Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 14
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32Part 4
About Rent - continued
Do you pay any service charges
No
How much per week?
What for?
separate from your rent?
Yes
£
For example cleaning and lighting in
shared areas, alarm system, warden etc.
Does your Landlord provide you with any meals as part of the rental
No
Yes
agreement? If yes please provide the following details:
Who prepares the meals?
Name of Tenant
Age
Full board
Half board
Breakfast only
Landlord/Agent
Self
1
2
Are you living away from
No
home at the moment?
Yes
Tell us why you are not living at home.
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
If your home has been sublet, tell us
who lives there now.
If you pay rent to a private landlord we must see evidence of your rent and tenancy
before we can decide how much benefit you can get. Read the checklist at Part 15
to see what you can use as evidence.
Part 5
About where you live
What sort of building do you live in?
Tick one box only
Ground rent
Caravan, mobile home
Detached house
Flat in a house
Hotel
Semi-detached house
Flat in block
Residential care home
Terraced house
Flat over shop
Residential nursing home
Maisonette
Bedsit/room
Semi-detached Bungalow
Detached Bungalow
Houseboat
Terraced Bungalow
Other
Hostel
How many floors in your property?
i.e. 2 storey house (ground & 1st floor) = 2 floors
Which floor do you live on?
If renting a room and sharing the rest of the property,
which floor is your room on?
Do you and your household occupy only part of the building you have ticked?
No
Yes
Where in the building is this room?
At the front
In the middle
At the back
Room Number: .................................
No
Does your accommodation have central heating?
Yes
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