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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