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Income and Expenditure Form

NEW FOREST DISTRICT COUNCIL
COUNCIL TAX - INCOME & EXPENDITURE DETAILS

 

 

1.PERSONAL DETAILSNFDC REF...............................
   
(a)Current Address-  
   
   
   
   
(b)Full Name:  
 Date of Birth: 
 National Insurance Number: 
 E-mail address: 
 Contact Telephone Number: 
   
(c)Partner's Name:  
 Date of Birth:  
 National Insurance Number:  
 E-mail address: 
 Contact Telephone Number: 
   

 

2. INCOME - Weekly/Monthly - Please indicateYOURSELF           PARTNER            

EMPLOYERS NAME

ADDRESS

TELEPHONE NUMBER

  
SALARY - NET AMOUNT I.E. TAKE HOME PAY  
JOB SEEKER'S ALLOWANCE  
INCOME SUPPORT  
EMPLOYMENT SUPPORT ALLOWANCE  
WORKING TAX CREDIT  
CHILD TAX CREDIT  
OTHER BENEFITS (eg CHILD BENEFIT)  
STATE PENSIONS  
PRIVATE / WORK PENSIONS  
MAINTENANCE  
NON-DEPENDANTS CONTRIBUTION   
SAVINGS  

ANY OTHER INCOME - Please Specify

 

  
TOTAL  
 
3. OUTGOINGS - Weekly/Monthly - Please indicate  
MORTGAGE/RENT  
COUNCIL TAX  
WATER RATES  
INSURANCES-   
BUILDINGS   
HOUSE CONTENTS  
CAR EXPENSES (TAX, MOT, REPAIRS)  
PETROL  
ELECTRICITY  
GAS  
SATELLITE TV CONTRACT (SKY, BT etc)  
BROADBAND / HOME PHONE CONTRACT  
MOBILE PHONE CONTRACT  
HOUSEKEEPING & CLOTHING   
PUBLIC TRANSPORT  

LOANS: Please specify & date will finish

 

  

CLUBS: Please specify & date will finish

 

  
CREDIT CARDS  

OTHER: Please specify

 

  
 
TOTAL INCOME  
TOTAL OUTGOINGS  
   

 

 

Updated: 14 Oct 2015
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