Council Tax Single Person Discount Review Form

hbcadmin, 24 November 2021

To see more about how we record and store your information please see the Council’s privacy notice.

Council Tax Single Person Discount Review Form

Your Council Tax account number(Required)

This is your Council Tax account number which starts with 40. This can be found in the top right corner of the Council Tax Discount review letter or email that has been sent out to you

Your Name(Required)

First name Middle name Last name

Your Address(Required)

House/Flat Number Street Name City/Town Post Code

I confirm that I am the only resident in this property over the age of 18.(Required)

Please select as appropriate

Yes

Please write details of other occupants over age of 18(Required)

Please write details of other occupants over age of 18

Please click on (+) button to add more rows

Names of all occupants over the age of 18

Date moved in, OR, Date became 18

Previous address (if in Hyndburn)

2. Please advise why you have not previously informed the Council Tax department of any changes of the occupants of the property(Required)

Please can you provide reason why there is more than one person entered on the Electoral Register for this address(Required)

Your Declaration

This statement is to the best of my knowledge and belief and I make it knowing that, I may be liable for a fine if I have wilfully stated in it anything, which I know to be false or do not believe to be true.

Your Signature(Required)

Your Email Address

If you would like to receive your Council Tax bill by email, please provide your email address below to sign up for our E-Billing service:

Your Telephone number

In order to ensure we have your current contact details should we need to get in touch to discuss your Council Tax account, please provide your telephone number in the section below :

Date(Required)

The date this form was completed