Affordability Check Income and Expenditure Form

How to complete this form

Please provide us with your household income and expenditure details.
Please utilise your own bank statements in order to provide an accurate reflection of your incomings and outgoings per calendar month.
If some of your income or expenditure is weekly, to convert these figures to monthly: multiply by 52 (to give the annual figure), then divide the total by 12 (to give monthly payments).
This form also provides an opportunity to disclose any outstanding debt balances – please include as many as possible.

Affordability Check Income and Expenditure Form

AFFORDABILITY CHECK FORM

Applicants
Income
Expenses
Priority Debts
Other Debts
Confirmation

About the Applicants

Address being considered for

APPLICANT 1

First Name

Last Name

Current Address

Phone/Mobile

Email

National Insurance No

Occupation

No of people in household

Non-Dependants Contribution

£

APPLICANT 2

First Name

Last Name

Applicant 2 Current Address

Applicant 2 Phone/Mobile

Email

Applicant 2 National Insurance No

Applicant 2 Occupation

Shropshire Towns and Rural Living Limited is Registered in England and Wales, Registered Society Number: AB12345678. Registered Office Address: Ptarmigan House, Shrewsbury Business Park, Shrewsbury SY2 6LG. We are Registered with the ICO under Registration Number: 1234567. Shropshire Towns and Rural Living is Authorised and Regulated by the Financial Conduct Authority, Firm Registration Number: 1234567

2026

Shropshire Towns and Rural Housing.

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