Affordability Form

Your Details:

Please only input your telephone number if you are happy to be contacted with it during office hours.

Your Monthly Income:

Salary:


Benefits:


Pension:


Other Income:


Total Monthly Income:

£

Your Monthly Outgoings:

Rent/ Mortgage:


Utilities:


Council Tax:


Housekeeping:


Insurances:


Vehicle Related Costs:


Travel:


Child Care:


Maintenance Payments:


Other Bills:


Total Monthly Outgoings:

£

Monthly Disposable Income:

£

Your Account Total:

No. of Monthly Repayments:

Repayment Per Month:

£

Please note, if you have made changes to your incomings and outgoings after producing a repayment per month value, you will need to change the value of the number of monthly repayments to reflect the change.

Free Impartial Legal Advice Sources:

Debt Advice Services:

MIL Collections Ltd. is authorised and regulated by the Financial Conduct Authority