Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 18
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32Part 7
About Benefits and Pensions - continued
If there are any other benefits
Name of the benefit
Name of the benefit
you receive which are not listed
on the previous page, please
give the details here
£
every
£
every
How is it paid?
How is it paid?
Name of the benefit
Name of the benefit
£
every
£
every
How is it paid?
How is it paid?
Do you receive a state
No
Yes
No
Yes
retirement Pension?
£
every
£
every
How is it paid?
How is it paid?
Do you receive a War Pension?
No
Yes
No
Yes
£
every
£
every
How is it paid?
How is it paid?
Date of last increase?
............... / ............... / ...............
(if known)
Do you receive an Annuity?
No
Yes
No
Yes
We need to see evidence.
£
every
£
every
How is it paid?
How is it paid?
Date of last increase?
............... / ............... / ...............
(if known)
Do you receive a works pension
No
Yes
No
Yes
from a former employer?
£
every
£
every
We need to see your payment
advice slip.
How is it paid?
How is it paid?
Date of last increase?
............... / ............... / ...............
(if known)
Do you receive any other
No
Yes
No
Yes
pension?
We need to see your payment
advice slip.
£
every
£
every
How is it paid?
How is it paid?
Date of last increase?
............... / ............... / ...............
(if known)
Do you receive:
No
Yes
No
Yes
a Social Fund payment or
£
every
£
every
discretionary assistance?
18
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