Council Tax - Single Person Discount Claim Form

 
By completing the form below, you have declared that the information you have provided is correct. Providing false information to claim a Council Tax discount is a criminal offence.
 
 
You will find your nine digit account reference number on your Council Tax bill.
 
If you have recently moved into your new home and not yet received a Council Tax reference number, please leave this blank.
 
All fields marked with (*) are mandatory.
 
 
Please supply your full postal address. We may need to contact by post.
 
 
Is this your only residence? *
Is this your only residence?
 
 
If we have a query in processing your application, we may need to speak to you. Please provide a daytime telephone number where you can be contacted.
 
 
 
The date from which you wish to claim a Single Person Discount (DD/MM/YYYY) *
The date from which you wish to claim a Single Person Discount (DD/MM/YYYY)
 
This is the date when you became the only adult living in the property.
 
Today's date
Today's date 25 Mar 2017
 
Are you claiming a discount because someone has recently left your household? *
Are you claiming a discount because someone has recently left your household?
 
Name of person moving out
 
 
 
 
Are you now the sole adult occupier due to the death of a previous occupier? *
Are you now the sole adult occupier due to the death of a previous occupier?
 
Name of deceased person
 
 
Date of death (DD/MM/YYYY) *
Date of death (DD/MM/YYYY)
 

Declaration

 
The information given on this form is correct. If my circumstances change whereby I would not be entitled to the Single Person Discount I will inform the Council Tax office immediately. I understand that failing to do so, or providing false information may lead to prosecution
 
Tick this box if you agree with this declaration *
Tick this box if you agree with this declaration
 
Please note: After you have submitted this form, confirmation of your submission will result in a reference number being displayed on screen
 
The information you have provided on this form will be processed by Hastings Borough Council in accordance with the requirements of the Data Protection Act 1998 and for the purpose of council tax administration. As part of this processing we may share this information with other local authorities. We have a duty to protect the public funds we administer and may therefore also use and share the information, as permitted or required to do so by law, for the purposes of preventing and detecting fraud. The information may also be shared for the purpose of identifying vacant dwellings and taking steps to bring them back into use.
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