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Annexe Reduction Application Form
Council Tax Account Number:
This form can be completed by the occupier of the main house, or the occupier of the annexe.
1. Please provide the full address of the
main house:
2. Please provide the name/s of the
occupier/s of the main house:
3. Please provide the full address of
the annexe:
4. Is the annexe furnished? No Yes
5. Is the annexe used by the occupier of No - go to number 6
the main house as part of the general
living accommodation for the main house? Yes - go to number 7
6. Please provide the name of the occupier
of the annexe and relationship to the
occupier/s of the main house.
7. Declaration
I have checked the information on this form and declare that it is true and complete to the best of
my knowledge.
Signed: Date:
Full Name (please print):
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:
Name:
Name of member of the main house you are related to:
Relationship:
Disclosure of Information
Thank you for the information given on this form. The information provided will be used to assess your application
for a reduction. We may check information provided by you, or information about you provided by a third party, with
other information held by us. We may also get information from third parties, or give information to them to check
the accuracy of information, to prevent or detect crime, or to protect public funds in other ways, as permitted by law.
These third parties include Government Departments and Local Authorities. We will not disclose information about
you to anyone outside Stockton-on-Tees Borough Council nor use information about you for other purposes unless
the law permits us to. Stockton-on Tees Borough Council is the Data Controller for the purposes of the Data
Protection Act. If you want to know more about what information we have about you, or the way we use your
information
lease do not hesitate to contact us.
