Housing Benefit And Council Tax Support Claim Form Page 10
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18Part G
Questions for people who pay rent (continued)
16.
What sort of accommodation do you rent?
For example, bedsit, room, flat, bungalow, house,
(semi/detached/terraced), maisonette, caravan,
hotel, hostel.
17.
What is your room or flat number?
18.
Please tell us below the number of rooms in the property, the number of rooms you use and the number
of rooms you share.
Type of room
Number of rooms in
Number of rooms
Number of rooms
property that you have
used just for you
that you share with
access to
and your household
others
Living rooms
Bedsitting rooms
Bedrooms
Bathroom
Shower rooms
Toilets
Kitchens
Other rooms
19.
If you have a bedsitting room, where are the cooking facilities and what do they include, such as a
cooker, microwave and so on?
20.
If you rent a room, please tick a location to show where in the property it is (for this question, assume
you are standing outside looking at the front of the building).
Front Left
Front Centre
Front Right
Centre Left
Centre
Centre Right
Back Left
Back Centre
Back Right
3rd floor or above
3rd floor or above
2nd floor
21.
How many floors are there in the property?
2nd floor
1st floor
1st floor
22.
Using the diagram as a guide,
ground floor
Ground floor
on which floor is your home?
Basement
Basement
23.
The property is let as
Furnished
Partly Furnished
Unfurnished
24.
Does your home have
Garden
Central Heating
Parking Space
25.
Who is responsible for interior decoration?
You
Your landlord
Don’t know
26.
Do you use your home for business?
Yes
No
If you are a council tenant please go to part I
Page 10
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