Housing And Council Tax Benefit Application - South Norfolk Council Page 3

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The household has the following money coming in or is waiting to hear about it:
Important! – refer to page 7
Gross
Hours per
Received by:
Income type/ Employers name
Start Date
Frequency
Income
week
The household has the following capital & savings: (Please also state if you have no savings)
Important! – refer to page 7
Type of
Held by:
A/C number
Sort Code
Value
savings/account
Other property or land owned or in trust in this country or abroad with or without mortgage outstanding:
Address
Owned by
My partner and I pay the following expenses:
Child Care Costs
£
Frequency
Private Pension contributions
£
Frequency
3

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