Name: , Address:
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| Income |
Amount |
| Monthly Total Salary |
€ |
| Monthly Total Other Income |
€ |
| Monthly Total Benefits |
€ |
| Monthly Total Pensions |
€ |
| Monthly Total Income |
€ |
| Monthly Outgoings |
Amount |
| Housing |
|
| Rent |
€ |
| Mortgage |
€ |
| Other secured loans |
€ |
| Buildings and contents insurance |
€ |
| Life Insurance/pensions |
€ |
| Mortgage endowment premium and MPPI |
€ |
| Service charge/ground rent |
€ |
| Water |
€ |
| Council Tax |
€ |
| Gas |
€ |
| Electricity |
€ |
| Other utilities (e.g. coal/oil/gas) |
€ |
| Housing services |
|
| TV licence |
€ |
| Child maintenance or child support |
€ |
| Childcare |
€ |
| Adultcare |
€ |
| Hire Purchase/Conditional sale |
€ |
| Other housing services |
€ |
| Phone |
|
| Home phone |
€ |
| Mobile |
€ |
| Other phone |
€ |
| Travel |
|
| MOT and car maintenance |
€ |
| Road tax |
€ |
| Motor insurance |
€ |
| Vehicle breakdown |
€ |
| Vehicle fuel |
€ |
| Parking |
€ |
| Public Transport |
€ |
| Other Transport (e.g. Taxis) |
€ |
| Other car costs |
€ |
| Housekeeping |
|
| Food |
€ |
| Toiletries and cleaning |
€ |
| Newspapers and magazines |
€ |
| Laundry and dry cleaning |
€ |
| Clothing and footwear |
| Nappies and baby items |
€ |
| Pet food |
€ |
| Tobacco and cigarettes |
€ |
| Alcohol |
€ |
| Other food and housekeeping |
€ |
|
| Monthly Outgoings (continued) |
Amount |
| Other expenditure |
|
| Health (dentist, glasses, prescriptions, health ins) |
€ |
| Repairs and maintenance |
€ |
| Cable/Satellite TV/Internet |
€ |
| Household appliance rental |
€ |
| School meals/meals at work |
€ |
| Hairdressing |
€ |
| Sports, hobbies, entertainment |
€ |
| Children's pocket money and school trips |
€ |
| Lottery and pools etc |
€ |
| Gifts (Christmas, birthdays, charity etc) |
€ |
| Vet Bills and pet insurance |
€ |
| Other (e.g. postage etc) |
€ |
| Monthly Total Outgoings |
€ |
| Summary/Totals |
Amount |
| Total Monthly Income |
€ |
| Total Monthly Outgoings |
€ |
| |
|
| Total Available Disposable Income |
€ |
| Priority debts (monthly) |
Owed |
Offer |
| Total Priority Debts |
€ |
€ |
| Secondary debts (monthly) |
Owed |
Offer |
| Total Secondary Debts |
€ |
€ |
I/We confirm that this is an accurate record of my/our financial position.
Signed _____________________________________
Addition information or notes are attached
This financial statement was generated using the Budgeting Tool on the MoneyUdoo web site at www.moneyvillage.com.
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