Revenues and Benefits PO Box 238 Stanley County Durham DH8 1FP Name & Address

Tel: 03000 264 000 On Line: www.durham.gov.uk/counciltax Account Reference: CTDISCEXMT

Council Tax Single Person Discount Application If a property is occupied by only one adult aged 18 or over, as their sole or main residence, the Council Tax bill will be discounted by 25%. Therefore in order to claim the single person discount please complete this form and return to the address shown at the top of this page. Should you have any queries or need assistance in completing this form please contact us. Please note you still need to complete and return this form even if you have already received a Council Tax demand showing this discount. Address of property for which the discount is claimed (if different from above)

Date discount is claimed from (the date the person paying the Council Tax became the only occupier aged over 18)

Please provide the names of any residents who are aged 17 along with their date of birth Full Name Date of birth

Have you been the only adult from the date that you moved into the property?

Yes/No

If you have answered Yes to the above question go straight to the declaration at the end of this form. If you are now the only adult resident as a result of another adult leaving the property, please provide details below.

Name of person vacating the property: Their relationship to you i.e. partner / friend: Date moved out of property: Their forwarding address: What is their interest in their new address? (please circle) Owner Tenant Lodger Other (please give details) Yes/No

Is the change permanent? If No, what is the nature of their absence and when do they intend to return?

Have they removed the majority of their possessions from the property? If No, please explain reason Do they have an ongoing legal interest in the property they have vacated? If Yes, is there any intention to remove their name from the title of the property/tenancy? Have legal proceedings started? If yes please provide confirmation from your solicitor. Are you in receipt of Income Support in your own right? Any other information you wish to provide?

Yes/No

Yes/No Yes/No Yes/No

Yes/No

Declaration I declare that the information given by me on this form is correct to the best of my knowledge and belief. I understand that failure to supply or giving false information is an offence for which a penalty may be imposed. I also understand that I must inform the Council Tax Section as soon as there is any change in the information. Signature Telephone Date Email

Data Protection Act For information: In line with Data Protection law we may use information you give us to prevent or detect fraud or other crimes. We may also share it with other Council Services or public organisations if they need it to carry out their duties

You must notify the Council immediately if there is a change in your circumstances, which may affect this information. Contact details are provided above.