Income from self-employment
We have sent you this form as we need to work out your average weekly income from self-employment.
Please answer the following questions and tell us your income and business expenses or outgoings for the last
12 months, or last financial year. The income and expenses you tell us about should be for the same period of
time. If you have not been self-employed for 12 months yet, then you should tell us your income and expenses
for the period you have been trading.
If you have only just started trading you need to tell us what you think your income and expenses will be for
3 months from when you started. If you have a business plan, please send it to us.
1. Benefit reference
2. Your name
The address
you are
claiming
benet for
Things you need to know to help you ll out this form, please read.
Please answer the following questions and tell us your income and business expenses or outgoings for your
most recent trading year, this can be a nancial year, i.e. 6 April to 5 April or calendar year, 1 January to 31
December. The income and expenses you tell us about should be for the same period of time.
If you have not been self employed for 12 months yet, then you should tell us your income and expenses for
the period you have been trading.
If you have only just started trading you need to tell us what you think your business income and business
expenses will be for 3 months from when you started. If you have a business plan, please send it to us.
You will be asked for evidence to support what you have told us and should send your latest trading accounts
when you send back this form. You may also be asked to send your business bank accounts to cover the
period on this form.
You will also be asked for your Unique Tax Payer Reference issued to you by HMRC to prove you are self em-
ployed. You will be asked to send us evidence of this. You should be registered even if you don’t earn enough
to pay tax. We cannot treat you as self employed unless you are registered. This means that we would take
into account your gross income from the business as a Notional Income. We would not deduct any business
expenses and we could not give you an earnings disregard when working out your Housing Benet and Coun-
cil Tax Reduction.
If you have more than one business you need to ll out one of these forms for each business.
If you employ a spouse or non business partner you need to send in their payslips as well as telling us what
your wages expense is.
Benefits Service, Wealden District Council
Vicarage Lane, Hailsham, BN27 2AX
Telephone: (01323) 443500
Email: benefits@wealden.gov.uk
RESET FORM
3 1
Please tell us your business address
Name of and type of business
When did you start trading?
Please tell us your Unique Tax Payer Reference supplied to you by HMRC.
You must supply this as we cannot treat you as self employed if you are not registered with HMRC. Please
tell us the trading period you are telling us about.
FROM
TO
Do you think your trading figures for the next 6 months will be the same as the last 12 months? (please tick)
YES
NO
If not please tell us why, for example, your work may be seasonal.
Is your business a partnership? (please tick) YES
NO
Is your business a "formal" or "informal" partnership? (please tick)
INFORMAL
If yes, what percentage of the business is yours?
Please tell us the name of your business partner
How many hours do you normally work each week?
%
FORMAL
D D M M Y Y Y Y
D D M M
Y Y Y Y
D D M M Y Y Y Y
BUSINESS INCOME BEFORE ANY DRAWINGS TO YOURSELF (remember your income should be for
the same period as your expenses)
Income from sales and work done
Income from commission or interest
Loans to the business
Other income
Please tell us what this other income is
GROSS/TOTAL BUSINESS INCOME
BUSINESS EXPENSES (remember your expenses should be for the same period as your income) There are three
columns, you need to tell us your gross expenses, the amount that is for business and the amount for personal use.
Gross Expense Amount for business Amount for Personal
Accountancy/ Legal fees
Advertising
Bank Charge
Repayments on
business loans
Business Rates
Cleaning
Depreciation
Entertainment or
Subsistence
Heating and Lighting
Hire of equipment
Hire purchase
Insurance (not motor)
Interest payments
Materials/Stock
Mobile phone charges
and call costs
Postage and stationery
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
Printing
Rent of business premises
Repairs and
maintenance of
equipment or tools
Subcontracting
wages or costs
Telephone
Transport (other than
motor)
Water and Sewerage rates
Other expenses*
*Please use this box to give us a breakdown of your other expenses not specied above
VAT PAYABLE (in excess of VAT received from customers).
MOTOR EXPENSES (remember your expenses should be for the same period as your income)
Please tell us if your vehicle is solely used for business i.e. A truck used to operate your business, or
your personal vehicle that you also use for business purposes.
If you are a taxi driver please tell us your business mileage for the period this form covers.
We may compare your mileage with our Licensing Department who issue your taxi licence.
Petrol
Diesel
Insurance
Repairs or maintenance
Vehicle tax
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
£ 0.00
WAGES AND DRAWINGS
Wages paid to spouse or non-business partner
(payslips must be provided)
Wages paid to employees
Drawings by yourself (money you take from the
Business as a wage)
Drawings by your spouse or non business partner
Drawings by your business partner
Please use the space below to tell us of anything else you think we need to know
DECLARATION
Please read this declaration carefully.
As far as I know, the information I have given on this form is correct and complete
You may make any necessary enquiries to check the information on this form
You may cross check the information I have given with other services in the council, other council or benet
authorities, including HMRC.
I understand that if I give information that is incorrect or incomplete or fail to report any changes which might
aect my benet, I may be prosecuted.
We will keep this information condential, but if you fall behind with your rent or council tax payments, our Recovery
Ocers may need to read this form so that he or she can help you.
Your signature
Your name (please print)
The date you are lling out this form
D D M M Y Y Y Y
Please tick here to confirm that you have read and understood the declaration above:
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