| MORTGAGE ARREARS HOME | SOURCES OF HELP | PAYING ARREARS | COUNTY COURT PROCEDURES | EVICTION AND ITS CONSEQUENCES | FORM |
| Name: | |
| Address: |
|
| No. of People in Household: | |
| Ages: |
| Income | Amount (£) |
|---|---|
| Wages/Salary | |
| Wages/Salary (Partner) | |
| Works Pension | |
| Income Support | |
| Child Benefit | |
| Other State Benefit, ie DLA | |
| Maintenance | |
| Non-dependent Contribution | |
| Other: | |
| Total Income |
| Expense | Amount (£) |
|---|---|
| Mortgage | |
| Second Mortgage/Secured Loan | |
| Rent | |
| Council Tax | |
| Water Charges | |
| Ground Rent | |
| House/Contents Insurance | |
| Life Assurance/Endowment | |
| Gas | |
| Electricity | |
| Housekeeping | |
| TV Rental/Licence | |
| Magistrates Court Fines | |
| Maintenance Payments | |
| Travelling Expenses | |
| School Meals/Meals at Work | |
| Clothing/Shoes | |
| Laundry | |
| Telephone | |
| Prescriptions | |
| Child's Pocket Money | |
| Childminding | |
| Other (not credit/debt payments) | |
| Care Needs | |
| Other: | |
| Total Expenditure |
| Description | Amount (£) |
|---|---|
| Total Income | |
| minus Total Expenses | |
| leaves Money for Creditors |
| Debt | Amount Owed (£) | Weekly Payment (£) |
|---|---|---|
| Rent Arrears | ||
| Mortgage Arrears | ||
| 2nd Mortgage Arrears | ||
| Council Tax Arrears | ||
| Water Rates Arrears | ||
| Fuel Debts - Gas | ||
| Fuel Debts - Electricity | ||
| Magistrate Fines Arrears | ||
| Maintenance Arrears | ||
| Others: | ||
| Total Priority Debt Payments |
| Description | Amount (£) |
|---|---|
| Money for Creditors | |
| minus Total Priority Debt Payments | |
| leaves Money for Credit Debts |
| Creditor | Amount Owed (£) | Weekly Payment (£) |
|---|---|---|
| Total |