Valley View Form

COST CALCULATOR

VALLEY VIEW Monthly Expenses
HOME COSTS
Homeowners or Renters
Home/Renters Insurance:

COVERED
Rent Payment
Property Tax & Insurance:

COVERED
Utilities:

COVERED
Transportation (car insurance, gas):

COVERED
Groceries:

COVERED
Activities and Entertainment:

COVERED
Lawn Care:

COVERED
HVAC/appliance maintenance:

COVERED
Housekeeping and Linen:

COVERED
Laundry Services:

COVERED
HEALTH COSTS
Level of Care Fees
Emergency Call Services:

COVERED
Exercise Program:

COVERED
Health check-ups:

COVERED
Total Cost $
Should be Empty: