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Summary

Your details
Date of birth 18 March 1950
Sex Male
Date you can claim State Pension from 18 March 2015

Date you would like to claim from


Enter the date you would like to claim 18 March 2015
your State Pension from

Your personal details


Title Mr
First name PHILLIP
Middle name STEPHEN
Surname/Family name DIXON
If you want us to address you by a title or
name other than the one above, type it
here in full
Do you have another name you currently No
use?

Contact information
Address status Residential address
Preferred spoken language English
Do you have a phone number you can be Yes
contacted on?
Your home address 4 Pippin La, Little Billing, Northampton,
NN3 9TQ, England
Do you have any additional No
communication requirements?

Correspondence address
Should your post be sent to a different No
address?

Contact phone numbers


Home phone number 01604 413999
Work phone number
Mobile phone number

1
Your relationship details
Current marital or civil partnership status Married

Your relationship details


Your current or most recent husband's, YT639355A
wife's or civil partner's National Insurance
number, if known
Their first name JANET
Their middle name
Their surname/family name DIXON
Their date of birth 2 February 1952
* Date of marriage/civil partnership 30 April 1977
Do they receive State Pension, Yes
Graduated Retirement Benefit, Widows
Benefit or Bereavement Benefit?

Future work
Do you intend to work for an employer No
after you reach State Pension age?

Previous work
Have you worked for an employer in the No
UK or been self employed at any time
during the two years before reaching your
State Pension age?

Living or working abroad


Have you ever lived or worked abroad? No

Other benefits
Have you or your partner received Yes
Child Benefit, previously called Family
Allowance, at any time since 1978?
Is anyone getting any money added on to No
their benefit or entitlement for you?

Payment details
Your account details LLOYDS BANK PLC, P S J C DIXON,
****8840, 309926

2
Nationality
Nationality ENGLISH

Ethnic background
Are you willing to provide information on Yes
your ethnicity?
Ethnic Background White

Results
Next steps
Your claim has been sent for processing. If you have not been contacted up to 14 days before
you are due to reach your State Pension age, please phone quoting your National Insurance
number.

English contact number: 0800 731 7898


English textphone: 0800 731 7339
Welsh contact number: 0800 731 7936
Welsh textphone: 0800 731 7013

Lines are open Monday to Friday, 8.00am to 6.00pm.

***** END PRINT *****

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