Income.
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Mortgage – First |
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Social Security (FICA) |
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Mortgage – Second |
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Federal Income Tax deducted from pay |
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Home Equity/Line of Credit |
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Anticipated additional Federal Income Tax* |
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Rent |
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State Income Tax deducted |
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Home maintenance and repair* |
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Anticipated additional State Income Tax* |
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Groceries/Toiletries Household Supplies |
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Property Taxes* |
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Restaurants (all meals not included in allowances) |
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Other taxes |
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Clothes* |
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Medical Insurance Deducted from Pay |
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· Member |
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Additional Medical Insurance |
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· Spouse |
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Medical Co-payments* |
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· Children |
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Doctor – Non reimbursed* |
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· Other |
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Medications |
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Electricity |
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Dental Insurance Deducted from Pay |
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Gas |
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Additional dental insurance |
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Water |
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Dental Co-payment* |
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Garbage |
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Dentist – Non reimbursed* |
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Sewer |
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Optometrist* |
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Internet |
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Glasses/Contacts* |
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TV |
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Therapy/Counseling |
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Telephone – Land Line |
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Other Medical Expenses |
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Cell Phone(s) |
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Life Insurance |
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Other Utility |
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Long Term Disability Insurance |
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Housekeeping |
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Homeowners Insurance |
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Landscaping/Gardener |
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Auto Insurance |
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Subtotal #1: |
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Subtotal #2: |
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Creditor’s Name |
Date of Debt |
Original Amount |
Present Balance |
Monthly Payment |
Months in Default |
Co- Signer |
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Most people experienced with computer spreadsheet programs use them for this worksheet. These programs greatly simplify regular updating.
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Creditor’s Name |
Original Balance |
Current Balance |
Monthly Payment |
Date of First Payment |
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Total: |
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INSTRUCTIONS:

