1NIncome from Social Security and/or other Government Assistance 1PTotal Monthly Income 1QElectric and/or Fuel Payment 1RWater and/or Sewer Payment 1STelephone Payment 1TMaintenance Expense 1UFood Expense 1VClothing Expense 1WLaundry Expense 1XMedical and/or Dental Expense 1YRecreation Expenses 1ZCha...