2.  Income Per Calendar Month  
   
Monthly NET income of earnings from you or anyone partner living with you
Monthly mortgage repayment or rent.
Number of Children living with you
Other income you receive (maintenance, CSA, neutral income, pensions).
Benefits received, excluding those listed in section 1.  e.g. Child Benefit, Incapacity Benefit and Tax Credit.
   
We estimate your monthly disposable income to be
   
 
   
3. Property If you own your own home either jointly or with another, please complete, if not please proceed to section 4.  
   
House Value (estimate of what you would sell it for)
Mortgage (total sum needed to pay off the whole mortgage, disregarding any endowments)
Your NET estimated house capital
 
   
4. Savings  
   
Savings in your own name, or 50% of them if jointly held.
Shares
Property (not your main family home)
Bonds
Endowment policies, surrender or loan value
Other investments
   
Available Savings:
   
   
   
Result: