Debtor Assistance Budget Worksheet Template - Access Nova Scotia

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Debtor Assistance
TO COMPLETE THE BUDGET WORKSHEET PLEASE:
 Give complete mailing address, place of employment, and home and business telephone numbers as the
counsellor will be contacting you by telephone.
 List all dependents and dates of birth.
 List income(s) after deductions (verification of your income should be included).
 Give complete breakdown of your monthly living expenses.
 List all creditors (everyone you owe money to), their addresses, and the approximate amount owing to
each one. Include a copy of the most recent statement from each one, if available.
 List all assets under Section #3., i.e, car (make and year), etc. and list which lending institution (bank,
finance company) has a secured lien on these items, if applicable.
 List any property (home, mobile home, land, cottage) you may own under Section #4, include assessed
value (from tax bills) and how much is owing on these properties.
If you require any assistance please contact us at 902-424-5200 or toll free at 1-800-670-4357.
Please return the completed Budget Worksheet to your local or nearest office of Access Nova Scotia.
We will review the information that you have provided and we will be in contact with you at the earliest
possible date to arrange a suitable appointment time.
Debtor Assistance Section
Nova Scotia Government Web Site

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