Cash flow

Cash Flow Data Sheet

Clients Name(s)

Street Address

Date

City

State

ZIP

Home Phone

Cell Phone

E-mail

Work Phones

Important Notes/Unique Circumstances

Mortgage Information

Please complete the fields only as they apply to you. If you do not have a second mortgage or a HELOC, leave those areas blank. Any additional information that you feel is pertinent please list in the additional Notes/Information area.

Ist Mortgage

Bank/Institution Name

Original Start Date

Term (Years)

Total Payment (Principle, Interest, Taxes, Insurance*)

Additional Notes/Information

Original Mortgage Principle

Current Balance

Interest Rate

Date of Month Due

*If you pay property taxes and homeowner’s insurance separately rather then as part of your mortgage payment, list them below in the Expenses section

2nd Mortgage

Bank/Institution Name

Original Start Date

Term (Years)

Total Payment

Additional Notes/Information

Original Mortgage Principle

Current Balance

Interest Rate

Date of Month Due

HELOC (if applicable)

Bank/Institution Name

Current Balance Owed

Monthly Payment

Additional Notes/Information

HELOC Limit

Interest Rate

Date of Month Due

Income Information

Please note that income should reflect net checks after taxes, 401(k) contributions, and stock purchases. Complete only as it applies to your circumstances.

Your Primary Income

Your Name

Interval (Weekly, Every two weeks, Monthly)

Net Bonus Paid (if applicable)

Date of Bonus Payment (if applicable)

Net Amount of Check

Date of Month Paid

Bonus Interval (if applicable)

Additional Notes/Information

Spouse Primary Income

Your Spouse’s Name

Interval (Weekly, Every two weeks, Monthly)

Net Bonus Paid (if applicable)

Date of Bonus Payment (if applicable)

Net Amount of Check

Date of Month Paid

Bonus Interval (if applicable)

Additional Notes/Information

Additional/Ancillary Income 1

Income Source

Interval (Weekly, Every two weeks, Monthly)

Additional Notes/Information

Net Amount of Income

Date of Month Paid

Additional/Ancillary Income 2

Income Source

Interval (Weekly, Every two weeks, Monthly)

Additional Notes/Information

Net Amount of Income

Date of Month Paid

Expense Information

Please do not hesitate to edit our template so that it accurately reflects your circumstances (example: many clients have cable and internet as one bill). We’ve also included blank fields so that you can add ones we may have missed. However, please be sure to always indicate the interval of the expense (weekly, monthly, quarterly, annually, etc) and the date paid/due as this will help us accurately understand your cash flow.

Expense Name

Household Expenses Amount

Interval

Date Paid/Due

Type other Expense Name here

Household Expenses Amount

Interval

Date Paid/Due

Type other Expense name here

Household Expenses Amount

Interval

Date Paid/Due

Type other Expense name here

Household Expenses Amount

Interval

Date Paid/Due

Type other Expense name here

Household Expenses Amount

Interval

Date Paid/Due

*If you pay property taxes and homeowner’s insurance as part of your mortgage payment, DO NOT list them here. Instead, include them in your monthly mortgage payment

Debt Information

Please include all debts, balances, minimum payments, monthly payment you make (if above the minimum),interest rates, dates paid, and anticipated pay-off dates. Car payments/loans, credit cards, and other loans should all be included

Name

Balance

Minimum Payment

Monthly Payment

Interest Rate

Date Paid/Due

Payoff Date

Name

Balance

Minimum Payment

Monthly Payment

Interest Rate

Date Paid/Due

Payoff Date

Name

Balance

Minimum Payment

Monthly Payment

Interest Rate

Date Paid/Due

Payoff Date

Name

Balance

Minimum Payment

Monthly Payment

Interest Rate

Date Paid/Due

Payoff Date

Name

Balance

Minimum Payment

Monthly Payment

Interest Rate

Date Paid/Due

Payoff Date

Name

Balance

Minimum Payment

Monthly Payment

Interest Rate

Date Paid/Due

Payoff Date