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Annex
to determine the reasonable accommodation and heating costs
(on Section 8 of the main
application)
Applicable Find more information
KDU 2
plea to the respective number Processing notes
se
tick in the completion notes To be filled in only by the Jobcenter

You will find the filling instructions and other enclosures on the Internet www.arbeitsagentur.d
at .
1. my personal data e

Salutat First
ion name Stamp of receipt

Family name Date of birth

Number of the demand group (if available)

2. Office
accommodat
2.1 General information on
accommodation 2
► Please indicate all areas in square meters (m ). Team
Building ready for Total area of the
occupancy since accommodation

Number of rooms Number of Number of baths

kitchens

Of the total area of the accommodation

self-inhabited rented/leased vacant

Commercial Number of residential

premises/utilization
industrial units
(at home)

2.2 Costs
Amount of actual monthly expenditure for
Basic rent (without service charges) Service charges (without
or
Debt interest without repayment 51 heating costs)
instalments

Heating other housing costs 52

costs

► Please submit appropriate proofs with details of the respective due date.

► The following information is only to be provided in the case of a condominium or a private home.
The service charges/housing costs are made up of
► Multiple answers are possible here.
Property Water Street cleaning
taxes
Chimney sweep fees Wastewat Heating
er maintenance
Building insurance Waste
disposal
3. energy
sources
I heat with
Electr Gas Fuel
icity oil
District Wo
heating od
Job Center- Page 1 of 2
KDU.04.2019
 I procure the fuels myself. Processing notes
To be filled in only by the Jobcenter
Type of heating
Central Single Night storage
heating furnace heater
I cook with
Electr Gas
icity
I generate my hot water
centrally (e.g. with the central heating system)
or
Decentralised (e.g. boiler/flow heater) with
Electr Gas Fuel
icity oil
Wo Coal
od
► Please provide appropriate supporting documents.

4. housing
conditions
In my accommodation lives/lives next to me other person/s.
For one or more persons living in the accommodation, according to
notarial deed a free right of residence.

First name and surname of the authorised person(s)

► Please enter the name of the authorized person(s) and provide proof of the right of residence.

5. information on the lessor

► The following information is only required if the rent is paid directly to the landlord/landlady
should be transferred.
Name of the landlord/landlady

Address

Credit
institution

IBAN

The data are subject to social secrecy (see "Merkblatt SGB II"). Your information will be treated according to §§ 60-65
First Book of the Social Code (SGB I) and §§ 67a, b, c Tenth Book of the Social Code (SGB X) for the Leis-
tions according to the Second Book of the Social Code (SGB II). You can obtain data protection information from
the job centre responsible for you and on the Internet at www.arbeitsagentur.de/datenerhebun .
I confirm that the information provided is g
correct.
Place/Dat Signature Applicant
e (for minors: Signature of the legal representative)

► To be completed only in the event of amendments and additions:

I confirm the correctness of the information provided by me or the employees of the Job-
centers made changes and additions to the sections:

Place/Dat Signature Applicant

e (for minors: Signature of the legal representative)

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KDU.04.2019