Please enable JavaScript in your browser to complete this form.Monthly Financial Worksheet – Fill-in on Page & Submit (PDF Format of the Monthly Financial Worksheet is also available for Download. See "Forms/Payment Options" Menu below)Have you Submitted the Retainer Form and Paid the Retainer Fee Yet?YesNoBefore you can Submit this worksheet, you must Submit the Retainer Form and Paid the Retainer Fee. Please Tap/Click HERE to Fill-in and Submit the Retainer Form. Primary BorrowerPrimary Borrower *FirstLastPrimary Borrower Income Source (choose all that apply). If you do not have W2 or 1099, please select Other and explain below *W21099OtherPrimary Borrower - Please Enter Other:Primary Borrower Currently Employment Status (choose all that apply) *S/EW2 Wage EarnerReceive a 1099Unemployed or OtherRetiredDisabledUpload Primary Borrower Letter of Unemployment Click or drag a file to this area to upload. INCOME – Primary BorrowerIf there is no income for any category, please enter 0 (zero)Primary Borrower Gross Monthly Income *Primary Borrower Net Monthly Income *Primary Borrower Capital Appreciation *Capital appreciation is a rise in an investment's market price. Capital appreciation is the difference between the purchase price and the selling price of an investment. Primary Borrower Retirement – Disability - Other *Primary Borrower Investment or Rental Income *Primary Borrower Total Gross Individual Income *Primary Borrower Total Net Individual Income *Primary Borrower TOTAL INCOME ($)Secondary BorrowerSecondary BorrowerFirstLastSecondary Borrower Income Source (choose all that apply). If you do not have W2 or 1099, please select Other and explain belowW21099OtherSecondary Borrower - Please Enter Other:Secondary Borrower Currently Employment Status (choose all that apply)S/EW2 Wage EarnerReceive a 1099Unemployed or OtherRetiredDisabledUpload Secondary Borrower Letter of Unemployment Click or drag a file to this area to upload. INCOME – Secondary BorrowerIf there is no income for any category, please enter 0 (zero)Secondary Borrower Gross Monthly IncomeSecondary Borrower Net Monthly IncomeSecondary Borrower Capital AppreciationCapital appreciation is a rise in an investment's market price. Capital appreciation is the difference between the purchase price and the selling price of an investment. Secondary Borrower Retirement – Disability - OtherSecondary Borrower Investment or Rental IncomeSecondary Borrower Total Gross Individual IncomeSecondary Borrower Total Net Individual IncomeSecondary Borrower TOTAL INCOME ($)-=GRAND TOTAL HOUSEHOLD INCOME ($)=-ASSETS – GROSS ASSETS FOR THE HOUSEHOLDIf there are no liquid assets for any category, please enter 0 (zero)LIQUID ASSETS (for All Household Members Combined)Savings + Checking Account(s) *Investment Account(s) *Retirement Account(s) *CDs & Money Market Account(s) *TOTAL LIQUID ASSETS ($)NON-LIQUID ASSETS (for All Household Members Combined) Enter Fair Market Value for all non-liquid assets. If there are no non-liquid assets for any category, please enter 0 (zero)Real Estate Properties Owned *Vehicles – Boats – Mobile Properties Owned *Equipment + Jewelry *Business Holdings *TOTAL NON-LIQUID ASSETS ($)-=GRAND TOTAL GROSS HOUSEHOLD ASSETS ($)=-MONTHLY EXPENSES FOR THE HOUSEHOLD (for All Household Members Combined)HomesteadIf there are no MONTHLY EXPENSES for any category, please enter 0 (zero)First Mortgage Monthly Payment2nd Mortgage Monthly PaymentHome Equity Line Of Credit Monthly PaymentAny Other Possible Lien payments <Loans Against Homestead> Monthly PaymentReal Estate Taxes Monthly PaymentHome Maintenance / Security / Repair Monthly PaymentHOA Monthly PaymentMortgage Insurance (MI, PMI, ETC) Monthly PaymentHazard Insurance Monthly PaymentOther Home Owner Insurance (flood, etc) Monthly PaymentInvestment Properties Monthly PaymentGross Mortgage Loans Monthly PaymentGross Real Estate Taxes Due Monthly PaymentGross Real Estate Insurance Due Monthly PaymentMaintenance & Security • Utilities • Other Investment Property Expenses / Repair - Monthly PaymentUtilitiesIf there are no MONTHLY EXPENSES for any category, please enter 0 (zero)Telephone, Cell Phone(s), Electricity, Heating Oil/Gas - Monthly PaymentWater and Sewer - Monthly PaymentCable / TV/ Internet / Satellite - Monthly PaymentTOTAL MONTHLY HOUSEHOLD EXPENSES ($)Liability Payments for All Household Members CombinedIf there are no MONTHLY EXPENSES for any category, please enter 0 (zero)Life – Health – Casualty insurance - Monthly PaymentMedical – Dental - Hospitalization - Monthly PaymentCredit Card Payments - Monthly PaymentGym Membership - Monthly PaymentStudent Loans - Monthly PaymentLiabilities – Co-Signed For - Monthly PaymentCredit Repair - Monthly PaymentEducation Related Expenses - Monthly PaymentChild Support & Alimony - Monthly PaymentJudgments – Charge Offs - Collections - Monthly PaymentRE or Personal Taxes Owed - Monthly PaymentFines & Fees Owed - Monthly PaymentTransportation / Vehicle - Monthly PaymentVehicle Insurance - Monthly PaymentVehicle Maintenance - Monthly PaymentCharitable Expenses - Monthly PaymentClub / Union Dues Payments - Monthly PaymentTOTAL MONTHLY LIABILITY PAYMENTS ($)Basic Living ExpensesIf there are no MONTHLY EXPENSES for any category, please enter 0 (zero)Food / Groceries - Monthly PaymentHousehold Supplies / Utensils - Monthly PaymentPet Food - Monthly PaymentChild Care - Monthly PaymentClothing - Monthly PaymentClothing Maintenance (Laundry / dry cleaning) - Monthly PaymentPet Care - Monthly PaymentSpecial Dietary Plans / Medication - Monthly PaymentFurniture &/or Repairs - Monthly PaymentOther Expenses Travel: Bus / taxi fare / trains / Gas – Fuel - Monthly PaymentTOTAL MONTHLY BASIC LIVING EXPENSES PAYMENTS ($)-=GRAND TOTAL MONTHLY EXPENSES ($)=-Primary Borrower Signature * Clear Signature Secondary Borrower Signature Clear Signature Subject Property Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSubmit