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Financial Assessment

Income and expenditure statement


If you earn a monthly salary please use Section A below as a guide to calculate (a), (b) and (c) If you run your own business, please use Section B below as a guide to calculate (d), (e) and (f)

(Section A)
Total monthly income
Gross monthly income (as per payslip) Allowances in cash Commissions and bonuses (average over last 12 months) Investments Maintenance Grant subsidies Rental Pension Other (specify) Other (specify) Total monthly income (a) Monthly surplus/Deficit (a) less (b) (c) Subscriptions Suretyship payments Home loans Motor vehicles Personal loans Retail accounts (e.g. clothing, furniture) Other (specify) Other (specify) Total monthly expenses (b)

Total monthly expenditure (continued)

Total monthly expenditure


Tax PAYE/SITE Pension UIF Medical Aid Insurance premiums Life assurance premiums Electricity and water Rates and taxes/Levies Accomodation/Rental payment Leases Telephone and cellphone (including line rental) Alimony/Maintenance Planned savings Donations/Pocket money Education - fees, books and accomodation Clothing Groceries Doctor and chemist Domestic and garden help Security Transport (petrol, bus fares and parking) Entertainment TV rental, M-Net and DSTV subscription 00146786 2007-05
The Standard Bank of South Africa Limited (Reg. No. 1962/000738/06) Authorised financial services provider. Registered credit provider (NCRCP15).

(Section B)
Total annual income/turnover
Annual income/Turnover Other annual income Total annual income/Turnover (d)

Total annual expenditure


Interest paid Cost of sales Financial lease payments Selling and admin expenses (excl. depreciation, interest paid and leasing charges) Other expenses (excl. depreciation, interest paid and leasing charges) Depreciation Taxation Total annual expenses (e)

Annual surplus/Deficit

(d) less (e)

(f)

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