PERSONAL BUDGET SHEET

NAME ………………………………………………………………………………………..

ADDRESS………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Please give the amount you receive weekly

If there are any amounts that you receive monthly, just divide the amount by 4 to give an estimate of how much the weekly amount is.

STEP 1 - INCOME

WEEKLY INCOME

Wages/Salary / £
Wages/Salary (partner) / £
Income Support / Pension Credit / £
Retirement/Works Pension / £
Incapacity Benefit / £
Job Seekers Allowance / £
Tax Credit / £
Child Benefit / £
Incapacity Benefit / £
Maintenance / £
Non-dependants contributions / £
Other / £

TOTAL WEEKLY INCOME

BOX A

STEP 2 – OUTGOINGS

WEEKLY OUTGOINGS
Rent (Not including arrears) / £
Council Tax (Not including arrears) / £
Water Rates (Not including any arrears) / £
Service Charge / £
Buildings/Contents Insurance / £
Gas (Not including any arrears) / £
Electric (not including any arrears) / £
Other fuel (Not including any arrears) / £
Housekeeping / £
TV Rental/Licence / £
Magistrates Court fines / £
Maintenance Payments / £
Hire Purchase vehicle / £
Travelling Expenses / £
School Meals/Meals at work / £
Clothing / £
Laundry / £
Telephone/Mobile Phone / £
Prescriptions/health costs / £
Childminding / £
Other 1 / £
Other 2 / £
Other 3 / £

TOTAL OUTGOINGS - BOX B

STEP 3

AMOUNT LEFT AFTER GENERAL EXPENDITURE

STEP 4 – PRIORITY DEBTS

PRIORITY DEBTS (WEEKLY)
Rent Arrears / £
Council Tax Arrears / £
Gas / £
Fuel Debts:(Arrears only)
Gas
Electric
Water
Other fuel debts / £
£
£
£
£
Fines / £
Maintenance Arrears / £
Hire Purchase Arrears / £
Credit Card Arrears / £

TOTAL PRIORITY DEBTS

BOX D

STEP 5

AMOUNT LEFT FOR DEBT PAYMENTS

This is an accurate record of my/our financial position

Signed ______

Date______

PLEASE REMEMBER THAT IF YOUR INCOME CHANGES YOU MUST INFORM COUNCIL HOUSING SERVICES AND HOUSING BENEFITS

Lancaster City Council

Council Housing Services

38 Cable Street

LA1 1HH

01524 - 582929