Get the free University of Pennsylvania Monthly Budget Plan Enrollment Form - sfs upenn

Worksheet 1. Academic Year Expenses Tuition & Fees Housing Meals Books Health Insurance Other Misc. Expenses University of Pennsylvania Monthly Budget Plan Enrollment Form $ $ $ $ $ $ Student Information

) Expenses 3. Estimated Expenses (B) Person responsible for making the Monthly Budget Plan payments Payer Name & Title (Mr. / Mrs.) 4. Credit Based Costs. © Credit Based Costs Student name, Student number, Financial need (Income) Total Expenses 1. Room & Board 1.19 3.00 1.73 4.16 4.33 9.50 11.00 6.50 2. Room & Board 1.56 2.50 2.14 3.33 3.84 8.00 9.50 10.50 3. Food 1.40 2.50 2.16 3.33 3.84 10.00 12.50 12.50 5. Textbooks & Supplies 1.56 2.50 2.14 4.16 4.33 10.50 15.00 15.00 6. Utilities 1.40 2 – 3 1.00 2 – 3 8.00 12.50 20.00 22.50 7. Personal/Miscellaneous Costs 1.00 2 – 3 3.00 10.00 15.00 18.50 3.00 8.00 15.00 8. Pet Transportation 1.00 2 – 3 2.00 4.00 6.00 6.50 3.00 6.00 6.50 9. Miscellaneous Expenses 1.00 2 0.00 1.00 3.00 0.00 3.00 0.00 1.00 TOTAL EXPENSES 6.15 12.00 18.50 28.75 39.50 61.

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