Sample letter to creditor offering reduced Monthly payments and freezing interest.

This statement of means has been designed to give you and your creditors a clear and accurate detail of your income and expenditure.

Complete the form as set out below. All totals will be calculated for you. Once you have finished, press the Draft My Statement Button - a new page will open with the Statement ready to sign and print.

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Personal Details

 
Name:
Address :
Occupation:
Property Details  
Property Mortgaged Rented Private Local Authority Housing Living with Parents
Current Open Market Value
1st Mortgage Outstanding
2nd Mortgage Outstanding
Other Secured Borrowings
Endowment Policies (assigned)
Mortgage Arrears
Monthly Outgoings  
Rent / Mortgage
Rent / Mortgage Arrears
Second Mortgage
Endowment /
Mortgage Protection Insurance
Pension
Mortgage Protection
Life Insurance
Buildings Insurance
Contents Insurance
Council Tax
Electricity
Gas
Other Fuel
Telephone
Housekeeping (food/clothing)
Medical Expenses/Insurance
TV Rental / Appliances
TV Licence
Travel (Bus/train)
Credit Cards
Hire Purchase
Schools / Nursery Fees / Meals / Travel
Child Minders
Child Maintenance
Other Expenses
Net Monthly Income  
Wages
Partners Wages
Unemployment Benefit
Income Support
Family Credit
Retirement Pension
Other Pension
Child Benefit
Incapacity Benefit
Maintenance
Disability Benefit
Contributions (non-dependents / lodgers)
Others
Vehicle Details  
Year / Model / Make
Mileage
Trade Value
Outstanding HP
Family History  
Marital Status Married
Single
Separated
Number of Dependants
Medical Problems
Financial History  
Details
Assets  
Other Real Estate
Cash Resources
Life Assurance (surrender values)
Furniture / Appliances
Stocks / Shares
Other Assets
Creditors    
Creditor Account / Ref No. Amount Outstanding

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