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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. When completing the amounts below please either complete the full form as either a weekly, fortnightly, or monthly budget.

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 recieve a state pension? (£)

    Do you recieve a company pension? (£)

    Total : £

  • Applicant Two

    Full Name (Applicant Two)

    What is your wage after tax? (£)

    How often do you get paid?

    Do you recieve a state pension? (£)

    Do you recieve 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 recieve a state pension? (£)

    Do you recieve a company pension? (£)

    Total : £

  • Household Benefit Income

    Universal Credit Benefit Assessment Period

    Universal Credit (£)

    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 : £

  • Household Expenditure

    Rent (£)

    Council Tax/Arrears (£)

    Mortgage (£)

    Secured Loan (£)

    Endowment (£)

  • Insurance Costs

    Buildings Insurance (£)

    Contents Insurance (£)

    Mortgage Protection (£)

    Life Insurance (£)

  • Utilities

    Gas (£)

    Electricity (£)

    Coal/Oil/Other Fuel (£)

  • Housekeeping

    Food (£)

    Cigarettes/Alcohol (£)

    Laundry/Cleaning (£)

  • Car & Other Vehicle Costs

    Road Tax (£)

    Vehicle Insurance (£)

    Service/Repairs (£)

    MOT (£)

    Fuel Costs (£)

    Hire Purchase (£)

  • Travel Costs

    Public - Work (£)

    Public - School (£)

    Taxis & Buses (£)

  • Children

    Baby (Nappies) (£)

    School Uniform/Meals (£)

    Childcare (£)

    Other (£)

  • Other Expenditure

    Clothing/Shoes (£)

    TV Licence (£)

    Satellite TV (£)

    Broadband/Telephone (£)

    Mobile (£)

    Child Support (£)

    Prescriptions (£)

    Pets (£)

    Leisure (£)

  • Debts Owed

    Charitable Donations (£)

    CCJ/Magistrates Fines (£)

    Loan Repayments/Arrears (£)

    Credit/Store Cards (£)

    Catalogue Payments (£)

    Social Fund (£)

    Housing Benefit Overpayment (£)

    Council Tax Debt (£)

    Other Debt repayments (£)

  • 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 require Energy Efficiency advice?