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Housing Benefit & Council Tax Support claim form - Taunton Deane ...

Housing Benefit & Council Tax Support claim form - Taunton Deane ...

Proof of Rent Payment

Proof of Rent Payment Certificate Use this certificate only if you do not have any other proof of your rent payments. You landlord must complete the section below and must give us his/her telephone number and address. Tenant’s Name Tenant’s Address Postcode Rent payable and frequency of payment £ every What does the rent include? What date has the rent been paid up to? / / Amount of any arrears (if any) £ Date the tenant moved into the property / / What notice is required? Landlord or Agent’s Name Landlord or Agent’s Address Postcode Landlord or Agent’s signature Date / / Landlord or Agent’s telephone number page 24

Name of person claiming benefit Proof of Childcare Payments Address of person claiming Name of childcare provider Postcode Address of childcare provider Name of child or children being cared for Postcode Registration number of childminder or playscheme How much does your childminder or playscheme charge? If you pay different amounts at different times, for example school holidays, please tell us how much you pay and for how many weeks each year. Which Council is your childminder or playscheme registered with? £ every week for weeks £ every week for weeks Signature of person claiming benefit Signature of childminder or person representing playscheme Date / / Date / / page 25

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