Income And Expenditure Statement Sheet - Fusa

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INCOME AND EXPENDITURE STATEMENT
Personal Details
Name:
Student ID
Address:
Family Composition:
Single
Independent
Home with Parents
Couple
Dependant Spouse
Dependant Children
No.: _____________
Sole Parent
Dependant Children No.: _____________
Income
Source of Income
Amount per fortnight $
Centrelink: (list payments)
Salary or Wages
Child Support Received
Scholarships
Investment Income
Board/Rent received
Other
Total all Income
Savings
Type (cash, savings a/c, investments etc)
$
$
$
$
Total all Savings
$
Debts
Include all outstanding debts: mortgage, personal loans, credit cards, Rental Contracts, Centrelink or tax debt,
debts to family and friends, unpaid utility accounts, other overdue bills
Creditor:
Total Debt Owing:
Fortnightly Repayment $
Mortgage
Credit Card
Rental Contract
Personal Loan
Total Debt Owing
$
Total Fortnightly Payments
$

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