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Get Form EX160: Apply For Help With Court And Tribunal Fees - GOV.UK

T(s) 2. Your details Mr Title Mrs Miss Ms Other Surname/family name First name Address Postcode Date of birth / / 3. Full remission based on permitted benefits Do you receive any of these benefits? Concession 1 Income Support State Pension Guarantee Credit Income-based Jobseeker s Allowance Working Tax Credit with no element of Child Tax Credit If you have ticked any one of these boxes Go to Section 6 None of these - Go to section 4 4. Full remission based on gross annual incom.

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