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Affordability Assessment - South Lakes Housing

Affordability Assessment

Please complete the affordability assessment below. This helps us ensure that you can afford to pay the weekly rent. This information will be reviewed when you attend the Pre-Tenancy Interview with a member of our Income Team. In completing the affordability assessment form please ensure that you calculate and provide either weekly or calendar monthly figures consistently throughout the form.

    Overview

    Number of Applicants

    Please Select if you are submitting a calendar monthly or weekly budget?

     
    • Applicant One

      Full Name (Applicant One)

      What is your wage after tax? (£)

      How often do you get paid?

      Do you receive a state pension? (£)

      Do you receive a company pension? (£)

      Total : £

    • Applicant Two

      Full Name (Applicant Two)

      What is your wage after tax? (£)

      How often do you get paid?

      Do you receive a state pension? (£)

      Do you receive a company pension? (£)

      Total : £

    • Partner or Other Household Member

      Full Name (Partner or Other Household Member)

      What is your wage after tax? (£)

      How often do you get paid?

      Do you receive a state pension? (£)

      Do you receive a company pension? (£)

      Total : £

    • Household Benefit Income

      Universal Credit Benefit Assessment Period (Dates: From – To)

      Total Universal Credit Award (£)

      Universal Credit Housing Cost Element (£)

      Job Seekers Allowance (£)

      Employment & Support Allowance (£)

      Pension Credit (£)

      DLA/PIP (£)

      Working Tax Credit (£)

      Child Benefit (£)

      Child tax Credit (£)

      Housing Benefit (£)

      Council Tax Reduction (£)

      Other (£)

      Total : £

    • Other Household Income

      Child Support/Maintenance (£)

      Non-Dependent Contribution (£)

      Rent from Lodger (£)

      Other (£)

      Total : £

    • Household Savings

      Bank Account (all bank accounts must be disclosed) (£)

      Building Society (£)

      Other Accounts (£)

      Total : £

    • Rent and Council Tax

      Full Rent For Current Property (£)

      Actual Rent Paid (£)

      Council Tax/Arrears (£)

    • Insurance Costs

      Buildings Insurance (£)

      Contents Insurance (£)

      Life Insurance (£)

    • Utilities

      Gas (£)

      Electricity (£)

      Coal/Oil/Other Fuel (£)

    • Housekeeping

      Weekly Grocery Shop(£)

    • Car & Other Vehicle Costs

      Costs of running a car/other vehicle (£)

    • Travel Costs

      Public Transport/Taxi Costs (£)

    • Childcare Costs

      Childcare (£)

      Other (£)

    • Other Expenditure

      Clothing/Shoes (£)

      TV Licence (£)

      Satellite TV (£)

      Broadband/Telephone (£)

      Mobile (£)

      Child Support (£)

      Prescriptions (£)

      Pets (£)

      Leisure (£)

    • Debts Owed

      Total Debt Owed (£)

      We are seeking the current weekly or months debt repayment figures for each of the following:

      Charitable Donations (£)

      CCJ/Magistrates Fines (£)

      Loan Repayments/Arrears (£)

      Credit/Store Cards (£)

      Catalogue Payments (£)

      Social Fund (£)

      Housing Benefit Overpayment (£)

      Council Tax Debt (£)

      Other Debt repayments (£)

      Total Debt repayments (weekly/monthly) (£)

    • Additional Information

      Debt Relief Order in Place?
      Will furniture and white goods etc need to be purchased on moving into a property and have you budgetted for this?
      If you need to purchase furniture, do you have sufficient resources to do this?
      Do you require budgetting advice?
      Do you feel comfortable dealing with your finances?
      Do you require Energy Efficiency advice?