Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 13
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32Part 4
About Rent - continued
How much is the rent for your
every
£
home?
For example every week/
fortnight/4 weeks/monthly
Does anyone else share the rent
No
with you and your partner?
Yes
Tell us their names and their relationship to you and your partner.
How much of the rent do you
every
pay?
For example every week/
fortnight/4 weeks/monthly
When is the next rent increase
due?
Have you/your partner received
No
housing benefit in the last 52
Yes
weeks?
No
If NO were you able to meet your
rental payments when you first
Yes
took on the tenancy?
Please provide evidence of payments
made to date
Do you have any weeks when
No
you do not have to pay rent?
Yes
How many in a year?
Are you behind with your rent?
No
Yes
By how many weeks?
Who receives the Council tax bill
You or your partner
for your home?
Your Landlord
Someone else
Tell us who
No
Yes
Do you receive care, support or
supervision by your landlord or
on behalf of your landlord?
Does the rent include money for the following, if so please state amounts per week.
£...........
£...........
Council tax
No
Yes
Laundry facilities
No
Yes
£...........
£...........
Water rates
No
Yes
Personal care
No
Yes
£...........
£...........
No
Yes
Counselling/Support
No
Yes
Lighting
No
Yes
£...........
Who washes your clothes
Landlord
Self
Hot water
£...........
Cooking fuel
No
Yes
Who washes your bedlinen
Landlord
Self
Heating
No
Yes
£...........
Who cleans your room
Landlord
Self
No
Yes
If yes: Do you have the option to rent the Garage separately? No
Yes
13
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