Sample Household Budget Form
Provided by www.DebtAssistanceSite.com
Please Refer to Guidance on DebtAssistance.com for How To Use This Form
Category Annual Actual
Amount 
Monthly Actual
Amount
Monthly Budget
Amount
Complete All
Highlighted Fields
INCOME:
Salaries and Wages   £0
Bonuses, overtime, extra work   £0
Bank Interest   £0
Investment Income   £0
Child Benefit   £0
Family Credit   £0
Income Support   £0
Disability/Sickness/Other Benefit   £0
Pensions   £0
Any Other Income   £0
Total Income £0 £0 £0
EXPENSES:
Your Home:
Mortgage/Rent   £0
Endowment Policies   £0
Other Mortgages   £0
Building/Contents Insurances   £0
Council Tax   £0
Repairs and Maintenance   £0
Home Improvements   £0
Utilities:
Electricity   £0
Gas   £0
Water   £0
Telephones   £0
Oil or Other   £0
Food:
groceries   £0
lunches   £0
eating out, cafes, snacks   £0
Transport:
car (purchase/repayment)   £0
petrol/gas   £0
Road Tax   £0
Insurance   £0
Servicing/Repairs/Maint.   £0
MOT (UK)   £0
Other Transport (bus, train, taxi etc)   £0
Health Costs:
Private Insurance   £0
Prescriptions   £0
Other treatments/therapies   £0
Family Related Costs:
Life Insurance   £0
Clothing   £0
Child Support   £0
Maintenance/Alimony   £0
Day Care/Nursery   £0
Debt And Credit:
Credit Card Payments   £0
Student Loans   £0
Other Loans or Hire Purchase   £0
Court Fines   £0
Entertainment and Leisure:
cigarettes/alcohol   £0
holidays   £0
Hobbies   £0
Cable/Satellite, TV Licence   £0
Computer/Internet Costs   £0
Memberships and Subscriptions   £0
Pets:
Pet Food   £0
Vet Fees, Grooming, Kennels, etc   £0
Miscellaneous Expenditure:
Toiletries & Other Household Goods   £0
Birthdays, Xmas and Gifts   £0
Grooming, Hair, make-up, etc   £0
Any Other Expenditure   £0
Total Expenditure: £0 £0 £0
Total Surplus/Deficit £0 £0 £0
A minus sign in front of the Total signifies that
you are spending more than you Earn
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