Housing Benefit And Council Tax Support Claim Form Page 11
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18Part G
Questions for people who pay rent (continued)
27.
What is the full name, business address and phone number of your landlord?
Full name
Phone number
Address
E-mail
address
28.
If your landlord has an agent, who you actually pay rent to, please tell us their full name, address and
phone number.
Full name
Phone number
Address
E-mail
address
29.
Are you, your partner or your children related to your landlord
Yes
No
or agent or your landlord or agent’s partner?
If ‘Yes’, what is the relationship?
30.
Is your landlord a previous partner of yours?
Yes
No
31.
Have you or your partner ever owned the property you are renting?
Yes
No
If ‘Yes’, when did this change?
/
/
32.
Do you have a lease that is for 21 years or more?
Yes
No
33.
Are you, or have you been under a care order or
Yes
No
looked after under the Children Act?
34.
Have you previously lived in a hostel for homeless
Yes
No
people for at least three months?
Page 11
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