A Claim Form For Housing Benefit And Council Tax Support Page 12

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Part 11 About where you live
page 12
Do you own your home or have a mortgage?
No
Go to the next question.
Yes
Go to Part 13.
Have you previously owned your home?
No
Yes
If yes, please give us the date you stopped owning this property
What sort of building do you live in?
Tick one box only.
Caravan, mobile home
Detached house
Flat in a house
or houseboat
Semi-detached house
Flat in a block
Board and lodgings
Terraced house
Flat over a shop
Hotel
Maisonette
Bedsit or rooms or
a studio flat
Residential nursing home
Bungalow detached
Hostel
Residential care home
Bungalow semi-
Other – give details
detached
Does your home have central heating?
No
Yes
Does your home have a garden?
No
Yes
Does your home have a garage?
No
Yes
Does your home have a parking space?
No
Yes
How many floors are there?
Do you and your household occupy only part of
No
the building you have ticked?
Yes
Where in the building do you live?
At the front
In the middle
At the back
Which floors do you live on?
For example, ground floor, first floor.
How many rooms are there in the
A) Just for you and
B) That you share
C) In the whole
building?
your household
with other people
building
Living rooms
Bedsitting rooms
Bedrooms
Bathrooms or shower rooms
Toilets
Kitchens
Other rooms
The numbers in blocks A) and B) should add up to the number in block C).

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