Council Tax income and expenditure
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First and middle name(s) Required
Do you have a partner?: Required
Partner's first and middle name(s) Required
Partner's surname Required
Council Tax account reference number Required
My address
Please enter your postcode and then click "Find address" to look up your address.
Enter postcode:
Please enter your postcode
Even though you cannot see the address, you still need to put one in. If you know your postcode then input it and click 'Find address'. If you dont know your postcode then click on 'Enter manually'.
Your National Insurance number
Your partner's National Insurance number
Employment details
My employment details
Do you have a paid job? Required
Employer's company name Required
Enter postcode:
Please enter your postcode
Even though you cannot see the address, you still need to put one in. If you know your postcode then input it and click 'Find address'. If you dont know your postcode then click on 'Enter manually'.
Expected net pay per month Required
My partner's employment details
Employer's company name Required
Partner's employer's address
Enter postcode:
Please enter your postcode
Even though you cannot see the address, you still need to put one in. If you know your postcode then input it and click 'Find address'. If you dont know your postcode then click on 'Enter manually'.
Expected net pay per month Required
What benefits does the household receive? Select the benefit, enter a name, the amount and the frequency:
Select benefit:
- select a benefit -
Council Tax support
Housing Benefit
Income Related Job Seekers Allowance
Income Support
Guaranteed Pension Credit (not just state retirement pension)
Employment and Support Allowance
Universal Credit
NHS Tax Credit Exemption Certificate
Assistance with NHS Charges (HC2 or HC3 Certificate)
16 – 19 Discretionary Grant
How often is it received?
- select a frequency -
Weekly
Fortnightly
Monthly
Bi-Monthly
Quarterly
Annually
Household expenses - amount spent per month
Rent or mortgage Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Council tax Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Electricity Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Gas and water rates Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Housekeeping, food and drink Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Loans and credit card payments Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Child care costs Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
TV licence/rental/entertainment packages Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Phone bills (landline and mobile) Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Travel Required
Please enter a value. Enter 0 if you do not have these expenses
Please enter a number
Other Required
Please enter a value. Enter 0 if you do not have other expenses
Please enter a number
Is there any other information you want to tell us?
Please accept the terms and conditions
Please enter a payment amount
Please select payment frequency
Please enter a payment start date
Signed: Required
Dated: Required
Please complete the validation below: