Dear Tehniat Baig

Thank you for submitting a claim.

If you would like further information regarding Housing Benefits and/or Council Tax Reduction please visit
www.wandsworth.gov.uk/benefits.

Your reference: FS-Case-545997747

Apply to claim Housing Benefit and Council Tax

Reduction
Reference: FS-Case-545997747

Date: 2023-09-10 23:18:09

Date claim form started: 10/09/2023

Have you previously made a claim?: No

I would like to claim Council Tax Reduction only: Yes

I own and live in my own home:

I pay rent to Wandsworth Council: Yes

Is the tenancy in your name only?: Yes

I am an introductory tenant:

I pay rent to a private landlord or housing association:

I am in a temporary housing arranged by Wandsworth Council:

Do you wish to claim Second Adult Rebate?: No

Do you have a partner?: Yes

Do you have dependent children?: Yes

How many dependent children do you have?: 3

Do other people live with you?: No

About your home:

 Tell us
Do you any
have a National other
First Last Date of
Title Email Telephone National Insurance names
name name birth
Insurance number you
Number? have
used

Ms Tehniat Baig tm_021@hotmail.co.uk 07931671754 21/02/1980 Yes sg300587d

Disability and adaptations:

Is there a person with a disability living in your home?

No

About you:

Have
Have
you
you
Do you get been Does
come to Are you
Income unable Have you anyone
live in or have Are you
Are you Support or Are you to work ever get Carers
the you ever a full
a UK income- in because claimed Allowance
Common been time
national? based hospital? of Carers for
Travel registered student?
Jobseeker's sickness Allowance? looking
Area in blind?
Allowance? for the after you?
the last 2
last 52
years?
weeks?

No Yes No No No No No No No

About your partner:

 Does
your
partner National
First Date of
Title Surname Email Telephone have a Insurance
name birth
National number
Insurance
Number?

Mr Jahanzeb Riaz jahanzeb.riaz@gmail.com 07596910599 30/06/1981 Yes se627028a

About your partner (Continued):

Has your
Has your
partner
partner Does your Does
been Is your
come to partner get Has your anyone
unable partner or
live in Is your Income Is your partner get Carers
to work has your
the partner a Support or partner ever Allowance
Nationality because partner
Common UK income- in claimed for
of ever been
Travel national? based hospital? Carers looking
sickness registered
Area in Jobseeker's Allowance? after your
for the blind?
the last 2 Allowance? partner?
last 52
years?
weeks?

No No Pakistani No No No No No No

About your dependant children:

 Is this ch
under 1
years o
Is the child (or unde
getting Has the years ol
Disability child Does the they hav
Is the
Child's Living been in child have disabili
Other Date of child
Surname relationship Allowance or hospital other income and look
names birth registered
to you Personal for more such as after by
blind?
Independence than 12 maintenance? register
Payments months? childmin
(PIPs)? a nurse
or an af
schoo

baig zayyan 24/01/2007 son No No No No

About your dependant children:

Is this c
under
years o
Is the child (or unde
getting Has the years ol
Disability child Does the they hav
Is the
Child's Living been in child have disabili
Other Date of child
Surname relationship Allowance or hospital other income and look
names birth registered
to you Personal for more such as after by
blind?
Independence than 12 maintenance? register
Payments months? childmin
(PIPs)? a nurse
or an af
schoo

Jahanzeb Affan 10/10/2013 son No No No No

About your dependant children:

 Is this c
under
years o
Is the child (or unde
getting Has the years ol
Disability child Does the they hav
Is the
Child's Living been in child have disabili
Other Date of child
Surname relationship Allowance or hospital other income and look
names birth registered
to you Personal for more such as after by
blind?
Independence than 12 maintenance? register
Payments months? childmin
(PIPs)? a nurse
or an af
schoo

Jahanzeb Amaan 29/01/2019 son No No No No

About your earnings:

What is your employment status? Are you a director of a company? (even if unpaid)
Unemployed No

About your partner's earnings:

Is your Number
What is How many jobs Does your
partner a Is your of
your does your Type partner get a Date
director of a partner hours
partner's partner have, of business started
company? a sole worked
employment including self- work start up trading
(even if trader? each
status? employment? allowance?
unpaid) week?
Self- cab
No 1 No 01/09/2022 Yes 18.00
employed driver

About your pensions, benefits, allowances and tax credits:

 Do you Do you
Do you Do you
receive receive Do you
Do you Amount Do you receive receive
Employment Employment receive
receive received receive Jobseeker's Jobseeker's
and Support and Support state
Universal per Income Allowance Allowance
Allowance Allowance retirement
Credit? month Support? (income- (contributions
(contribution (income pension?
based)? based)?
based)? related)?

Yes £1550.00 No No No No No No

About your partner's pensions, benefits, allowances and tax credits:

Does your Does your

Does your Does your
Does Does partner partner Does your Does
partner partner
your your receive receive partner your
receive receive
partner partner Employment Employment receive partner
Jobseeker's Jobseeker's
receive receive and Support and Support state receive
Allowance Allowance
Universal Income Allowance Allowance retirement Pension
(income- (contributions
Credit? Support? (contribution (income pension? Credit?
based)? based)?
based)? related)?

No No No No No No No No

About your capital, savings and investments:

 Do you
have any
bank or
building Do you
Are
society have any
Do you you Do you
accounts National
Date hold any holding Do you have any
or post Savings Do you
lump joint any have other
office Savings Certificates, have
sum Amount accounts money any savings,
accounts? in cash National any
was not in trust unit investments
(You Savings shares?
paid previously for trusts? or trust
should Bonds or
stated? anyone funds?
also Premium
else?
include Bonds?
overdrawn
or empty
accounts)
Yes £0.00 £ No No No No No No

Current accounts:

Name of bank / building society Latest balance

natwest £5.45

Deposit/Savings accounts:

PEPs or ISAs:

Name of bank / building society Latest balance

natwest £0.70

About your partner's capital, savings and investments:

Does your
partner
have any
bank or
Does your
building
Is your partner
society Does your Does your
partner have any Does
accounts, partner Does partner
Date holding National your
post office hold any your have any
lump any Savings partner
accounts Savings joint partner other
sum Amount money Certificates, have
or savings in cash accounts have savings,
was in trust National any
in cash? not any investments
paid for Savings unit
(You previously shares? or trust
anyone Bonds or trusts?
should stated? funds?
else? Premium
also
Bonds?
include
overdrawn
or empty
accounts)
Yes £ £ No No No No No No

Current accounts:

Name of bank / building society Latest balance

tsb £1.13

Deposit/Savings accounts:

PEPs or ISAs:

Other income:

Your outgoings:

Do you pay any money to a son or Do you make payments towards a private
daughter who is a student as part of a loan pension other than by deduction from your
assessment? salary or wages?
No No

Your partner's outgoings:

Does your partner pay any money to a son Does your partner make payments towards a
or daughter who is a student as part of a private pension other than by deduction from
loan asessment? your salary or wages?
No No

Backdating benefits:

Do you want to apply for your claim to Backdated Backdated Why you did not claim
be backdated? from to benefit earlier?
 Do you want to apply for your claim to Backdated Backdated Why you did not claim
be backdated? from to benefit earlier?
was waiting for universal
Yes 29/07/2023 10/09/2023
credit outcome.

Do you have any supporting evidence to upload?: No

Any other information:

Declaration:

I agree to Are you filling in I give Wandsworth Council I give Wandsworth Council
this this form for permission to share permission to share
declaration someone else? information with my Landlord information with a third party
I agree to
this No
declaration