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Howard Financial Coaching and Budget Planning | Client Intake

Welcome! Complete this form to help us prepare your household budget, debt payoff strategy, savings goals and retirement savings plan.

Form-only process: Your report uses the answers you type here. No statements, pay stubs, account connections or document uploads are required.

Use US dollars. Enter 0 only when the amount is truly zero or does not apply. For new text fields, you may type Unknown or Estimate: [amount]. If a number-only field is unknown, leave it blank and identify it in the notes on the final page. Do not guess.

Do not enter Social Security numbers, full account numbers, passwords or logins. Calculations will be checked, but your information is client-reported rather than independently verified.

1. About you and your household

Full name(s) to appear on your report

Email address

Phone number

State of residence

Number of adults in the household

Number of children or other dependents

Best way to contact you

Include all household income and shared expenses if you share finances with a spouse or partner. Include both names above when the report is for both of you.