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Please ensure
that you fill in ALL sections of the form, and write "none” where
appropriate. This will help us to process your application quickly. We
have tried to keep the form as simple as possible. This does mean that you
might have income or assets for which there is not a specific section.
Please put the total amount in the section marked “other”, and give us
full details on either the back page or a separate sheet of paper.
If you were
NOT born in the UK, or have subsequently lived abroad, please explain the
basis on which you are domiciled and habitually resident in this country
Please give
details of ALL employment history, NOT JUST RECENT YEARS
Please send
us copies of the following items:
-
most recent Council Tax
bill showing 25% single occupant discount. WE NEED THIS TO SHOW THAT YOU
LIVE ALONE, EVEN IF YOUR BILL IS FULLY PAID BY COUNCIL TAX BENEFIT. Also
notification from your local authority of your Council Tax Benefit,
including the page showing the calculation
-
if you live in rented
accommodation, most recent notification from your local authority of
your Housing Benefit, including the page showing the calculation
-
most recent letter from
Department for Work and Pensions showing the calculation of any
non-means tested benefits such as Disability Living Allowance,
Attendance Allowance etc.
-
if you receive Child
Tax Credit, most recent notification from Inland Revenue, including the
page showing the calculation
-
if you are working,
payslips covering the past three months
-
most recent advice of any occupational pension that you
receive
-
statements for ALL your
bank accounts (including Post Office Card Account) showing all of the
entries for the last three months
-
the latest statement or
copy of passbook for any savings or investments that you have (NOT the
original passbooks, please
If you are
aged under 60:
-
most recent
notification from jobcentreplus showing the amount of your Jobseekers
Allowance, Income Support or Incapacity Benefit – please send ALL pages,
including the one showing how the amount of your benefit is calculated
If you are
aged 60 or over:
Where we
need you to send us this confirmation, we have included on the form a box
for you to tick as a reminder. I AM SORRY THAT WE HAVE TO PUT YOU TO THE
TROUBLE OF SENDING US THIS PAPERWORK, BUT WITHOUT IT WE CANNOT CONSIDER
YOUR APPLICATION.
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