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Fillable Printable Budget Income Fortnightly Form

Fillable Printable Budget Income Fortnightly Form

Budget Income Fortnightly Form

Budget Income Fortnightly Form

Budget Income Fortnightly
My Goals ………………………………………………………………..
Applicant
Partner?
Total
Wages- av last two f/n
Pension/Allowance
Family Allowance
Family Tax Benefit
Part A
Family Tax Benefit
Part B
Maintenance Received
Rental Assistance
Board
Other….(pharm)
TOTAL Income
Centrelink Advance
Month started
When eligible?
Month finished
EXPENDITURE Fortnightly
HOUSING
HOUSEHOLD
Rent
Gas
Rent arrears
Electricity
Board
Water
Mortgage
Telephone L/i
Land rates
Mobile
Water rates/bills
Kids Mobile?
Insurance-h/c
Internet?
House repairs
Household wares
Other
Wood heating
Other
Sub-Total
Sub-Total
Transport
Food/Groceries
Vehicle Loan
Meat
Petrol
Fruit and vegetables
Repairs
Milk
Servicing
Bread
Registration
Takeaway
Fines
Pet Food
License
Hygiene Products
Insurance
Incidentals
Public Transport
Pocket Money
Other
Other
Sub-Total
Sub-Total
Medical
Education
Doctor
School fees
Chemist
Uniform
Medicine
Bags
Vitamins
Excursions
Medical Equip’t
Sport
Dentist
Stationary
Optometrist
Books
Chiropractor
Childcare
Naturopath
Kindergarten fees
Insurance
Other
Vet
Canteen lunches
Other
Holiday /programs
Sub-Total
Sub-Total
Personal
Other Loans
Clothing
Centrelink Ad repayt
Hair cuts
Credit card
Entertainment
Store a/c
Child minding
Layby
Videos/DVD’s/ Pay TV
Finance Company
Personal hygiene
Personal loan
Paper/magazines
Radio Rentals
Cigarettes
Chrisco/Castle
Milk bar
Loan from a friend
Birthdays
Child support
Christmas
Court fines
Rec sport
Infringts/ traffic fines
Lotto/bingo/pokies/TAB/gambling
SAVINGS (no more
than 10% of income)
Alcohol/drugs/methadone
Other
Other
Sub-Total
Sub-Total
Total
Expenditure
Fortnightly Income minus Fortnightly Expenditure:
__________________________________amount remaining:___________
Item/s Sought and price and delivery costs:
Your suggested repayment fortnightly:
Living Situation/Other Comments;
G:\WHGNEData\projects\Current
Projects\MicrofinanceNILS\FORMS\Forms for Information Pack\E
Budget Assessment with logos.doc
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