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General Budget Worksheet

Please complete the following information. When completing your budget and other numeric fields, do not use any special characters such as decimals, dollar signs, dashes, slash marks, quotations, etc. and please round to the nearest dollar.

IF YOU HAVE QUESTIONS AND/OR CONCERNS ABOUT COMPLETING THIS FORM, PLEASE CONTACT ORIGIN AT 843.735.7802 OR EMAIL LAURA JEFFERS AT ljeffers@originSC.org.

WARNING: When completing this form, be sure to place/click the cursor into the appropriate text field before using the Backspace key to delete. Failure to do so could result in losing all of the information you have entered.

Items marked with a red asterisk are required.

General Information

(If not married, write N/A in any required spouse information fields.)

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Income Per Month - Client

Pay Interval: *



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Below please enter any other sources of income

Source
Amount
 

Income Per Month - Spouse

(If applicable)

Pay Interval: *




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Below please enter any other sources of income

Source
Amount
 

Marital Status*




Dependents*


Age(s)
 

Housing Status*




 
Is Rent/Mortgage Delinquent?:
 

List current balances for all debts

 
 
 
 
 
 
 
 
 
 
 
 
 

Monthly Living Expenses

(Please estimate monthly figures.)

Fixed Expenses

 
 
 

Flexible Expenses 

(Please estimate monthly figures.)

 
 
 

Periodic Expenses

(Please estimate monthly figures.)

 
 
 

 

New Workshop Price!

Our full-day First Time Homebuyer Workshops are now ONLY $49, thanks to the generosity of our grantors.
 
An affordable investment you will never forget! Seats are always limited in this class, so register early!
 
 

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CONTACT US 843.735.7802