DEBT HELP SITES » FREE INCOME & EXPENDITURE STATEMENT

FREE INCOME & EXPENDITURE STATEMENT

INCOME & EXPENDITURE STATEMENT
1. Income (use all monthly or all weekly figures)	3. Priority Debts
Wages/Salary	All Arrears	Outstanding Balance		Payment Offer
Wages/Salary (spouse)	Mortgage
Family Credit	Rent
Benefits	Council Tax
Pension	Water Rates
Child Benefit	Gas
Other	Electric
Other	Court Fines
A. Total Income	Maintenance
2. Living Costs	Other
Mortgage	Other
Rent	D. Total Priority Debt Payment
Council Tax	C less D =4. Money for Non-priority Debts
Water Rates	Creditors Name		Balance Owed	Offer
Home Insurance	1.
Life Insurance etc.	2.
Electric	3.
Gas	4.
TV Licence	5.
Court Fines	6.
Maintenance	7.
Travelling Expenses	8.
Clothing	9.
School & Work Costs	Total Owed
Telephone	Offer Total
Housekeeping
Other
B. Total Living Costs
A less B = C. Money for Creditors
Name ……………………………………………………………………………………………………………………. Address …………………………….……………………………………………………………………………… Signature …………………………………………….……………. Date ………………….………………………. I/we agree that the above statement is a true record of the facts.