Spreadsheet: 0b106858-f810-4a98-959f-8ed217704ea5
Sheet: Pers Gross Income Wksht

PERSONAL  INCOME WORKSHEET
 | YOUR INCOME : |  |  |  |  |  |  |  |  |  |  |  |  |  | AMOUNT
1 | Gross Monthly Income from Employment
 | Fill out ALL of the following that apply to you (Enter the number (1, 2, 3, or 4) in the box that describes your pay frequency):
 |  | PAY FREQUENCY |  | 1=one time per month |  | 2= two times per month |  |  | 3=every two weeks | every 2 weeks | every week | 4=every week | Per Paycheck |  | Monthly
 |  |  |  |  |  | PAY FREQUENCY-1,2,3,or 4
 | I get paid base salary/hourly wage |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive overtime pay every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive bonus pay every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive commission every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive tips every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive a car allowance every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive a gas allowance every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive a housing allowance every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
 | I receive other allowance(s) every |  |  |  |  |  |  |  |  |  |  | in the amount of | 0
10 | Business Income (sole proprietorship, partnership, LLC, S Corp, etc) -For each business, attach most recent Schedule C Profit or Loss From Business, Form 1065 US Return of Partnership Income with applicable Form K-1, Form 1120S US Income Tax Return for an S-Corporation with applicable Form K-1, and/or Form 1120 US Corporation Income Tax Return AND YTD Income Statement (P &L).  Enter the following information: |  |  |  |  |  |  |  |  |  |  | Net Monthly Income (After business expenses, but before taxes,)
 |  |  |  |  |  |  |  |  |  |  |  | If adjusted for % of business owned, placed indicate % of ownership here:
11 | Gross Monthly Income from All Other Sources
12 | I receive spousal support/alimony |  |  | (voluntary) |  | (Court ordered) |  | from the other party in this matter,
 | a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive child support |  |  | (voluntary) |  | (Court ordered) |  | from the other party in this matter,
 | a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive support from others (not the other party in this case), a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive Social Security, a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive Social Security Disability/Military Disability income a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive Supplemental Security Income, a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive Worker's Compensation Benefits, a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive Unemployment Benefits, a total every month in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive Pension/Retirement income, a total every month  in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive interest income, a total every month  in the amount of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive dividend and/or royalty income, a total every month of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive payments from a partnership, S Corp, LLC, Trust, or other entity, a total every month of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | I receive gross rental income each month in the amount of:
25 | I receive other income (roommates, parents, gifts, other), a total every month of |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | Describe the source and amount of any "other" income referenced above:
 | Describe any benefits or perks paid by your employer (including but not limited to the use of any vehicle, club membership, etc.) and your estimated value of such benefits or perks: |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 | TOTAL GROSS MONTHLY INCOME
 | USE THE SPACE BELOW FOR ANY NOTES/COMMENTS/EXPLANATION YOU WISH TO PROVIDE REGARDING YOUR GROSS MONTHLY INCOME
 |  |  |  | NOTE: YOU MUST ATTACH YOUR LAST THREE PAY STUBS/STATEMENTS TO THE BACK OF THIS FORM PRIOR TO FILING