Single Person Discount Application

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1. Full Name*
2. Council Tax Reference Number
3. Email Address*
4. Telephone Number
  Adding your phone number will allow us to call you if there are any problems with your application
5. Address 1*
6. Address 2
7. Address 3
8. Town/City*
9. Postcode*
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1. What is the reason you are applying for Single Person Discount?
2. *
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1. Name of deceased
2. Date of birth (dd/mm/yyyy)
3. Date of death (dd/mm/yyyy)
4. Next of Kin or Executor's Name
5. Next of Kin or Executor's Contact Number
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1. Resident who left property
2. Date vacated (dd/mm/yyyy)
3. Forwarding address
4. Resident who left property
5. Date vacated (dd/mm/yyyy)
6. Forwarding address
7. Resident who left property
8. Date vacated (dd/mm/yyyy)
9. Forwarding address
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1. I <YOUR NAME> confirm I am the sole occupier at the address stated and wish to claim for Single Person Discount
2. Please tick to confirm*
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1. Date from which you wish to apply for Single Person Discount (dd/mm/yyyy)*
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1. The Council is under an obligation to manage public funds properly. Accordingly information that you provide will be used to ensure all sums due to the Council are paid timeously, e.g. by Identifying persons who are non-payers of Council tax and to improve uptake of Benefits. The information may also be used to prevent and detect fraud. It is also possible that this information may be shared for the same purposes with public bodies, including neighbouring Councils or other organisations, which handle public funds.
2. Declaration
3. I declare that the above information is, to the best of my knowledge, correct. I understand that the deliberate provision of false information in order to achieve financial gain is a civil offence.*

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Single Person Discount Application