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Name(s): Skip and Jackie Garcia For the: Year | Ended: December 31, 20XX Income Wages and salaries Bonuses and commissions Investment income (1) Total Income:

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Name(s): Skip and Jackie Garcia For the: Year | Ended: December 31, 20XX Income Wages and salaries Bonuses and commissions Investment income (1) Total Income: Expenses Housing Utilities Food Transportation Medical Clothing Insurance Taxes Recreation and entertainment Other (2) Total Expenses: Cash Surplus or Deficit (1- 2): Name: Skip Garda Name: Jackie Garcia Skip's commission Apple dividend received Savings account Rent or mortgage payment (include insurance and taxes, if applicable) Gas, electric, water Phone Groceries Public transportation Auto loan Health, major medical, disability insurance (payroll deductions are not provided by employer) Clothes, shoes, and accessories Rental or homeowner's insurance (if not covered by mortgage payment) Skip's income and Social Security Jackie's income and Social Security Vacations School loan Dollars $21,250 0..00.0.1.0.1.0.1.0 Name(s): Skip and Jackie Garcia For the: Year | Ended: December 31, 20XX Income Wages and salaries Bonuses and commissions Investment income (1) Total Income: Expenses Housing Utilities Food Transportation Medical Clothing Insurance Taxes Recreation and entertainment Other (2) Total Expenses: Cash Surplus or Deficit (1- 2): Name: Skip Garda Name: Jackie Garcia Skip's commission Apple dividend received Savings account Rent or mortgage payment (include insurance and taxes, if applicable) Gas, electric, water Phone Groceries Public transportation Auto loan Health, major medical, disability insurance (payroll deductions are not provided by employer) Clothes, shoes, and accessories Rental or homeowner's insurance (if not covered by mortgage payment) Skip's income and Social Security Jackie's income and Social Security Vacations School loan Dollars $21,250 0..00.0.1.0.1.0.1.0

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