Financial Statement Page 4

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Part E
Other income earners in your household
Give the name, age and relationship to you and gross income of each other occupant of your household
17
AVERAGE WEEKLY AMOUNT
AGE
RELATIONSHIP TO YOU
NAME
$
NAME
$
NAME
$
Part F
Expenses paid by others for your benefit
18
PAID BY
$
TYPE OF EXPENSE
PAID BY
$
TYPE OF EXPENSE
PAID BY
$
TYPE OF EXPENSE
Part G
Personal expenditure
GIVE WEEKLY AMOUNTS IN WHOLE DOLLARS. IF THE AMOUNT FOR AN ITEM IS NIL, WRITE ‘NIL’.
NOTE:
IF YOU CAN ONLY GIVE AN ESTIMATE INSERT THE LETTER ‘E’ BEFORE THE AMOUNT STATED
AVERAGE WEEKLY AMOUNT
19
Total income tax
$
$
Superannuation
PLAN NAME
20
Mortgage
$
NAME OF LENDER/LANDLORD
21
payments/ rent
$
Rates, unit levies
22
Other mortgage
23
$
NAME OF LENDER
payment
ADDRESS OF PROPERTY
$
Other rates, unit levies
24
Life insurance
$
TYPE OF POLICY
25
premiums
POLICY NO.
NAME OF INSURER
$
TYPE OF POLICY
POLICY NO.
NAME OF INSURER

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