Housing Benefit And Council Tax Support Claim Form Page 9

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Claim_rev 39
17/9/09
22:23
Page 9
Part 7 Self-employment (continued)
About you
About your partner
How many hours do you work each
week?
Do you get Business Start-up
Allowance?
Answer Yes or No
Answer Yes or No
If Yes, please send proof.
Answer Yes or No
Answer Yes or No
Do you pay into a private pension?
If Yes, please send proof.
Answer Yes or No
Answer Yes or No
Have you been trading for
two years or more?
If Yes, we need to see your latest accounts.
Proof
If you are sending them with your claim, please tick this box
needed
so we can look out for them.
If No, and you do not have any prepared accounts, please
tick this box. We may have to send you a form to fill in to
give us more information
We also need to see your latest tax assessment if you have
it. If you are sending this with your claim, please tick this
box so we can look out for it.
Part 8 Working for an employer
About you
About your partner
Answer Yes or No
Are you employed?
Answer Yes or No
Answer Yes or No
Are you retired?
Answer Yes or No
How many jobs do you have? (If you do
not have a job, write ‘none’ in the box.)
If both you and your partner have written ‘none’, go straight to part 9. If you are sending separate sheets, tick the box at the bottom of the next page.
What is your job title?
How many hours do you
work each week?
Employer’s name and address
/
/
/
/
When did you start this job?
/
/
/
/
If this job is for a fixed period,
when will it end?
What is your payroll reference number?
Your usual gross pay
£
£
(before tax and National Insurance
deductions)
How often are you paid?
ever y
ever y
How are you paid?
(For example, in cash, by cheque or
straight into a bank or
building society account.)
Lambeth Revenues and Benefits, Olive Morris House, 18 Brixton Hill, London, SW2 1RD
Page 9 of 32
Phone: 0845 300 0328
Website:

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