Budget Template for Licensed Family Day Homes and Independent Foster Homes
BUDGET FOR LICENSED FAMILY DAY HOMES AND INDEPENDENT FOSTER HOMES
APPLICANT’S NAME: _____________________________________________ DATE: _______________
032-05-0369-03-eng (02/13)
AMOUNT
1. OPERATING EXPENSES OF HOME PER MONTH
Food for children
Rent/Mortgage
Utilities:
Electricity
Gas
Cable
Water
Sewage
Internet
Telephone
Other, such as heating oil
Fuel for Auto(s) Used in Day Care/Independent Foster Home
Maintenance for Auto(s) Used in Day Care/ Independent Foster Home
Payment for Auto(s) Used in Day Care/ Independent Foster Home
Home Maintenance
Equipment/Supplies
Laundry/Linens
Cleaning supplies
Other:
2. ADMINSTRATIVE EXPENSES OF HOME PER MONTH
Office equipment & supplies
Accounting
Licensing or business fees
Legal fees
Insurance(s)
Advertising
3. SALARIES, WAGES, & BENEFITS PER MONTH (for assistant and substitute providers)
Salaries: (List each person separately)
1.
2.
3.
4.
FICA (Social Security)
Health Insurance
Life Insurance
Employee training
Other benefits
Other:
Employee taxes
TOTAL MONTHLY EXPENSES
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