FCWKNDQW

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Form reference: FCWKNDQW Form title: Housing Benefit and Council Tax Reduction Review Form

Page: Tell us the details of the person this relates to

Title Ms

First name Sarah

Surname Manu

Gender Female

Date of birth (use the format dd/mm/yyyy) 10/07/1977

Address line 1 3 Binyon House

Address line 2 Milton Grove

Address line 3 London

Address line 4
Postcode N16 8QT

National insurance number SP886441B

Daytime telephone number 07903924411

Mobile telephone number 07903924411

Email address sarahmanu741@yahoo.com

Preferred method of contact Daytime Telephone

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Form reference: FCWKNDQW Form title: Housing Benefit and Council Tax Reduction Review Form

Page: Current claim details

We've found your details


Here is a summary of your existing claim. Please have a read through and use the next page to tell us about what has
changed.

Your existing claim reference number: 60785208


The address where you made the claim: 3 BINYON HOUSE

Address Line 2 MILTON GARDENS ESTATE

Address Line 3 LONDON

Postcode N16 8QT

Use the next button to confirm or update your circumstances.

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Form reference: FCWKNDQW Form title: Housing Benefit and Council Tax Reduction Review Form

Page: What has changed

Please complete the questionaire below so that we can tailor the rest of the form to match your changes. We will ask for more
detail about each change on subsequent pages.

Your recorded living situation is:


Council

Yes No
Has your address changed
There are 4 people living at the address

SARAH ABORAA MANU

WONDERLING ACHEAMPONG

SAMUELLA ACHEAMPONG

MALACCHI AIDOO

Yes No
Has anyone moved out or died, or entered hospital or
prison

Yes No
Has anyone moved into your household
There are 0 students in the household

Yes No
Is an existing member of your household now classed
as a student
Our records show

SARAH ABORAA MANU has 1 incomes from work and 3 other income types

£564.64 received fortnightly from Employed

£55.80 received weekly from Child Benefit

£659.68 received fourweekly from Child Tax Credit

£211.73 received fourweekly from Working Tax Credit

WONDERLING ACHEAMPONG has 0 incomes from work and 0 other income types

SAMUELLA ACHEAMPONG has 0 incomes from work and 0 other income types

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MALACCHI AIDOO has 0 incomes from work and 0 other income types

Yes No
Has anyone had a change to their income
Your rent is £137.63, paid weekly

Yes No
Have you had a change in the amount of rent that
you pay
In terms of savings/assets, our records show the following:

SARAH ABORAA MANU has 5 instances of capital

£245.40 in Halifax xxxxx3466

£0.01 in Halifax xxxx3981

£270.30 in Barclays xxxx3996

£223.46 in One­off pyt of CTX

£304.08 in One­off pyt of WTX

WONDERLING ACHEAMPONG has 0 instances of capital

SAMUELLA ACHEAMPONG has 0 instances of capital

MALACCHI AIDOO has 0 instances of capital

Yes No
Does anyone have money in the bank/savings that
they didn't have previously

Yes No
Have you or your partner had a change to the
amount you receive from an occupational pension or
annuity
Our records show you have 1 regular expenses
SARAH ABORAA MANU pays 1 regular expenditures
100.00 paid for Child Care Costs Of A Dependant

Yes No
Has there been a change to payments you or your
partner make e.g. for child care or a private pension?

Yes No
Are you temporarily living away from home?

Yes No

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Are there any other changes you need to tell us
about
You are reporting the following changes:
There are no reported changes

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Form reference: FCWKNDQW Form title: Housing Benefit and Council Tax Reduction Review Form

Page: Evidence

Section: Upload Supporting Documentation


You can use this area to provide any additional evidence you need to provide on top of those items already requested.

Uploaded
files*
*
If
empty,
no
files
were
uploaded

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Form reference: FCWKNDQW Form title: Housing Benefit and Council Tax Reduction Review Form

Page: Declaration

Review your answers


Before submitting your form you can review all of the answers you have given so far by clicking on the link below.

Open a read only view of the answers you have given (this will open in a new window)

Evidence Checklist
A list of required evidences is available from the link below.

Open the evidence list (this will open in a new window)

Declaration
By submitting this form you are agreeing to the following declaration.

I/we declare that the information I/we have given on this form is correct and complete. If there are
any other changes I/we will let you know straight away.

Now submit your form using the submit button below.

Privacy notice

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Form reference: FCWKNDQW Form title: Housing Benefit and Council Tax Reduction Review Form

Page:

01/11/2023 18:49:17This form was started at:


01/11/2023 19:07:57This form was completed at:
N / AInternal form classification:

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