Circles of Care
Bringing Children and Families Together
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FosterCare/Adoption
Monthly Family Budget
Household Expenses Vs. Income 749.2447(6)(C)
Foster Family
(Required)
Rent or mortgage
Renter's or homeowners' insurance
Car payment
Car insurance
Gas (car)
Health insurance
Electric bill
Water/sewage
Gas utility bill (if applicable)
Cell phone bill
Cable/internet bill
Credit card payments
Cash withdrawals
Food
Medical
Clothing
Legal (attorney fees, alimony, child support)
Pet
Entertainment
Other
Other description
Total Monthly Expenses
Total Monthly Income
(Required)
Surplus/Deficit
Foster Parent Signature
(Required)
By entering your name, you are signing the above form and verifying that all information is correct.
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