Council Regulation (EC) No 4/2009Show full title

11. Information on the financial situation of the persons concerned by the application (only give information which is relevant for the purpose of obtaining or modifying a decision) U.K.

11.1. Currency U.K.

 Euro (EUR)  Bulgarian lev (BGN)  Czech koruna (CZK)  Estonian kroon (EEK)  Hungarian forint (HUF)  Lithuanian litas (LTL)  Latvian lats (LVL)  Polish zloty (PLN)  Romanian leu (RON)  Swedish krona (SEK)  Other (please specify ISO code): …

11.2. The person(s) for whom maintenance is sought or owed and the person primarily responsible for that person (those persons) U.K.

11.2.1. Gross income U.K.

 Monthly Annual	Person primarily responsible for the person(s) for whom maintenance is sought or owed	Spouse or current partner of the person primarily responsible for the person(s) for whom maintenance is sought or owed	Person for whom maintenance is sought or owed (Person A)	Person for whom maintenance is sought or owed (Person B)	Person for whom maintenance is sought or owed (Person C)
Salary (including payments in kind), pensions, disability pensions, maintenance payments, allowances, annuities, unemployment benefits
Income from non-salaried occupations
Income from securities/floating capital/real property
Other sources of income
TOTAL

11.2.2. Expenses and charges U.K.

 Monthly Annual	Person primarily responsible for the person(s) for whom maintenance is sought or owed	Spouse or current partner of the person primarily responsible for the person(s) for whom maintenance is sought or owed	Person for whom maintenance is sought or owed (Person A)	Person for whom maintenance is sought or owed (Person B)	Person for whom maintenance is sought or owed (Person C)
Taxes
Insurance premiums, mandatory social security and professional contributions
Rent/cost of co-ownership, mortgage payments
Food and clothing
Medical expenses
Maintenance paid to a third party by virtue of a legal obligation and/or expenditure for other dependent persons not covered by the application
Education costs of children
Loan repayments, other debts
Other expenditure
TOTAL

11.2.3. Other assets U.K.

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11.3. The debtor U.K.

11.3.1. Gross income U.K.

 Monthly Annual	Debtor	Current spouse or partner of the debtor
Salary (including payments in kind), pensions, disability pensions, alimonies, allowances, annuities, unemployment benefits
Income from non-salaried occupations
Income from securities/floating capital/real property
Other sources of income
TOTAL

11.3.2. Expenses and charges U.K.

 Monthly Annual	Debtor	Current spouse or partner of the debtor
Taxes
Insurance premiums, mandatory social security and professional contributions
Rent/cost of co-ownership, mortgage payments
Food and clothing
Medical expenses
Maintenance paid to a third party by virtue of a legal obligation and/or expenditure for other dependent persons not covered by the application
Education costs of children
Loan repayments, other debts
Other expenditure
TOTAL

11.3.3. Other assets U.K.

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