PERSONAL BUDGET SHEET Name: ______________________________________________ Number of people in my household _______ STEP 1
Wages/salary Wages/salary (partner) Job Seeker’s Allowance
Income Support/Pension Credit
Income
STEP 4
Balance Owed
Priority debts
Monthly offer of repayment
Mortgage arrears ■ Second mortgage arrears Rent arrears ■ Council Tax/Community charge arrears Fuel debts: Gas Electricity Other Court fine arrears Maintenance arrears Hire Purchase arrears Other 1 __________ 2 __________
Total priority debts repayment BOX D
Tax Credit Retirement/Works Pension
Child Benefit Incapacity Benefit Maintenance Non-dependent contributions Other £
Total income BOX A
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Outgoings
STEP 2
Mortgage Mortgage endowment policy Second mortgage Rent Council tax/water charge Fee duty/service charge Buildings/contents insurance Life insurance/pension Gas Electricity
£
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STEP 5 Money for creditors Total priority debts Repayment
BOX C less BOX D £
Money for credit debts BOX E
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Credit Debts
STEP 6 Other fuel Housekeeping ■ TV rental/licence Court fines ■ Maintenance payments Hire purchase vehicle ■ Travelling expenses ■ School meals/meals at work Clothing Laundry Telephone/Mobile Phone Prescriptions/health costs Childminding Creditor ■ 1 ________________ 2 ________________ 3 ________________ 4 ________________ 5 ________________ 6 ________________ 7 ________________ 8 ________________ 9 ________________ Balance owed ■
Monthly offer of repayment
Total owed BOX F
■ Total monthly repayment BOX E Other ■ 1 2 3 £
■■,■■■.■■ £■■,■■■.■■
£
This is an accurate record of my financial position on Signed:
Total income BOX B
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STEP 3
Total income BOX A
Less Total outgoings BOX B
Money for creditors BOX C
£
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