Financial Answer Center
Knowing Where You Stand

Cash Flow Statement II

12-Month Period ending _________________

INCOME

Monthly Amount

Times 12

Annual Amount

Salary and wages

$

X 12

$

Bonuses, commissions, tips

$

X 12

$

Self-employment income

$

X 12

$

Interest and dividends

$

X 12

$

Alimony/child support received

$

X 12

$

Gifts received

$

X 12

$

Pension income

$

X 12

$

Social Security income

$

X 12

$

Public assistance, unemployment,
and/or disability benefits

$

X 12

$

Other income:

__________________________________

$

X 12

$

__________________________________

$

X 12

$

__________________________________

$

X 12

$

TOTAL INCOME

$

X 12

$

OUTFLOW

Monthly Amount

Times 12

Annual Amount

Savings/investing

$

X 12

$

Federal & state taxes

$

X 12

$

Mortgage or rent

$

X 12

$

Home repair/maintenance

$

X 12

$

Property taxes

$

X 12

$

Disability insurance

$

X 12

$

Life insurance

$

X 12

$

Home/renter's insurance

$

X 12

$

Auto insurance

$

X 12

$

Credit card/loan payment

$

X 12

$

Utilities & telephone

$

X 12

$

Food (include dining out)

$

X 12

$

Clothing

$

X 12

$

Grooming

$

X 12

$

Gasoline

$

X 12

$

Auto repair/maintenance

$

X 12

$

Other transportation

$

X 12

$

Medical care

$

X 12

$

Education

$

X 12

$

Child care

$

X 12

$

Alimony/child support

$

X 12

$

Entertainment

$

X 12

$

Vacations

$

X 12

$

Gifts/charitable contributions

$

X 12

$

Laundry/cleaning

$

X 12

$

Other:

__________________________________

$

X 12

$

__________________________________

$

X 12

$

__________________________________

$

X 12

$

TOTAL OUTFLOW

$

X 12

$

NET CASH FLOW
(Income less Outflow)

$

X 12

$


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Investment and insurance products and services are offered through INFINEX INVESTMENTS, INC. Member FINRA/SIPC. Fairfield County Financial Services is a trade name of Fairfield County Bank. Infinex and the Bank are not affiliated. Products and services made available through Infinex are not insured by the FDIC or any other agency of the United States and are not deposits or obligations of nor guaranteed or insured by any bank or bank affiliate. These products are subject to investment risk, including the possible loss of value.