Budget Assistance Sheet Type of debt Money Repayment Name Owed in place Rent/Mortgage £ £ Arrears Council Tax £ £ Gas £ £ Number of people in household Electricity £ £ …………………………………………… Maintenance £ £ Income (weekly/monthly) Court Fines £ £ Other £ £ Wages/Salary £ £ £ Wages/Salary (partner) £ £ £ Benefits £ £ £ Money from other people £ Total £ £ Other £ Total Income Mortgage/rent £ Outgoings (weekly/monthly) Second Mortgage/Secure loan £ Ground rent/Service charge £ Priority Debts Building/Contents Insurance £ Life Insurance £ Life insurance/endowment £ Council Tax £ Gas £ Electricity £ My total income £ …………………… Water £ Food/Housekeeping £ My total outgoings £…………………… Travel £ Telephone £ Money left £…………………… TV Licence/rental £ Clothing £ Prescriptions/Health Cost £ Emergencies £ Other £ Total Outgoings £
Budget Assistance Sheet Name Number of people in household …………………………………………… Income (weekly/monthly) Wages/Salary £ Wages/Salary (partner) £ Benefits £ Money from other people £ Other £ Total Income Outgoings (weekly/monthly) Priority Debts Mortgage/rent £ Second Mortgage/Secure loan £ Ground rent/Service charge £ Building/Contents Insurance £ Life Insurance £ Life insurance/endowment £ Council Tax £ Gas £ Electricity £ Water £ Food/Housekeeping £ Travel £ Telephone £ TV Licence/rental £ Clothing £ Prescriptions/Health Cost £ Emergencies £ Other £ Total Outgoings £ Type of debt Money Owed Repayment in place Rent/Mortgage Arrears £ £ Council Tax £ £ Gas £ £ Electricity £ £ Maintenance £ £ Court Fines £ £ Other £ £ £ £ £ £ £ £ Total £ £ My total income £ …………………… My total outgoings £…………………… Money left £……………………