Council Tax Discount Form

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COUNCIL TAX
STUDENT DISCOUNT/EXEMPTION APPLICATION
This form must be printed out, completed and SIGNED for a discount to be awarded. It must
then be posted to the address at the bottom of this page. Please see Guidance Notes overleaf.
_____________________________________________________
COUNCIL TAX REFERENCE
NAME OF TAXPAYER
_____________________________________________________
_____________________________________________________
ADDRESS
__________________________________________________________________________________
__________________________________________________________________________________
_______ __________________
NUMBER OF ADULTS (OVER 18 ) RESIDENT IN PROPERTY
How many of the adults in the property are Students? Please indicate below
Full Time Student
__
Student Nurse
__
Complete Section A
School/College Leaver
__
Still in receipt of Child Benefit __
Complete Section B
SECTION A* Persons to be disregarded
Full Name
Date of Birth
Name and address
of Educational
Establishment
Student
Registration No
Course Start Date
Course End Date
(or expected date)
Name of course
Hours of study
SECTION B** (Child Benefit/School/College Leavers only)
Full Name
Date of Birth
Name & address of
educational
establishment
Date leaving/left
Child Benefit No
* An original or a verified copy of your Student Certificate is also required
** Confirmation of your Child Benefit Entitlement is also required
Declaration: I declare that the information given above is, to the best of my knowledge, true and accurate
Signed ___________________________________________________
Date __________________
Return this form to: Exchequer Services, PO Box 304, Ashton-under-Lyne, Tameside, OL6 0GA
Please note that a penalty may be imposed if you knowingly
supply information which is false

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