| Activity or Service | Monthly Cost | Monthly Cost |
| Living at Home | Living at The Arms |
|
| Mortgage Payment / Rent | $____________ | Included |
| Condo / Homeowners Fee | $____________ | Included |
| Property Taxes / Insurance | $____________ | Included |
| Lawn Care | $____________ | Included |
| Pest Control | $____________ | Included |
| Home Repairs and Maintenance | $____________ | Included |
| Plumbing, Roofing, Electrical | ||
| Electricity Bill | $____________ | Included |
| Water & Sewer | $____________ | Included |
| Gas Bill | $____________ | Included |
| Trash Removal | $____________ | Included |
| 24 Hour Security | $____________ | Included |
| Emergency Response System | $____________ | Included |
| Weekly Housekeeping | $____________ | Included |
| Scheduled Transportation | $____________ | Included |
| Auto, Gas, Insurance | ||
| Planned Social Activities | $____________ | Included |
| Window Coverings | $____________ | Included |
| Carpeting & Cleaning | $____________ | Included |
| Interior / Exterior Maintenance | $____________ | Included |
| Heating & Air Conditioning | $____________ | Included |
| Cable TV | $____________ | Included |
** Pets Allowed