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Income and expenditure form (means statement)

Income and expenditure form (means statement)

Income and expenditure form (means statement)

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INCOME AND EXPENDITURE FORMPublic transportRoad tax/car insurancePetrolTotal Expenditure Weekly £ Monthly £TOTALTotal income Weekly £ Monthly £Total <strong>expenditure</strong> Weekly £ Monthly £Surplus / Deficit Weekly £ Monthly £TO WHOM DO YOU OWE MONEY(Please list all your debts including credit cards <strong>and</strong> hire purchase agreements. Please continue inseparate sheet of paper if necessary)No. Name CurrentBalance1.2.3.4.5.6.7.8.9.10.TotalAgreementInstalmentProposedPaymentArrearsPage 2 of 2

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