
 PREPARED FOR:  DATE:                         /                         / 
Personal Cash-Flow Statement
You’ll Need:
p Most recent paycheck. (If your  
  salary is variable, because  
  you’re self-employed or work on  
  a commission basis, use an  
  average of your pay over the  
  past 6–12 months.)
p Statements showing income  
  from income sources, such  
  as pensions, Social Security, or  
  savings/investment interest
p Most recent bank and  
  investment statements
p Most recent credit card  
  statement(s)
p Statements for other debts,  
  such as student or auto loans
p Most recent checking and  
  savings account statements
p A record of your discre- 
  tionary expenditures over the  
  past month
Salary (net: after taxes and benefits)
Spouse’s salary (net: after taxes and benefits)
Pension income
Social Security income
Interest/investment income
Other income (specify)
Other income (specify)
Other income (specify)
TOTAL: Monthly Income Amount
INCOME:  MONTHLY AMOUNT
EXPENSES: MONTHLY AMOUNT
Fixed: 
Mortgage or rent 
Other real estate payments (taxes, assessments, etc.)
Auto loan 
Student loan
Credit card payment
Utilities
Tuition
Child care
Food
Clothing
Other expenses (specify)
Other expenses (specify)
Other expenses (specify)
Other expenses (specify)