MONTHLY EXPENSES Amount
Housing and Utilities
Food and Clothing
Transportation and Entertainment
Education
Medical, Personal Care
Other Expenses (Taxes, Loans, Insurances, etc...)
TOTAL EXPENSES:

INCOME WHILE DISABLED

Income Amount
Spouse's After-tax Income
Investment Income
Group/Individual Disability Income
Other Income
TOTAL INCOME:
MONTHLY AMOUNT NEEDED (expenses less income) : $