Financial Statement Worksheet

Taxpayer Name:	______	_____	______	Financial Statement Analysis WORKSHEET	Monthly - Estimated/Projected
Total Income				DRAFT ONLY	Necessary Living
				(www.TaxSOS.com)	Expenses
SOURCE			GROSS		CLAIMED	IRS STDS
31. Wages/salaries (T/P)	entry->		______	42.National Standard	xxxxxxx	xxxxxxx
32. Wages/salaries (spouse)	entry->		______	Expense - STD->	xxxxxxx	______
			xxxxxxx	Actual: Food	______	xxxxxxx
			xxxxxxx	Housekeepg spplies	______	xxxxxxx
			xxxxxxx	Apparel & services	______	xxxxxxx
			xxxxxxx	Persnl care prod/serv	______	xxxxxxx
			xxxxxxx	Miscellaneous		xxxxxxx
33. Interest - Dividends			______	43.Housing and	xxxxxxx	xxxxxxx
34. Net Business income			xxxxxxx	Utilities – STD->	xxxxxxx
from 433-B			______	Actual Rent/Mtg	______	N/A
			xxxxxxx	Property Taxes	______	N/A
			xxxxxxx	H/O / Rentr Ins.	______	N/A
			xxxxxxx	Parking	______	N/A
			xxxxxxx	Maint & Repairs	______	N/A
			xxxxxxx	H/O Dues	______	N/A
			xxxxxxx	Condom. Fees	______	N/A
			xxxxxxx	Utilities - Actual:	xxxxxxx	N/A
			xxxxxxx	Gas	______	N/A
			xxxxxxx	Electricity	______	N/A
			xxxxxxx	Water	______	N/A
			xxxxxxx	Trash/garb. Coll	______	N/A
			xxxxxxx	Fuel oil, bottld gas	______	N/A
			xxxxxxx	Wood	______	N/A
			xxxxxxx	Septic Cleaning	______	N/A
			xxxxxxx	Telephone	______	N/A
			xxxxxxx
			xxxxxxx	44.Transportation	xxxxxxx
			xxxxxxx	Ownership STD->	xxxxxxx
			xxxxxxx	OperCost/PublcTran	xxxxxxx
			xxxxxxx	Actual:	xxxxxxx	N/A
			xxxxxxx	Lease/purch pmts	______	N/A
			xxxxxxx	Insurance	______	N/A
			xxxxxxx	Registration	______	N/A
			xxxxxxx	Maint & Repairs	______	N/A
			xxxxxxx	Fuel	______	N/A
			xxxxxxx	Public Transport	______	N/A
			xxxxxxx	Parking & Tolls	______	N/A
			xxxxxxx	Property Taxes	______	N/A
			xxxxxxx	45.Health Care:
			xxxxxxx	Insurance	______
			xxxxxxx	Med.not covered	______
			xxxxxxx	46.Taxes	xxxxxxx	xxxxxxx
			xxxxxxx	Current Year	______
			xxxxxxx	Federal	______
			xxxxxxx	State	______
			xxxxxxx	Levy / EWO	______
35. Rental Income			______	47.Court ordered	xxxxxxx	xxxxxxx
36. Pension (T/P)			______	Payments	xxxxxxx	xxxxxxx
			xxxxxxx	Alimony	______
			xxxxxxx	Child Support	______
			xxxxxxx	48.Child/dependent	______
37. Pension (Spouse)			______	Care	______
38. Child Support			______	49.Life Insurance	______
39. Alimony			______	50.Secured or	xxxxxxx	xxxxxxx
40. Other			______	legally perfected	______
			______	debt (specify)	______
			______	51.Other expenses	xxxxxxx	xxxxxxx
			______	(specify)	______
			______	School Athletics	______
			______	School Activities	______
			______	School Lunches	______
			______	Allow from Stress	______
			xxxxxxx	SPECIAL ITEMS:	xxxxxxx	xxxxxxx
			xxxxxxx	Food	______
			xxxxxxx	Doctors	______
			xxxxxxx	PX	______
			xxxxxxx	Allow for Birthday	xxxxxxx	xxxxxxx
			xxxxxxx	/christmas etc	______
			xxxxxxx	R&E Stress	______
			xxxxxxx	Mental health	______
			xxxxxxx	Emerg Provisions	xxxxxxx	xxxxxxx
			xxxxxxx	food, water, fuel	______
			xxxxxxx		xxxxxxx	xxxxxxx
			xxxxxxx		xxxxxxx	xxxxxxx
			xxxxxxx		xxxxxxx	xxxxxxx
			xxxxxxx		xxxxxxx	xxxxxxx
41. TOTAL INCOME			______	52.Total Expenses	______

				(Line 41 minus line 52)	______
				53.NET DIFFERENCES	______
					CLAIMED	IRS STDS

	END
http://www.TaxSOS.com Telephone: 1-866-482-9707 FAX: 530-474-5523				CONSULT A TAX PROFESSIONAL