Loan Application Form V2-02-17 - Ne First Credit Union Page 2

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Income / Spending Summary
Please include all Income and Spending items but exclude any loans or nance to be repaid from this
new loan and also exclude the new loan payment
INCOME
SPENDING
WAGES
Monthly
PRIORITY PAYMENTS
Monthly
Self
___________________
Rent / Mortgage
___________________
Partner / Spouse
___________________
Council Tax
___________________
State Pension
___________________
Electricity
___________________
Pension Credit
___________________
Gas
___________________
Occupational Pension
___________________
Water
___________________
Other
___________________
TV Licence
___________________
Home / Life Insurance
___________________
BENEFITS (please specify)
___________________________________________
HOUSEHOLD AND EVERYDAY SPENDING
___________________________________________
Food and household
___________________
___________________________________________
Childminding / Child Care
___________________
___________________________________________
School Lunches
___________________
___________________________________________
Telephones (land & mobile) ___________________
___________________________________________
Satellite / Cable TV
___________________
Bus Fares & Car Expenses
___________________
OTHER INCOME
Social (alcohol, tobacco)
___________________
Maintenance (received)
___________________
Clothes
___________________
Family Board
___________________
Other
___________________
FINANCIAL PAYMENTS
TOTAL INCOME (£)
___________________
Bank Loans
___________________
Credit and Store Cards
___________________
Doorstep Collections
___________________
Hire Purchase / Rentals
___________________
Catalogues
___________________
Maintenance (paid out)
___________________
Bad Debts / Other Payments ___________________
TOTAL SPENDING
SUMMARY
___________________
TOTAL INCOME (£)
___________________
less TOTAL SPENDING (£)
___________________
SURPLUS INCOME (£)
___________________

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