BUDGET PLANNER

Budget Planner

Budget Planner - Income

Please complete the following budget planner. This will allow you to understand if the scooter hire scheme is affordable for you. If you are unsure, please contact Wheels to Work Silverstone on 01327 857213.

Please work out your payments either weekly or monthly.

Full Name

Have you already completed an application for W2W?

If you are employed, please confirm if you are paid weekly or monthly?

Please confirm how much money you receive from the below. Please complete all that apply so we can confirm you can afford the scooter:

Employment

Personal Pension

Trust Fund

Savings and Investment

Working Tax Credit

Child Tax Credit

Universal Credit

Child Benefit

Income Support

Disability Living Allowance

Carer's Benefit

PIP (Personal Independence Payment)

Other Income

TOTAL INCOME RECEIVED

Budget Planner - Money You Spend

Please confirm how much money you need to pay towards the below. Please complete all that apply so we can confirm you can afford the scooter:

Do you pay these amounts weekly or monthly?

Food

Travel/Transport

Gas

Electric

Council Tax

Mortgage/Rent

Clothes

Internet

Sky/Virgin/BT/Netflix etc

Mobile Phone

Childcare/Nursery

Loans

Credit Cards

Maintenance

Cigarettes/Tobacco

Socialisng

Other Expenses

TOTAL PAYMENTS MADE