Army Emergency Relief (AER) Budget Sheet

Army Emergency Relief (AER) Budget Sheet

NAME: __________________________________________________

Client ID: ______________________________

Instructions: Use monthly averages for your income and expenses. Do not use current amounts due as this may not accurately reflect your budget. If you are in transtion to medical retirement - use projected income as provided by PEBLO.

1

MONTHLY INCOME

Service Member's Income

Military/Retired Pay (DFAS)

VA Disability

Civilian Salary/Earnings

CRSC

Social Security Disability

Social Security Retirement

GI Bill

VOCREHAB

Child Support

Spouse's Income:

Civilian Salary/Earnings

Retirement Pay

Social Security

Social Security Disability

Caretaker Stipend

Dependency and Indemnity Comp (DIC)

Child Support

SBP

VA Widow Tax Pension

Dependent Children Income:

Civilian Salary/Earnings

Social Security

GI Bill

Caretaker Stipend

Other Income:

Help from other family members

Rental Property Income

Investment Income

Food Stamps

WIC

Other:

Other:

Notes:

1 TOTAL INCOME

AMOUNT $0.00

2 MONTHLY EXPENSES Food Rent Mortgage Utilities: Electric Water/Sewer Cable Internet Home Heating Oil/Gas Home Phone Trash Cell Phone Vehicle Expenses: Fuel or Public Transportation Maintenance Payment - Vehicle 1 Payment - Vehicle 2 Meals Eating Out Recreation Church/Charity Clothing Incidentals/Supplies Insurance: Life Vehicle Renter's/Home Health Insurance Dental Insurance Child Care Child School Expenses Child Support (Payments) Medical Bills

Dental Bills

Garnishment

Investments:

TSP/IRA

Mutual Funds/Stocks

Savings

Other

Credit Cards:

Card #1

Card #2

Card #3

Personal Loans:

Loan #1

Loan #2

Loan #3

Student Loan

Taxes:

Federal Income tax

State Income tax

Medicare

Social Security

Other Taxes (City/Local)

Other:

Other:

Other:

AMOUNT

2 TOTAL EXPENSES

$0.00

TOTAL

$0.00

3 BALANCE Circle one ( + or - )

$0.00

AER Form 57 (October 2019) previous editions obsolete

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