Living at Home Expense Sheet — Monthly Costs

Staying at home is an option. To find out how much it costs, fill out this form. Include the costs for all the services really needed to stay healthy and safe. Then, you may want to compare this with another living option that includes all the necessary services and amenities you require.

1. Utilities    
  Water $_____
  Electricity $_____
  (Including air conditioning)  
  Gas / fuel oil $_____
  Trash collection $_____
  Food and groceries $_____
     
2. Property taxes   $_____
  Mortgage or rent $_____
     
3. Insurance   $_____
     
4.Domestic services    
 

Housekeeping

$_____
  Lawn/garden/leaves $_____
  Snow removal $_____
  Maintenance, repairs $_____
  (roof, furnace, appliances, painting inside and out, carpet cleaning)  
  Water softener $_____
  Association fee $_____
  Home security $_____
  Transportation $_____
     
5. Home care    
  Life Line $_____
  Home care medical costs $_____
  (do not include prescriptions)  
  Meal preparation $_____
  (or eating out)  
     
6. Entertainment    
  movies, classes, cable TV $_____
     
7. Invisible mortgage   $_____
     
The "invisible mortgage" or "lost interest" is 5% of the selling price of your house $__________ divided by 12 months. If you stay at home you are losing $____________of investment income, per month.
     
MONTHLY TOTAL   $_____
     

 

Adult Day Services

Supportive Home Care

The Living at Home cost sheet

Deciding and Touring Checklist

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