Revenues & Benefits Services
Council Tax
Application for Property Exemption –
All Occupants Under 18
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Please use black ink and block capital letters or typescript
Background
A dwelling which is solely occupied by one or more persons under the age of 18 is exempt from liability for Council Tax
(including Water and Waste Water charges). In order to claim an exemption, please complete this form, sign the
Declaration on page 2 and email or post it to the address at the bottom of the page along with the appropriate supporting
documentation.
Applicant Details
Name
Council Tax
Reference
Property Address
About the people in your home
I consider exemption from Council Tax should apply from (insert
date)
as the dwelling is solely occupied by persons under the age of 18 and I enclose documentary evidence in support of this
application.
Please give details of all persons residing in the property (including the applicant named above) and indicate the evidence
of age provided for each.
Name Date of Birth Type of Evidence
Birth Certificate
Passport
Other
(please specify):
Birth Certificate
Pa rt
Other (please specify):
Birth Certificate
Pa rt
Other (please specify):
Birth Certificate
Pa rt
Other (please specify):
Please
give
details
of
any
adults
(aged
18
or
over)
who
have
moved
out
in
the
last
12
months.
Name Forwarding Address
Date Moved
Out
Page 1 of 2
Please return to: Revenues & Benefits, East Dunbartonshire Council,
William Patrick Library, 2/4 West High Street, Kirkintilloch G66 1AD
Telephone: 0141 578 8190 Email: counciltax@eastdunbarton.gov.uk
e
time
Telephone
Please read the Declaration, Data Protection Statement and sign the form before returning.
Declaration
I confirm that the information on the form is true and correct. I undertake to inform Revenues & Benefits within 21 days of any change
in circ
umstances. Failure to provide this information is an offence which may make me liable to an initial fine of £50 and £200 for each
subsequent offence.
Signature of Liable Person___________________________
Date______________
Signature Dat
Email
Address
Day
No.
Data Protection Act and General Data Protection Regulations (“GDPR”)
East Dunbartonshire Council holds, uses and processes information in accordance with the General Data Protection Regulations and
all other relevant national data protection laws. Your information may be shared with other departments within East Dunbartonshire
Council or other organisations for the purposes of administering and collecting council tax and applying relevant reductions, discounts
and exemptions; checking the information we hold is accurate; preventing and/or detecting crime and protecting public funds.
Other organisations may include bodies responsible for auditing or administering public funds or conducting data checks, other
councils, public sector agencies, governmental departments, regulatory and law enforcement bodies and other private companies or
entities (such as credit reference agencies, service providers/contractors and/or partner bodies).
For further information detailing how East Dunbartonshire holds and uses your information please refer to the privacy notice enclosed
with this form. Details are also available on our website at: http://www.eastdunbarton.gov.uk/counciltax
Other Formats & Translations
This document can be provided in large print, Braille or on CD and can be translated into other
community languages. Please contact the Council’s Corporate Communications Team at 12
Strathkelvin Place, Kirkintilloch, G66 1TJ, tel 0300 123 4510
Page 2 of 2
Please return to: Revenues & Benefits, East Dunbartonshire Council,
William Patrick Library, 2/4 West High Street, Kirkintilloch G66 1AD
Telephone: 0141 578 8190 Email: counciltax@eastdunbarton.gov.uk
click to sign
signature
click to edit