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					   Rossendale Citizens Advice Bureau
   Debt checklist – for money you owe people, over and above normal repayments


   Client/s name/s ……………………………………………………………

                                                  Name of collection
                          Name of original                                                              Pay’t    Court
                                                agency (if debt has been   Amount owed   Any agreed
Type of debt            creditor and account                                                           protect   action?
                                                    passed on) and           (approx)    repayment    (Yes/No)   Yes/No)
                               number
                                                      reference

Mortgage arrears                                          N/A

Rent arrears                                              N/A


Council Tax

Gas
Tick if current
supplier 
Electricity
Tick if current
supplier 

Telephone (s)

Water

Magistrates Court
Fines
Tax Credits
overpayment
Benefits
overpayments

   Continue on a separate sheet if necessary.
  Rossendale Citizens Advice Bureau
  Debt checklist – for money you owe people, over and above normal repayments


  Client/s name/s ……………………………………………………………
                                                 Name of collection
                         Name of original                                                              Pay’t    Court
                                               agency (if debt has been   Amount owed   Any agreed
Type of debt           creditor and account                                                           protect   action?
                                                   passed on) and           (approx)    repayment    (Yes/No)   Yes/No)
                              number
                                                     reference

CSA arrears

Loans from
friends/family

Bank overdraft

Bank/ personal
loans

Credit cards


Store cards

Catalogues


Credit Union




  Continue on a separate sheet if necessary.

				
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posted:3/11/2011
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