ReCapture

ReCapture™ Household Intake Worksheet

Complete the worksheet below so your household spending can be reviewed for ReCapture™ participation and structured spending eligibility.

Step 1 of 6

Welcome to ReCapture Financial™

Thank you for your interest in ReCapture Financial™.

This short intake worksheet helps us understand your household's income, monthly expenses, and spending structure so our underwriting team can determine whether our platform is a good fit for your household.

Most households complete this worksheet in about 10–15 minutes.


Before You Begin

Please have the following information available:

  • Your approximate monthly household expenses.
  • Your take-home income amounts by pay schedule.
  • A general understanding of how your monthly bills are currently paid.
  • Your contact information, including your phone number and email address.

Basic Eligibility

  • Be at least 25 years old.
  • Be employed full-time.
  • Maintain an active personal checking account.
  • Have approximately $3,500 or more in monthly household expenses.
  • Provide complete and accurate financial information.

Meeting these guidelines does not guarantee acceptance, but helps us determine whether ReCapture Financial™ is a good fit for your household.


What We Ask From You

  • Complete the onboarding process if approved.
  • Follow your personalized weekly deposit schedule.
  • Keep your household information current.
  • Notify us when major financial changes occur.
  • Use the platform responsibly and remain in good standing.

What You Can Expect From Us

  • Professional household cash-flow management.
  • Secure handling of your financial information.
  • A personalized spending structure built around your household.
  • Ongoing member support throughout your participation.
  • Access to the programs for which you qualify.

Household Information

Program Selection

Program

Household Income Structure

Enter the household take-home income by pay schedule.

Monthly Expenses

Monthly Bill
Monthly Amount
How It’s Paid
Mortgage/Rent
HELOC
Car Note #1
Car Note #2
Car Insurance
Life Insurance
Health Insurance
Electricity/Hydro
Natural Gas
Water
Garbage/Sewer
Streaming
Internet
Miscellaneous
Creditor 1
Creditor 2
Creditor 3
Creditor 4
Creditor 5
Creditor 6
Creditor 7
Creditor 8
Creditor 9
Creditor 10
Student Loans
Groceries
Clothes Shopping
Entertainment
Car Gas
Child Support
Religious
Cable
Storage
Gym
Trips
Dry Cleaning
Cosmetic
Investments
Cell Phone
Legal
Renters/Property Tax
Additional Creditor 1
Additional Creditor 2
Additional Creditor 3
Additional Expense 1
Additional Expense 2
Additional Expense 3
Additional Expense 4
Additional Expense 5

Review & Submit

Total Monthly Expenses

Standard Weekly Deposit