Income & Expenditure Form
Please complete all fields for each of the sections in order to submit this form.
If any fields do not apply, please enter nil. You will not be able to submit the form until all fields are completed. You can save the form and return to finish it within the next 3 months. After that point you will have to start a new form.
Whilst completing the Income & Expenditure Form, please detail all forms of income and expenditure whether or not you deem they are relevant. There are additional spaces in each section to itemize any extra expenses that you may have due to your personal circumstances, such as special dietary requirements or regular payments you have to make because of your religion etc. If you do not provide a full account of your financial circumstances you may find it difficult to maintain a long-term plan.
Declaration
Have you contacted your local Job Centre to see what assistance/benefits you may be eligible for?
Have you sought advice from an independent third party? For e.g. Financial Advisor, Solicitor, Citizens Advice Bureau or National Debtline
Have you contacted unsecured creditors to discuss the possibility of reducing your payments?
Please enter at least one contact number *
Debts
Priority Debts Second Mortgage
Third Mortgage
Maintenance or Child support
Magistrates Court Fines
Council Tax
Gas/Electricity
(B) Total Priority Debts
Non Priority Debts including HP/ Conditional Sale/ Credit Cards, Unsecured Loans Etc.
Creditor 1
Creditor 2
Creditor 3
Creditor 4
Total Non Priority
Upload Documents
If we have asked you to supply us with bank statements and payslips, please upload your last three months bank statements AND payslips to support your Income & Expenditure Form.
BTL Tenancy Schedule
If your mortgage with us is secure on a buy to let property please also complete the section below
Do you have any other properties?
Supports available when completing your SFS & I&E Forms
Money Advice and Budgeting Service (MABS)
Abhaile
Central Bank of Ireland
Central Bank Guide on the CCMA
Competition and Consumer Protection Commission
Citizens Information
Data Protection Commissioner
Department of Social Protection
Financial Services and Pensions Ombudsman (FSPO)
Free Legal Advice Centers (FLAC)
Revenue
Insolvency Service of Ireland (ISI)
The IRS Ireland
Keeping Your Home