Council Tax SUPPORTING INFORMATION Reference No. Telephone: 01908 253794 Email: [email protected] http://www.milton-keynes.gov.uk/Council-Tax Council Tax Discount Application Single Occupier Read our privacy policy at www.milton-keynes.gov.uk/privacy-policy Your full Council Tax bill is based on the assumption that there are two resident adults in the property. However, if this is your sole or main residence, and you are the only adult living in the property, please complete this form as detailed below. Where the application is successful, a discount of 25% will be shown on your Council Tax Bill. Items marked with an asterisk (*) must be completed. 1. PERSONAL DETAILS Details of the person liable to pay the council tax, and the property for which a discount is being claimed: Title * House Number Forename * Street * Surname * District Tel Number * Town * Mobile Number County Fax Number Postcode * House Name Email Address * Reference No. Total number of adult residents at this property * Date on which you became the sole occupier of the property * If you are claiming Single Person Discount because someone has vacated the property, please confirm the following details : Name Forwarding Address Page 1 of 2 HOW TO SEND YOUR APPLICATION ONLINE Declaration: I confirm that the information given above is, to the best of my knowledge, true and accurate. I also undertake to notify the Council within 21 days of any change of circumstances, which may affect my entitlement to discount, and that failure to do so may result in a £70 penalty being incurred. I understand that information from this form may be computerised for personnel/employee administration/equal opportunities monitoring purposes in accordance with the Data Protection Act 1998. In addition, in accordance with this Act, this information may also be used for the prevention and detection of fraud and crime. Where applicable I will be subject to the regulations on political restrictions as defined in the Local Government Housing Act 1989. WARNING: any person appointed to the authority having given false information will be liable to dismissal without notice. Read our Data Protection statement at http://www.milton-keynes.gov.uk/data-protection-act If you have completed this form online you can send it to us by clicking the "Send Application Form" button on the left. You will then receive an email to confirm that your application has been received. The application form will be forwarded to the appropriate department for action. SEND FORM HOW TO SEND YOUR APPLICATION BY POST If you would like to send this application form by post, please print and sign the form and send to the address given below including any required supporting documents. Revenues Department Milton Keynes Council PO Box 5327 Civic Offices 1 Saxon Gate East Central Milton Keynes MK9 3ZA Signature of Applicant Date WORKFLOW ACTION Please carefully review the detail in this form. When you have completed the relevant sections and approved the application, you must initiate the next stage of the workflow process by defining an action and clicking "Submit Action". Comment History New Comments Add Comment Workflow Action Submit Action Page 2 of 2
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