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Completed application forms can be uploaded using the evidence form
www.stockton.gov.uk/evidence or return to:
Revenues & Benefits Service
PO Box 410
Stockton-on-Tees
TS23 2YD
Tel: 01642 397108
Minicom: 01642 605569
COUNCIL TAX DISCOUNT APPLICATION
(PERSONS RESIDING IN HOSPITAL OR A NURSING/RESIDENTIAL CARE HOME)
Name and Address of Taxpayer Council Tax Account Number:
WHAT ARE DISCOUNTS?
The Council Tax assumes that two adults live in your home.
If only one adult lives in a property a discount of 25% (one quarter) will be given.
In some cases, even if there are two or more people aged 18 or over living in a
property, a discount of up to 50% (one half) may still be given. This is because
certain people are not counted when deciding how many adults live in a property.
If two adults live in a property and one is not counted a 25% discount will be
given. If all the adults are not counted a discount of 50% will be given.
When someone is not counted this means that they are ‘disregarded’ for Council
Tax discount purposes.
A person will be disregarded for Council Tax discount purposes if they reside in a
Hospital or Nursing/Residential Care Home.
If you would like any future correspondence to
be sent to another person/address please
indicate below
Name
Address
Relationship
to Taxpayer
If you are the only adult occupier of the property which you have now left to reside in
a Hospital or Nursing/Residential Home you may qualify for an exemption from
Council Tax.
PLEASE COMPLETE THIS FORM IF YOU THINK YOU ARE ENTITLED TO A
DISCOUNT/EXEMPTION.
Yes
No
Yes No
Name of person moving into hospital/home
What date did the above named leave the property?
Is the property now unoccupied?
If, no, who lives there?
Name and Address of property owner
Name and Address of Hospital/Nursing Home
Is your move intended to
be
permanent?
Signature of Tax Payer
D
ate
DECLARATION
Please tick here if you are signing
on behalf of the taxpayer and print
your name and address
Contact Details
We may need to contact you for additional information; to assist us with this
please provide your contact details below.
Daytime telephone number
Email address
PRIVACY STATEMENT
Stockton-on-Tees Borough Council use your personal information in order to deal with Council
Tax and Benefits administration and may also process it, where necess
ary, for requirements
as part of the National Fraud Initiative. It may also be shared with other services within
Stockton-on-Tees Borough Council where necessary. Your information will be held in
accordance with Data Protection regulations. For more information on how we use your
personal data please view www.stockton.gov.uk/dataprivacy
The information provided in this application is true and accurate to the best of my
knowledge. I will tell you immediately about any changes in my circumstances which
may affect th
is discount/exemption application.
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Completed application forms can be uploaded using the (Stockton-on-Tees Borough Council)

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Completed 4 December 2020

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