
	Personal Debt Management

PANDA
POPPLETON & APPLEBY

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Insolvency Practitioners

Personal debt help in the North West & Yorkshire

Personal Assessment

To help you to get a feel for your regular monthly expenditure, covering monthly bills such as mortgage or rent and normal day- to- day expenses, you can fill in this simple budget planner.

Complete this form as fully as possible to receive your personalised cash flow summary and one of our team will contact you either by email or telephone.

Personal Information
Name:
Email:
Telephone:
Further questions:
Income
Estimated Monthly "Take Home":	£
Monthly Expenditure
Rent / Mortgage:	£
Second Mortgage:	£
House Insurance:	£
Council Tax:	£
Life Assurance:	£
Food:	£
Water Rates:	£
Gas:	£
Electricity:	£
Telephone / Mobile Phone:	£
Housekeeping:	£
TV Licence:	£
Child Maintenance:	£
Shool Meals:	£
Clothing:	£
Motor (Tax / Insurance):	£
Fuel:	£
Travel Expenses:	£
Loan (Lease / HP) Commitments:	£
Entertainment and Leisure:	£
Holidays:	£
Savings:	£
Other:	£
Assets
Properties:	£
Outstanding Mortgages:	£
Other Assets (less outstanding finance):	£

Total Amount You Owe:	£

Poppleton & Appleby, 32 High Street, Manchester, M4 1QD www.pandamanchester.co.uk

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Personal debt help in the North West & Yorkshire

Personal Information

Income

Monthly Expenditure

Assets