Test page Income Calculator Note: Questions marked by * are mandatory Please complete this affordability form as part of your lettings application. Your Income 1 Your salary (take home) Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 2 Your partner's salary (take home) Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 3 Any other salary income Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 4 Total monthly salary income (automatically calculated) Other Types of Income 5 Maintenance or child support Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 6 Boarders or lodgers Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 7 Non-dependants' contributions Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 8 Student loans and grants Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 9 Other income Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 10 Total other types of income (automatically calculated) Your benefits and tax credits 11 Jobseeker's Allowance (income based) Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 12 Jobseeker's Allowance (contribution based) Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 13 Income Support Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 14 Working Tax Credit Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 15 Child Tax Credit Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 16 Child Benefit Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 17 Employment and Support Allowance or Statutory Sick Pay Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 18 Disability Living Allowance, Attendance Allowance or Personal Independence Payment Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 19 Carer's Allowance Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 20 Housing Benefit Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 21 Council Tax Benefit or Council Tax Reduction Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 22 Universal Credit Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 23 Other benefits or tax credits Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 24 Total benefits and tax credits (automatically calculated) Your Pensions 25 State Pensions Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 26 Private or work pensions Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 27 Pension Credit Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 28 Other pensions Monthly 4 Weekly 2 Weekly Weekly Annually £ 0.00 29 Total pension income (automatically calculated) Your Assets *This is a mandatory field. 30 I confirm that I have no assets that I can use to make lump sum payments Yes No Total Monthly Income Total monthly income (automatically calculated)
