Outstanding debts Debt Nothing Weekly Fortnightly Monthly Balance Paid at Outstanding Present Credit Card £ £ £ £ Loans £ £ £ £ Hire Purchase £ £ £ £ Catalogue £ £ £ £ Social Fund Loan £ £ £ £ Benefit Overpayment £ £ £ £ Tax Credit Overpayment £ £ £ £ Court Fines £ £ £ £ Rent Arrears £ £ £ £ Council Tax Arrears £ £ £ £ £ £ £ £ Total £ £ £ £ Have you approached any of your creditors to ask them if they Yes No can reduce or suspend your repayments? If please tell what was the result? “Yes” Have you engaged with debt advice services in order to clear Yes No or to re-structure your debts? If please tell us who with and the result? “Yes” If you have not spoken to your creditors or sought independent debt advice you may be asked to do so as part of any DHP decision. Contracted Expenditure Please tell us if any of your stated expenditure is under contract and when it expires. Contracted Expenditure Type Company Contracted to Contract Expiry Date Home Telephone Mobile Telephone Internet TV Subscription State any other contracted expenditure below:
Outstanding debts Debt Nothing Paid at Present Weekly Fortnightly Monthly Balance Outstanding Credit Card £ £ £ £ Loans £ £ £ £ Hire Purchase £ £ £ £ Catalogue £ £ £ £ Social Fund Loan £ £ £ £ Benefit Overpayment £ £ £ £ Tax Credit Overpayment £ £ £ £ Court Fines £ £ £ £ Rent Arrears £ £ £ £ Council Tax Arrears £ £ £ £ £ £ £ £ Total £ £ £ £ Have you approached any of your creditors to ask them if they can reduce or suspend your repayments? Yes No If “Yes” please tell what was the result? Have you engaged with debt advice services in order to clear or to re-structure your debts? Yes No If “Yes” please tell us who with and the result? If you have not spoken to your creditors or sought independent debt advice you may be asked to do so as part of any DHP decision. Contracted Expenditure Please tell us if any of your stated expenditure is under contract and when it expires. Contracted Expenditure Type Company Contracted to Contract Expiry Date Home Telephone Mobile Telephone Internet TV Subscription State any other contracted expenditure below: