Housing Benefit Clam Form And Council Tax Reduction Page 17

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Page 17
Part 5
About your rent - continued
Does your home have
No
central heating?
Yes
Does your home have a
No
garden?
Yes
Has your home been
No
adapted for people with
disabilities?
Yes
Does your rent include money
for the following?
Tick the boxes to show what your rent includes
and give the amount you pay each week.
No
Yes
How much each week?
Which meals are included?
£
Meals
£
Water charges
£
Heating
£
Lighting
£
Hot water
Fuel for cooking
£
Laundry
£
Cleaning rooms or
£
windows
£
Gardening
Garage or parking space
£
Personal care
£
General counselling and
£
support
Do you pay any service
No
charges separate from your
rent?
How much each week?
Yes
£
For example, for cleaning or
lighting in shared areas, an
What for?
alarm system, meals, or lift
maintenance.
Important! We must see evidence of your tenancy, your rent, and the service charges you
have to pay before we can decide how much benefit you can get

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