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Assets & Liabilities
Forename
Surname
Monthly income and expenditure breakdown
Monthly income
Net drawings/salary
Spouse/partner's net salary
State benefits (e.g. child benefit)
Investment income
Other regular income
Monthly expenditure
Mortgage/rent
Life assurance/pension
Utilities
Council tax payments
Other expenditure
Other personal liabilities (taken solely in your name or jointly with others, but excluding any mortgages)
Name of finance/source of finance
Type of financing (e.g. HP/leasing)
Balance outstanding
Monthly payment
Final payment date (if applicable)
Personal guarantees - have you provided any other guarantee obligations? (please provide details)
Who was the guarantee provided to?
Purpose of guarantee
Amount
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