Personal Budget of Name: Address: Postcode: Number of people in my household: HB Claim Number:
1. INCOME Wages Wages – Partner Job Seekers Allowance -Means Tested -Non-means Tested Income Support Working Families Tax Credit Retirement Pension Works Pension Child Benefit Incapacity Benefit Maintenance/Child Support Non-dependant’s Contribution DLA/AA Other TOTAL INCOME
Weekly/Monthly
2. EXPENSES Rent Council Tax Water Rates Contents Insurance Life Insurance Pension Gas Electricity Other Fuel Housekeeping TV Rental/Licence
Magistrates Court Fees Maintenance/Child Support Payments Travelling Expenses School Meals/Meals at Work Clothing Laundry Telephone Prescriptions Childminding Expenditure Cushion Other TOTAL EXPENSES
3.
TOTAL INCOME minus TOTAL EXPENSES
FIRST MONEY FOR CREDITORS FIGURE
4. PRIORITY DEBTS
Balance owed
Weekly/Monthly offer of repayment
Rent Arrears Council Tax Arrears Water Rates Arrears Fuel Debts - Gas Electricity Other Magistrates Court Arrears Child Support Payments Other 1. 2. 3.
TOTAL
FIRST MONEY FOR CREDITORS FIGURE minus PRIORITY DEBT PAYMENTS
SECOND MONEY FOR CREDITORS FIGURE
5. CREDIT DEBTS
Creditor
Balance owed
Weekly/Monthly offer of repayment
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
TOTAL OWED
TOTAL PAYMENT