Housing Benefit And Council Tax Support Claim Form Page 17

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Claim_rev 39
17/9/09
22:24
Page 17
Part 15 Tenants
Please send us your tenancy agreement, licence to occupy or your rent book so that we can decide how much benefit you
Proof
can get. If you do not have this proof, please use the landlord tenancy declaration form on page 25. If you cannot supply
needed
any of these you must tell us why in writing.
/
/
The date your tenancy started
/
/
The date you moved to this address
If you have not moved in yet, what date
/
/
do you expect to move in?
Answer Yes or No
Do you have a joint tenant?
If Yes, tell us the name of the joint
tenant or names of the joint tenants.
Do you pay rent to Lambeth Council?
Answer Yes or No
If you pay rent to Lambeth Council, go to part 19.
If No, continue to fill in part 16.
Part 16 Non-council rent
Please give the name of the person or
the organisation you pay rent to.
What sort of tenancy do you have?
(For example, shorthold, tied rent, licence
to occupy, and so on.)
How long is the tenancy for?
What is the property let as?
Furnished
Partly furnished
Barely furnished
Unfurnished
Please tick one box.
How much rent should you pay?
£
ever y
Does anyone else share the rent with
Answer Yes or No
you and your partner?
If Yes, how much rent do they pay?
£
ever y
Has your rent changed in the last 12
Answer Yes or No
months?
If Yes, what was it before?
£
ever y
/
/
When is the next rent increase due?
Has the rent been registered as a fair
Answer Yes or No
rent by the the Valuation Office
Agency?
Are there any weeks when you do not
Answer Yes or No
have to pay rent?
If Yes, how many?
Answer Yes or No
Are you up to date with your rent?
If No, how much do you owe?
£
Lambeth Revenues and Benefits, Olive Morris House, 18 Brixton Hill, London, SW2 1RD
Page 17 of 32
Phone: 0845 300 0328
Website:

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