Old Form | Scotdebt

Your Name
Your Address
Time Period

1. Assets >> 2. Liabilities >> 3. Analysis


	Details of assets	Estimated value (£)

Private residence i.e. your home
Less : any outstanding mortgage and secured loans

Cash

Bank/savings accounts

Premium bonds

Motor vehicle (if value in excess of £3,000)
Less : any finance secured on vehicle

Caravan/mobile homes
Less : finance secured on asset

Shares : quoted on stock exchange

Shares : unquoted companies

Life insurance policies : encashment value

Endowment policies : encashment value

Other investments (describe)

Loans to people/companies i.e. who owe you money

Other assets i.e. valuable jewellery/paintings/antiques

Total assets
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Notes

1.The figures should be round-sum estimates.

2. Exclude any contingent assets e.g. a right to receive value depending upon the occurrence of an event, such as inheriting money if someone dies and has named you in their Will.


3. If you have insurance/endowment policies that are secured to a lender, this should be stated on the form.

1. Assets >> 2. Liabilities >> 3. Analysis

Details of liability	Estimated value £	Ongoing legal action?

Personal loan(s) (list individually)

Overdrafts

Credit cards (list individually)

Store cards (list individually)

Rent arrears

Mortgage arrears

Child maintenance arrears

Utility arrears

Payday loan(s)

Loan(s) from family/friends

Council tax arrears

Others (list individually)

Total liabilities

Surplus (deficiency) of Assets over Liabilities
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Notes :

1. Having more assets than liabilities is desirable, but it might not help if you cannot get a cash value for assets and creditors are pressing for immediate payment.

2. If you have been subject to legal/court action for payment of a debt, you may have little time to organise the sale of assets.

3. If there is an ongoing legal action, annotate the schedule because it helps to focus attention on what is of immediate importance.

4. For credit/store cards, either the amount currently owed rather than the credit limited allowed.

1. Assets >> 2. Liabilities >> 3. Analysis

		(Income)

Net income from earnings i.e. take home pay
Other income (described) :

	Total

Standard Expenditure
Mortgage or rent
Other loan(s) secured on the house
Council tax
Electricity
Gas
Coal or oil
Endowment policy (if secured on house)
Insurance : building/contents
Insurance : pension/life
Insurance : other (describe)
TV licence
Maintenance/child support/childcare costs (please sate if paid under a court order)
Hire purchase obligations (describe each asset)

Telephone expenditure
Home telephone
Mobile telephone

Travel expenditure
Public transport (work/shopping)
Other (e.g. taxis)
Car insurance
Licence
MOT and vehicle expenses/maintenance
Fuel (petrol/diesel/oil)
Breakdown/recovery (e.g. AA or RAC)

Housekeeping Expenditure
Food and milk
Cleaning and toiletries
Newspaper and magazines
Cigarettes/tobacco/sweets
Alcohol
Laundry and cleaning
Clothing and footwear
Nappies and baby items
Pet food
Other housekeeping (describe)

Other Expenditure
Health (dentist/glasses/prescriptions)
Repairs/house maintenance (e.g. window cleaning)
Sky/cable/satellite/internet
TV rental
School meals/meals at work
Pocket money/school trips
Lottery/pools
Hobbies/leisure/sport (e.g. gym membership)
Gifts (Christmas/birthdays)
Vet bills & pet insurance
Other (e.g. holidays)

	Total

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Weekly/Monthly disposal income which is available for unsecured creditors

Notes

1. Round sum amounts can be used for convenience.

2. The weekly/monthly sum available for unsecured creditors can be paid in cash, by cheque or by standing order.

3. Income and expenditure varies and thus, the analysis should be updated every six months.

4. In this analysis, payments to unsecured creditors are excluded in order to determine if you have enough to live on before paying such creditors.

5. The figures you enter should be fair/reasonable and capable of being supported if asked.

6. If there is scope to pay something on a weekly/monthly basis, you may be eligible for DAS, a trust deed or sequestration.