A Claim Form For Housing Benefit And Council Tax Support Page 13

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Part 11 About where you live
page 13
continued
No
Do you use your home for business?
Yes
No
Do you have a main home somewhere else?
If your main home is somewhere else in the UK or
Yes
Tell us about it below.
abroad, tick Yes, even if you do not pay rent for it.
What is the address?
Postcode
No
Do you pay rent on this home?
£
Yes
How much?
Part 12 About rent
We need to know about your rent, your tenancy and who owns your home.
Do you pay rent for your home?
No
Go to Part 13.
Tick Yes if you would pay rent but you already get
Yes
Answer the next question.
Housing Benefit.
Do you pay rent to the council?
No
Answer the questions below.
Yes
Go to Part 13.
By landlord we mean the person or organisation
who owns the property you live in. What is your
landlord’s full name and business address?
Postcode
By agent we mean the person or organisation you
actually pay your rent to. If your landlord has an
agent, tell us their full name and address.
By related we mean related by blood or through
Postcode
marriage, even if the marriage has ended. Some
examples are ex-wife, ex-husband, aunt, brother,
daughter, fathers, grandson, grandmother, son-in-
law, mother-in-law or stepdaughter.
Are you related to your landlord or agent, or to your
No
landlord’s partner or the agent’s partner?
Yes
With whom is the relationship with and what is the relationship?
Is your partner related to your landlord or agent, or
No
to your landlord’s partner or the agent’s partner?
Yes
With whom is the relationship with and what is the relationship?
Are any of the children who live in your home
No
related to your landlord or agent, or to your
Yes
With whom is the relationship with and what is the relationship?
landlord’s partner or the agent’s partner?
When did you start renting your home?
/
/
When did you move to this address?
/
/
If you have not moved in yet, tell us when you expect to
/
/
move in, then tell us when you have actually moved in.
What sort of tenancy do you have?
For example, shorthold, assured tied rent or something
like this.
How long is the tenancy for?
to
/
/
/
/

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