Budget Form - New Zealand Insolvency And Trustee Service

Budget Form - New Zealand Insolvency And Trustee Service - 2016

Form version: January 2016

Page 1 of 2

BUDGET FORM

Full name of debtor: ______________________________________________

Estate number:

If you are flatting or boarding please complete the budget for your income only, as well as your

share of the household expenses and all other costs.

OR if you are living with a spouse/partner/family then please include all the income sources for

your household, including your partner's earnings, and any child support or benefits received.

These expenses are joint with my spouse/partner/family:

Number of adults this budget covers:

Number of children this budget covers:

Income:

My weekly income (before tax & other deductions) (A)

Deductions:

PAYE/Tax

Child Support

KiwiSaver

Student loan

Other – explain here: ________________________

Total deductions (B)

My weekly take home pay (A minus B)

My partner’s weekly take home pay

Other income – explain here: _________________

Total household income after deductions:

COSTS/PAYMENTS:

Rent / mortgage payment

Power / phone / gas

Home insurance / rates

Food / groceries

Car payments

Car insurance / maintenance

Fines

Petrol

Public transport / parking

School fees and costs

Doctor / dentist

Medicines / prescriptions

Clothes / shoes

Other – explain here: ______________________

Total amount of weekly costs/payments:

Budget Form - New Zealand Insolvency And Trustee Service - 2016