Housing Benefit And Council Tax Reduction Change Of Address Form Page 3

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Part 2 Other people who live with you
Please list everyone living with you in your new home.
This includes all the children and adults that live with you.
Name
Date of birth
What type of income do they have? (Earnings,
Amount
Income Support and so on)
£
/
/
£
/
/
£
/
/
£
/
/
£
/
/
£
/
/
Are these the same people
No
who lived with you at the last
Please tell us below who has stopped living with you since you
address?
Yes
have moved.
Name
Date of birth Date they moved out?
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Part 3 About rent
Do you pay rent for your home?
No
Go to Part 6.
Yes
Answer the next question.
When did you start renting
/
/
your home?
When did you move to
/
/
this address?
If you have not moved in yet, tell
us when you expect to move in.
When did you move out of your
/
/
old address?
Do you pay rent to Hackney
No
Answer the questions below.
Yes
Go to Part 4.
Council?
What sort of tenancy
do you have?
For example, assured, assured
shorthold or registered rent.
How long is the tenancy for?
to
/
/
/
/

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