Council Tax Exemption Claim Form - Unoccupied Property Falkirk Council Page 2
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SOLE OR MAIN RESIDENCE – When a person is associated with 2 homes, e.g. working elsewhere, the
Council must make a determination as to what is that person’s “sole or main residence”. In the majority of
these situations the person’s main residence is in the family home.
Evidence is required to support all applications for a Council Tax reduction. Examples of evidence required are
listed in the section on claiming relief, if you are unable to provide the evidence required you should contact
your local office and ask for more information on other types of evidence.
If you need help to complete this form or any more information contact your local office.
About You
Do you own the property?
Yes
No
If Yes, from what date?
/
/
If No, please confirm your relationship with the property:
Your Name & Address
Landlords Name & Address
If you are/were a tenant/landlord was the property let as furnished?
Yes
No
Claiming Relief (You must supply evidence as stated)
Please tick the box that best describes the reason you are claiming relief
The property is unoccupied because….
Please Tick Evidence Required
It is up for sale
Solicitors letter/removal receipt
It is empty between tenancies
Copy of ended tenancy agreement
It has recently been purchased but not yet
Solicitors Letter
occupied
It is undergoing major works
We will issue claim form
The former resident is receiving care elsewhere
We will issue claim form
Occupation is prohibited by law
Copy of closing order
It has been repossessed
Letter from Bank/Building Society
The former residents were all students
The former resident is deceased and grant of
Solicitors Letter
confirmation not yet awarded
The former resident is deceased and grant of
Solicitors Letter
confirmation was made on ……/……./……….
Address of Prison/Hospital
The former resident is detained in hospital/prison
Declaration:
1. I have read and understood the contents of this form. I confirm all the information given is a true and full
statement.
2. I will notify Falkirk Council immediately if the circumstances change.
3. I understand that Falkirk Council must protect public funds and may use this information to prevent and
detect fraud. I understand that the information may also be shared for the same reason with other
organisations.
Signed
Date
Daytime
tel no.
(in case of query)
Last updated March 2012
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