A Claim Form For Housing Benefit And Council Tax Support Page 10

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Part 9
About other money coming in
page 10
Do you or your partner, or any children you are
No
Go to Part 10.
claiming for, have any money coming in (or expect
Answer the questions on this page.
Yes
to have some money coming in) that you have not
You do not need to tell us about payments from the
already told us about on this form?
Independent Living Fund, the Eileen Trust or the MacFarlane
This includes occupational pensions, work pensions
Trust.
and private pensions, maintenance or child support
for you, your partner or any of the children you have
told us about on this form, money from a trust fund,
training allowances, a student grant or loan, and any
cash payments. Also tell us about any money you get
from people living in your house as boarders, lodgers
or subtenants or any other rental income.
Other money 1
Other money 2
Other money 3
What is the money for?
Who gets it?
How much do they get?
£
£
£
How often?
Every
Every
Every
How is this paid?
When did they start getting
/
/
/
/
/
/
this income?
When is the income likely
/
/
/
/
/
/
to go up?
Does anyone owe money to
No
No
No
you, your partner, or any
Yes
Tell us about it below.
Yes
Tell us about it below.
Yes
Tell us about it below.
children you are claiming
for?
What for?
How much?
£
£
£
Who is it owed to?
Are you expecting to get
No
No
No
any money in the next 12
Yes
Tell us about it below.
Yes
Tell us about it below.
Yes
Tell us about it below.
months?
For example, a redundancy
payment or a payment
instead of notice or holiday.
What for?
How much?
£
£
£
We must see evidence of any money coming in before we can decide how much benefit you can
get. Read the checklist at Part 15 to see what you can use as evidence.

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