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Debt Assessment

Monthly Income
Do you have a partner?:
Main Salary

Pension			Child Benefits
Carers Allowance			Disability Allowance
Incapacity Benefit			Income Support
Jobseekers Allowance			Statatory Maternity Pay
Total Income

Monthly Expenditure
Mortgage			Rent
Mortgage/Rent Arrears			Child Maintenance
Council Tax			Council Tax Arrears
Water Rates			Life Assurance
House Insurance			Gas
Electricity			Housekeeping
TV Licence			Car tax & Insurance
Total Expenditure

Debt
	Monthly Payments	Total Outstanding	Companies Owed
HP/Secured Loans	* Required.	* Required.	* Required.
Unsecured Loans	* Required.	* Required.	* Required.
Credit Cards	* Required.	* Required.	* Required.
Store Cards	* Required.	* Required.	* Required.
Catalogues	* Required.	* Required.	* Required.
Collection Companies	* Required.	* Required.	* Required.
Total

Disposable Income:

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Debt Assessment

Monthly Income

Monthly Expenditure

Debt

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