Jack's Family Fund - Our People, Our Priority Jack's Family Fund - Our People, Our Priority
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Budget

Monthly Budget

"*" indicates required fields

Applicant Name*
This can be found on your confirmation email.
Applicant's Email*
Please use the same email address you used when submitting your application.

1. Household Income

wages and tips
Gross Earnings less withholdings, taxes, & garnishments
30 pay periods/month
4.34 pay periods/month
2.17 pay periods/ month
2 pay periods/ month
1 pay period/ month
Examples: Food stamps, spouse's/roommate's wages, SSI or disability benefits, child support, 2nd job
Please explain what makes up your additional income. For example: Additional Income = $500 which includes $200 food stamps, $300 child support
Please provide one or more of the following: recent paystubs, 1099, w-2, benefits or award letter for SSI/SSDI, food stamps, rental assistance
Drop files here or
Max. file size: 32 MB, Max. files: 4.

    2. Household Expenses

    Rent/mortgage + insurance + taxes
    bus, taxi, Uber/Lyft, friends/family gas money
    If included in rent, enter '0'
    If included in rent, enter '0'
    If included in rent, enter '0'
    If included in rent or other utility bill, enter '0'
    If provided by your job or through government program OR you do not have a phone, enter '0'
    E.g. gym membership, Netflix, Apple Music, Hulu, Pandora, Spotify
    USDA Thrifty Meal Plan Sept 2022 reports it costs $965/month to feed a 2 parent household with 2 children between ages 6-11. A single adult should budget $230 - $300/month according to the same report.
    Your grocery budget seems very low. How are you able to adequately feed yourself (and family) on this amount?
    E.g. Clothing, accessories, hobbies, gifts, home décor, electronics, toys

    Your Bottom Line

    Total Income - Total Expenses = Bottom Line
    If your Bottom Line (above) shows a negative number, you are spending more than you are making. This is not sustainable. What is your plan to increase income and/or decrease spending so you will be self-sustaining moving forward? Please be specific.

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    124 West Oxmoor Road
    Birmingham, AL 35209
    United States

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