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Council Tax Student Exemption/Discount Application Form Please return both pages of this form to Local Taxation Division PO Box 968 Bristol BS99 1ZG Council Tax Account Number Full name Address Property Description e.g. House Ground floor flat Daytime phone number Email address In order to qualify for Student Exemption a property must be occupied exclusively by full time students. The qualifying criteria for a full time student are a undertaking a single course of higher or further education at a prescribed educational establishment lasting for at least one academic or calendar year from the outset b undertaking study tuition or work experience for periods of at least 24 weeks in each academic or calendar year and c undertaking periods of study tuition or work experience which together amount in each such academic or calendar year to an average of at least 21 hours a week. Please note that if work experience exceeds study then it will not be treated as a full-time course of education* In the event that one of the occupants is not a full time student then you may still receive a discount. the assumption about exemption is wrong or if changes occur which are likely to affect entitlement to exemption* Failure to do so may lead to the imposition of a penalty. Please complete the information overleaf and return both pages 1 of 2 Total number of adult residents aged 18 or over living in the property Please give details of all residents - Date Moved In Student Yes/No Start End date of Course dd/mm/yy Name of University or College If UWE or Bristol University state student number and if this is the 1st year of study discount you must be the only person aged 18 or over living in your main home. You will not receive a discount if other residents are temporarily away from home in hospital a nursing home working away or on holiday a* Prior to becoming a student were you previously occupying the property with other persons If yes please provide their b. Name s c* Forwarding Address es d. Date s they left NOTE - A COPY OF EACH PERSONS STUDENT CERTIFICATE MUST BE PROVIDED UNLESS ATTENDING EITHER BRISTOL UNIVERSITY OR THE UNIVERSITY OF THE WEST OF ENGLAND I declare that the information given in this application is true and accurate to the best of my knowledge and belief and that I will advise you if my/our circumstances change. The qualifying criteria for a full time student are a undertaking a single course of higher or further education at a prescribed educational establishment lasting for at least one academic or calendar year from the outset b undertaking study tuition or work experience for periods of at least 24 weeks in each academic or calendar year and c undertaking periods of study tuition or work experience which together amount in each such academic or calendar year to an average of at least 21 hours a week. Please note that if work experience exceeds study then it will not be treated as a full-time course of education* In the event that one of the occupants is not a full time student then you may still receive a discount.

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