Income Expenditure Sheet

Outgoings: Your living costs

Enter the total amount you pay including towards arrears you may have Payment amount £ How often? e.g. weekly, monthly Average per calendar month

HOUSING & UTILITY BILLS

Rent £701.00 Monthly £701
Mortgage
Secured loan (other than your mortgage)
Mortgage endowment premium
Service charge or ground rent
Water £49.24 Monthly £49
Council tax £136.00 Monthly £136
Gas
Electricity
Other household fuels (oil, coal etc)

HOUSEHOLD SERVICES

Buildings & contents insurance
Telephone and internet £55.00 Monthly £55
TV licence
Satellite or cable TV
Repairs, service contracts
Appliance rental
Child support paid by you
Childcare
Life insurance & private pension
Medical or accident insurance £35.00 Monthly £35

TRAVEL

Spares & servicing
Road tax £240.00 Yearly £20
Car insurance £1,300.00 Yearly £108
Breakdown cover
Fuel & parking £40.00 Fortnightly £87
Public transport £10.00 Monthly £10
FOOD & HOUSEKEEPING
Food, toiletries & cleaning products £77.00 Monthly £77
School meals £30.00 Weekly £130
Meals at work
Pets (food & insurance)
Tobacco
Clothing & footwear £50.00 Monthly £50
OTHER SERVICES
School trips & activities
Medicines & prescriptions
Dentist & opticians
Hairdressing £70.00 Monthly £70
Professional or union fees
Education fees
Laundry or dry cleaning £10.00 Monthly £10

PERSONAL & LEISURE

Newspapers & magazines
Sports, hobbies & entertainment
Children’s pocket money £20.00 Weekly £87
Church or charity donations
Sundries & emergencies

OTHER COSTS

TOTAL EXPENSES

£1,625

Income: What money do you receive?

If income is variable enter an average Amount How often? Per calendar month
Your wage Monthly £0
You partner’s wage
Part-time wages
Child benefit £82.60 Monthly £83
Rent or board received
State pension
Private pensions
Pension credit
Employment & Support Allowance (ESA)
Jobseeker’s Allowance (JSA)
Child Support or CSA £50.00
Disability Living Allowance (DLA)
Income Support
Working Tax Credit
Child Tax Credit £64.62
Housing Benefit

TOTAL INCOME

£83

Debts: Who do you owe money to? (This could include rent arrears, gas or electricity, credit and store cards, bank loans etc.)

Name of organisation or lender Type of debt Amount owed Usual payment How often? Per calendar month
Example: ABC Bank Overdraft £1,000.00 £100.00 Monthly £100
Freeman Catalogue £37.00
Nationwide Bank Account Overdraft £2,575.00
Barclaycard Credit card £10,500.00 £290.00
Nationwide Bank Account Credit card £380.00 £25.00

TOTAL DEBT

£13,492

TOTAL DEBT PAYMENTS

£0

Court payments

Type of court order Amount owed Usual payment How often? Per calendar month
County Court judgment (CCJ) £2,000.00 £17.50 Weekly £76
County Court judgment (CCJ) £7,000.00 £11.00 Monthly

TOTAL COURT DEBT

£7,000

TOTAL COURT PAYMENTS

£0

Assets: What do you own?

Type of asset Estimated value
Vehicle £4,000.00
Vehicle £3,000.00

TOTAL ASSETS

£3,000
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