Housing Benefit And Council Tax Reduction Change Of Address Form Page 5

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Part 3 About rent - continued
Are you living away from home
No
Yes
Tell us why you are not living at home.
at the moment?
When did you last live at home?
/
/
When do you expect to go back home?
/
/
Tell us the address of where you are living at the moment. (Include the
postcode.)
If your home has been sublet, tell us who lives there now.
Does your rent include money for the following?
Meals
How much?
£
No
Yes
Which meals
are included?
Heating
How much?
£
No
Yes
Lighting
How much?
£
No
Yes
Hot water
How much?
£
No
Yes
Fuel for cooking
How much?
£
No
Yes
Laundry
How much?
£
No
Yes
Gardening
How much?
£
No
Yes
Garage or parking space
How much?
£
No
Yes
Do you have to rent the garage as
No
Yes
part of your tenancy agreement?
Personal care and support
How much?
£
No
Yes
Do you pay any service charges
How much?
£
No
Yes
separate from your rent?
For example, for cleaning or
What for?
lighting shared areas, an alarm
system, a warden or
lift maintenance.

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