Application For Council Tax Discount - Peterborough City Council Page 2
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2ALL RESIDENTS OF THE PROPERTY
Please provide the full name of all persons over 18 years old who either reside in; or regard the property overleaf
as their main residence: PLEASE INCLUDE YOURSELF FIRST.
FULL NAME
OWNER/
DATE OF
RELATIONSHIP TO YOU
TENANT
BIRTH
E.g. partner, lodger, child etc
PERSONS BECOMING 18 IN NEXT 12 MONTHS
Please provide the full names of anybody who lives in the property and who will become 18 years old in the next 12 months:
FULL NAME
DATE OF BIRTH
DISREGARDED PEOPLE
Do any of the persons listed above fall into the following categories?
Students
School Leavers
Severly Mentally Impaired People
Student Nurses
Project 2000 Nurses
Foreign Language Assistants
YTS Trainees
Persons in Detention
Patients in Care Homes
Visiting Forces
Care Workers
Residents of Certain Hostels
Apprentices
Hospital Patients
Members of Religious
Communities
People over 18 years old in receipt of whom child benefit is payable
18 and 19 year olds on further education courses
FULL NAME
CATEGORY
(Please supply any supporting proof that you can)
If additional information is required for the disregarded categories we will contact you separately.
D E C L A R A T I O N
I declare the information given on this form is correct to the best of my knowledge and I also understand that I must
inform the Council Tax Office immediately should circumstances alter that may affect my entitlement to discount.
SIGNED:_______________________________PRINT NAME:____________________________________
DATE:
_______________________________PHONE No.: ____________________________________
Warning – Failure to notify Peterborough City Council of Any Information affecting your entitlement
to a discount may result in the imposition of a penalty of £50.00
Knowingly supplying false information in order to obtain a discount is a criminal offence
which may result in prosecution
Property Ref:
Account Ref:
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