Full name.                               Date:

One, the income

Amount (yuan)

Percentage of total income

Wage and salary (after tax net income)

Mr Cheng

Cheng Taitai

Self employment income (fee and other non salary income)

Bonus and commission

Investment income

Interest

Capital gains

A bonus

Rental income

Other income

Other income

(I) the total income

Two, expenditure

Number

The ratio of expenditure

House property

Rent / mortgage payment (including insurance and tax)

Repair, maintenance and decoration

The cost of Education

Tuition

Interest expense

Special training fee

The car

Loan payment

Gasoline

Repair and maintenance

The toll fee

Parking fees etc.

Insurance premium

Travel tax

The expenses of daily life

Water and electricity costs

Communication charges

Traffic expense

Daily necessities

Dining out

Other expenses

Buy clothing expenses

Clothes, shoes and accessories

Personal care spending

Cosmetics, hair care, beauty, fitness

Leisure and entertainment

On vacation

Other entertainment and leisure

Commercial insurance

Personal insurance

Property insurance

Liability insurance

Medical expenses

Medical expenses

Other items of expenditure

(II) expenditure

Cash balances (or over) [(I) and (II))