Form Ben Se - Financial Statement For Self-Employed People - Tunbridge Wells Borough Council Page 7
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815 Are you registered for VAT?
For official
Yes
No
use only
How much VAT have you paid to HM Revenues and
£
Customs?
How much VAT have you received from HM Customs
£
and Excise?
B/F from page 4
B/F from page 5
Total
B
More about your self-employed expenses
16 Do you pay money towards a private pension?
Yes
No
How much £
every
Do not tell us about life insurance policies and endowment policies. These types of policies cannot be
considered.
Please send us a copy of the most recent pension document which shows how much you pay.
Declaration
The Council is under a duty to protect the public funds it administers, and to this end we may use the information
you have provided on this form within this Council for the prevention and detection of fraud. We may also share
this information with other bodies administering public funds solely for these purposes.
I understand that if I give information that is incorrect or incomplete, action may be taken against me.
„
I declare that the information I have given on this form is correct and complete.
„
Warning
Any person who provides false statements, information or documents at the time of, or in support of his/her claim,
or continues to receive Benefit when he or she knowingly fails to inform the Council of any relevant changes of
circumstances which occur after the date the claim is made, shall be guilty of an offence and will be liable for
prosecution under the Thefts Acts of 1968 and 1978 or the Social Security Administration Act of 1992.
Signature:
Date:
Phone number:
Fax number:
What to do now
Please return this form to us straight away.
By Post:
In Person:
Revenues Services
Gateway
Tunbridge Wells Borough Council
8 Grosvenor Road
Town Hall
Royal Tunbridge Wells
Royal Tunbridge Wells
OR Weald Information Centre
Kent TN1 1RS
Stone Street, Cranbrook
If you have any questions please ring 01892 526121 and ask for Customer Services.
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