Industry Standard Financial Statement This Statement Is For Use In The Marp Page 3

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Section C: Monthly Household Expenditure
2
Average Charge
Arrears
(where
applicable)
Utilities
C1
Electricity
C2
Gas /Oil
3
C3
Phone (Landline & Internet)
3
C4
TV/Cable
C5
Mobile Phone
C6
Refuse Charges
TV Licence
C7
Household
C8
Childcare
C9
Elderly care (e.g., carer, nursing home fees etc)
C10
Food/Housekeeping/Personal Care
C11
Clothing and Footwear
C12
Household Repairs/Maintenance
Transport Costs
C13
Petrol
C14
Motor Insurance /Tax/NCT
C15
Rail/Bus/Taxi Costs (including school transport
costs for children)
C16
Car Maintenance/Repairs
C17
Car Parking and Tolls
Primary Residence Mortgage-related
Costs
C18
Mortgage Protection/Endowment Premium
C19
Payment Protection
C20
House Insurance
Education
C21
Books
C22
School/ College Fees
C23
Uniforms
C24
Extra Curricular activities (e.g. school outings)
C25
Other (e.g. voluntary contributions)
Medical
4
Medical Expenses and Prescription Charges
C26
5
C27
Health Insurance
Social
C28
Lifestyle Expenses (e.g., family events, Christmas,
Birthdays, eating out etc.)
C29
Club membership
Other - please specify
C30
2
Average charge calculated by totalling last three utility bills and dividing by the number of months to get the average monthly
cost.
3
Please indentify if these bills are bundled.
4
Medical expenses include dentist, optician and any other costs related to health.
5
Do not include if Health Insurance is deducted from your wages at source,( i.e., if it has already been deducted from B2)

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