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Housing at GVM Currently
  • Mortgage/Rent
  • Included $________
  • Real Estate Taxes
  • Included $________
  • Homeowner's Insur.
  • Included $________
  • Electric
  • Included $________
  • Gas/Oil/Other
  • Included $________
  • Cable TV
  • $20.00 $________
  • Trash Collection
  • Included $________
  • Maint./Repairs
  • Included $________
  • Lawn/Trees
  • Included $________
  • Security System
  • Included $________
      Subtotal $________
     
    Food
  • Groceries
  • Included $________
  • Dining Out
  • Included $________
      Subtotal $________
     
    Activities
  • Entertainment
  • Included $________
  • Memberships
  • Included $________
      Subtotal $________
     
    Automobile
  • Gas/Oil
  • Included $________
  • Maint./Repairs
  • Included $________
  • Insurance
  • Included $________
  • Reg./Inspec.
  • Included $________
      Subtotal $________
     
    Care
  • Home Health/Other
  • Included $________
     
    Grand Total $________
     
    Grand View Manor, 129 Houck Road, Fleetwood, PA 19522
    Phone: (610) 944-1800   Toll Free: (866) 944-1800   Fax: (610) 944-5200
    © Copyright Assured Care, Inc. 2002, All Rights Reserved, Contact Us