Customer Support

Income & Expenditure

Your details

Monthly Income

Total monthly, net of tax and NI

Net of tax, eg. Pension, exclude benefits

eg Benefits, Child Benefit, Universal Credit, Tax Credits, please specify

Total income:

Household Committed Expenditure

Mortgage payment

Total expenditure:

Other Debts

Please provide details of Payment, Company and Balance Outstanding and if any reduced payments have been arranged

Total debt:

Household Expenditure

Any allowances given?

All food & Household goods (incl furniture and electrical)

Clothing & Footwear, Dry Cleaning, clothing repair etc

Includes water, gas, electricity & other fuels (not petrol)

Medical products, contact lenses, spectacles, prescriptions

Purchasing/Repair of vehicles, petrol & diesel

Mobile phones, land line & internet subscription

TV license, sky/cable, video games. Gym Membership

Household, medical & vehicle insurance

Monthly pension payment

Cigarettes, tobacco, lottery etc.

Total household expenditure:

Other Notes

Please list

Overall total:

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