Clusters of Empty Homes Programme Application to acquire an property in the Portland Street area Income and Expenditure Form APPLICANTS DETAILS Address: Home Telephone Number Mobile Telephone Number SECTION ONE: HOUSEHOLD INCOME please complete one of the columns below Weekly Bi-Weekly 4 Weekly Monthly Your Employment (after tax & £ £ £ £ deductions) Your basic wages (or salary) Regular Overtime Regular Bonuses Weekly Bi-Weekly 4 Weekly Monthly Your Partner’s Employment (after tax £ £ £ £ & deductions) Your basic wages (or salary) Regular Overtime Regular Bonuses SECTION ONE: OTHER INCOME please complete one of the columns below Weekly Bi-Weekly 4 Weekly Monthly £ £ £ £ State Benefits State Pension Child Benefit Tax Credits Contributions from others in household Private Pension Child support or maintenance payments Other (please specify below) TOTAL HOUSEHOLD INCOME
Clusters of Empty Homes Programme Application to acquire an property in the Portland Street area Income and Expenditure Form APPLICANTS DETAILS Address: Home Telephone Number Mobile Telephone Number SECTION ONE: HOUSEHOLD INCOME please complete one of the columns below Your Employment (after tax & deductions) Weekly £ Bi-Weekly £ 4 Weekly £ Monthly £ Your basic wages (or salary) Regular Overtime Regular Bonuses Your Partner’s Employment (after tax & deductions) Weekly £ Bi-Weekly £ 4 Weekly £ Monthly £ Your basic wages (or salary) Regular Overtime Regular Bonuses SECTION ONE: OTHER INCOME please complete one of the columns below Weekly £ Bi-Weekly £ 4 Weekly £ Monthly £ State Benefits State Pension Child Benefit Tax Credits Contributions from others in household Private Pension Child support or maintenance payments Other (please specify below) TOTAL HOUSEHOLD INCOME