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Income & Expenditure Form

Surname
Link Ref
Postcode
Email

Please complete the form below using accurate details of your household's monthly figures. Any information provided is only used to assess your financial circumstances and suitability for a reduced payment plan. Reduced payment plans are based on an equitable distribution of the money that you have available to repay your creditors.

Income (£ per month)

Salary
Partner Income
Benefits
Other
  Total

Expenditure (£ per month)

Mortgage
Other Secured Loans
Rent
Council Tax
Gas
Electricity
Water
Food/Supermarket
Mobile Phone
Phone
Insurances
Travel Costs
Petrol
Other Car Costs
Other  
  Total

Creditors (£)

Creditor Name   Debt   Payments being made?
Link Financial     Yes No
    Yes No
    Yes No
    Yes No
    Yes No
    Yes No
    Yes No
    Yes No
    Yes No
    Yes No
Total      

Employment Details

Employer
Postcode
Telephone
Job Desc.

Household Details

House Value
Year of Purchase
No. of Adults
No. of Children

Once you have completed your details, please submit your form. You will then receive a confirmation and be given the opportunity to print out your submitted form to retain for your records.

 

 




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