Inverness CAB

Personal Budget Sheet / Financial Statement

Household Details

Name:

Partner's Name:

Address:

Number of people in my household

Adults:

Children:

Non-dependant / Other:

Step 1: Income

Example: To calculate monthly amounts:

(Weekly wage x 52) ÷ 12

= monthly wage

Monthly

Wages / Salary£

Wages / Salary (Partner)£

Income Support / JSA£

Tax Credits£

Child Benefit£

Pension 1£

Pension 2£

DLA / Attendance Allowance£

Maintenance£

Total Income£

Step 2: Outgoings

Example: To calculate monthly amounts:

(Weekly wage x 52) ÷ 12

= monthly wage

Monthly

Mortgage / Rent / Board£

Second Mortgage / Secured Loans£

Council Tax£

Food / Housekeeping

Single person (Ł155 to Ł200)
Couple (Ł270 to Ł325)
Each Child (Ł100 to Ł150)

Food / Housekeeping£

Care / Mobility (eg. DLA & AA)£

Electric, Gas and Other Fuel

Usage

Electric£

Gas£

Other Fuel£

Water£

TV License / Rental£

Hire Purchase£

Maintenance Payments£

Clothing

Each person (Ł15 to Ł20)

Clothing£

Telephone

(Ł20 to Ł30)

Telephone£

Travel / Car Costs / Petrol

Include all costs - Repairs, Tax, Insurance, MOT, Bus Fares

Travel / Car Costs / Petrol£

School Meals£

Insurances£

Health Costs / Prescriptions

Include extra costs if you have special needs (eg: Diet and bedding)

Health Costs / Prescriptions£

Childminding£

Remember

Your outgoings may be different from our guide and you may have extra expenses for Emergencies, Pets etc. Please take this into account. Don't leave yourself short, as this may lead to extra difficulties.

Total Outgoings£

Step 3: Money For Creditors

Monthly

Total Income£

Total Outgoings£

Money For Creditors£

Step 4: Priority Debts (Copy these from your checklist)

Copy in the same order as set out on your Priority Creditor Check List (if any)

Balance Owed

Monthly

£ £

Total Priority debts repayment£

Step 5: Money For Non-Priority Debts

Monthly

Money For Creditors£

- Total Priority Debts Repayment£

Money For Creditors £

Step 6: Non-Priority Debts (Copy these from your checklist)

Copy in the same order as set out on your Priority Creditor Check List (if any)

Missing Info

If some of these boxes say Missing Info in them, make sure that you have filled in all of the sections.

You should have entered something in every section so far, also make sure that there are values in the Balance Owed part of Section 6.

If these boxes are empty where you have deleted something, put a 0 (zero) in them.

Balance

Offer of Repayment

1£ £

2£ £

3£ £

4£ £

5£ £

6£ £

7£ £

8£ £

9£ £

10£ £

11£ £

12£ £

13£ £

14£ £

15£ £

16£ £

17£ £

Totals£ £

This is an accurate record of my financial position at 28/09/2007

Signed ......................................................................................

When you print this sheet, it will only print the sections that you have filled in so that it uses less sheets of paper.

Note: If you are using Internet Explorer 7 and this budget sheet is too small to read when you print it off, select "File / Print Preview" and then change "Shrink To Fit" to "100%"

Next:Pro-rata Offer Letter