Cash Flow Statement–Instructions

Life Planning Center > Career Transition

Knowing Where You Stand

INCOME	ANNUAL AMOUNT
	Put in the amount of your gross earnings from your paycheck(s), and other income, such as pension income, investment income, alimony & child support received, as well as gifts.
Salary and wages	Total from all sources
Bonuses, commissions, tips	Total from all sources
Self-employment income	Total from all sources
Interest and dividends	Include this only if the total is more than $200
Alimony/child support received	Total amount
Gifts received	Total amount
Pension income	Total amount
Social Security income	Total amount
Public assistance, unemployment and/or disability benefits	Total amount
Other income: _______________	All other income
TOTAL INCOME	Total the income amounts above.

OUTFLOW	ANNUAL AMOUNT
Savings/investing	Whatever amount you are saving and investing. Include the amount you put into your 401(k), IRAs, and other retirement accounts.
Federal & state taxes	Enter the amount for federal and state taxes. Include Social Security, Medicare, and local tax. Use your pay stub, or use the amount from your last year's tax return if you're using Statement II and you don't expect many changes in your taxable income. Note: Due to your decrease in income, you may be able to subtract a little.
Mortgage or rent	What you pay, not including taxes and insurance. If your mortgage payment includes taxes and insurance, leave those lines blank below.
Home repair/maintenance	Any maintenance and repairs on your home or apartment, condo fees, etc.
Property taxes	Real estate (and in some states) personal property taxes
Disability Insurance	Include any insurance premiums deducted from your paycheck
Life insurance	Include any insurance premiums deducted from your paycheck
Home/renter's insurance	Premium payments
Auto insurance	Premium payments
Credit card/loan payment	Loans other than your mortgage, including car loans and credit card payments
Utilities & telephone	Water, telephone, electricity, gas, garbage, sewer, etc.
Food (include dining out)	All food and restaurants
Clothing	All clothes
Grooming	Hair care, beauty supplies, etc.
Transportation	Gas for automobiles and other modes of transportation
Auto repair/maintenance	Major repairs, oil changes, new tires, etc.
Other transportation	Tolls, train fare, bus fare, etc.
Medical care	Medical and Dental expenses not covered by insurance, including health insurance premiums deducted from your paycheck and all other health insurance premiums.
Education	Tuition and fees, room and board, meal plans, etc.
Child care	All costs for babysitting and child care expenses
Alimony/child support	Amounts paid
Entertainment	Sporting events, hobbies, movies, etc.
Vacations	Including airplane fare
Gifts/charitable contributions	Gifts to charitable organizations, gifts to relatives and friends
Laundry/cleaning	Amount spent
Other: _____________________	All other items of outflow unique to your situation.
TOTAL OUTFLOW	Total the outflow amounts above.
NET CASH FLOW	Subtract outflow from income

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