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Council Tax Single Occupier Discount
Your Name
Address
Council Tax Account
Reference (if known)
Date single
occupancy commenced
Day Month Year
1
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Your e-mail address
You must advise the Council
within 21 days,
of any change in circumstances which effects your entitlement to discount.
The information you have given on this form will be held in accordance with the requirements of the 1998 Data Protection Act.