Housing Benefit And Council Tax Support Claim Form Page 20
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32Claim_rev 39
17/9/09
22:24
Page 20
Part 18 Where you live (continued)
Fill in the table below to tell us how many of the following rooms are in the whole property, how many just you and your household use,
and the number you share with other households. (Please put numbers in the boxes. Do not tick any boxes.)
Total number in
Total number you share
Total number used by
the whole property
just your household
with other households
Living rooms
(including any separate dining rooms)
Bedsitting rooms
Kitchens
Bedrooms
Bathrooms
Separate toilets
Conservatories
Other rooms
If you have put a number in
‘Other rooms’ what are they?
Total number of rooms
Does your home have central heating?
Answer Yes or No
Part 19 Anything else you need to tell us
Please use the space below to tell us anything else we should know about you or your partner.
If you need more space, use an extra sheet of paper and attach it to this form.
If you have used a separate sheet of paper, write ‘Part 19’ at the top of it, sign and date it and tick this box.
Lambeth Revenues and Benefits, Olive Morris House, 18 Brixton Hill, London, SW2 1RD
Page 20 of 32
Phone: 0845 300 0328
Website:
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