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}{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1 \levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'05.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 \fi-180\li4320\jclisttab\tx4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1 \levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'06.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1 \levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'07.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1 \levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'08.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 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}{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'03.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 \fi-360\li3600 \jclisttab\tx3600 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'04.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 \fi-360\li4320 \jclisttab\tx4320 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'05.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 \fi-180\li5040 \jclisttab\tx5040 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'06.;}{\levelnumbers\'01;}\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1 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}{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext \leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1440\jclisttab\tx1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0 {\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0 \levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1 \levelspace0\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0 \levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0 \levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\levelnfcn23 \leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23 \levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6480\jclisttab\tx6480 } {\listname ;}\listid2035882993}}{\*\listoverridetable{\listoverride\listid2035882993\listoverridecount0\ls1}{\listoverride\listid648629289\listoverridecount0\ls2}{\listoverride\listid978463597\listoverridecount0\ls3}{\listoverride\listid555580756 \listoverridecount0\ls4}{\listoverride\listid1786998445\listoverridecount0\ls5}{\listoverride\listid1883859466\listoverridecount0\ls6}{\listoverride\listid1710644472\listoverridecount0\ls7}{\listoverride\listid787816429\listoverridecount0\ls8}}{\info {\title FINANCIAL INFORMATION}{\author yvonne.gribby}{\operator jon.duckworth}{\creatim\yr2018\mo6\dy6\hr12\min1}{\revtim\yr2018\mo6\dy6\hr12\min1}{\printim\yr2016\mo2\dy8\hr12\min45}{\version2}{\edmins1}{\nofpages5}{\nofwords3323}{\nofchars18946} {\*\company ILF}{\nofcharsws23267}{\vern8243}}\paperw11906\paperh16838\margl1008\margr1008\margt1008\margb1008 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\horzdoc\dgmargin\dghspace120\dgvspace180 \dghorigin1008\dgvorigin1008\dghshow2\dgvshow2\jexpand\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule \fet0\sectd \psz9\linex0\headery706\footery706\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl {\footer \pard\plain \s16\ql \li0\ri0\widctlpar\tqc\tx4153\tqr\tx8306\pvpara\phmrg\posxc\posy0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\field{\*\fldinst {\cs18 PAGE }}{\fldrslt {\cs18\lang1024\langfe1024\noproof 4}}}{\cs18 \par }\pard \s16\ql \li0\ri360\widctlpar\tqc\tx4153\tqr\tx8306\aspalpha\aspnum\faauto\adjustright\rin360\lin0\itap0 {\fs20\lang1033\langfe1033\langnp1033 Ops (E) 1 - Issue 8 - April 2018}{\fs20 \par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}} {\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8 \pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f30\fs56 \par \par \par \par \par \par }{\b\f29\fs72 FINANCIAL \par INFORMATION \par }\pard\plain \s1\qc \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f30\fs56\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f29\fs72 FORM}{ \par }\pard\plain \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f30\fs56 \par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f30\fs56 \par \par }\pard\plain \s15\qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par \par }\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4068 \cellx3960\clvertalt\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5174 \cellx9134\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { \par Name of Applicant/User: \par \cell \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4068 \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5174 \cellx9134\row }\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl \brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4068 \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth5174 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4068 \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth5174 \cellx9134\row }\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4068 \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5174 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par ILF Reference Number: \par (if applicable)\cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4068 \cellx3960\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5174 \cellx9134\row }\pard\plain \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }\pard \s15\qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par \par \par \par \par \par Please take your time to read through this form and the notes attached before completing it. \par }\pard\plain \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\page }{\b\fs32\cf18 PART 1}{\b\cf18 \tab \tab }{\b\fs32\cf18 All Fund Users please complete Part 1 in full}{\b\cf18 \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\fs32 \par }{\b\fs32\cf19 SECTION A1\tab About you \endash see notes on pages 21 - 22 \par }{\b \tab \par }\pard \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\tab }{\fs24 \par }\pard \ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b 1\tab Do you have a partner? \par }{ \par \tab We use partner to mean your husband or wife or a person that you live with as husband or wife although you are not married. It also includes a same sex partner whether or not you have entered into a formal civil partnership\tab \par \par }\pard\plain \s16\ql \fi-4320\li4320\ri0\widctlpar\tx746\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\tab Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 }{No }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 }{\b Please go to question 2 \par }{ \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft4920\shptop581\shpright8880\shpbottom1121\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz0\shplid1026{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 65536}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx4920\dpy581\dpxsize3960\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\tab }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b \tab }{If yes what is their date of birth? \par \par \par }{\b 2\tab What rate of DLA/AA do you receive for help with personal care? \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs24 \par }\pard\plain \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\tab Higher }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt \f31\fs72}}}{\fs48 \tab \tab }{Middle }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs72 }{\fs52 \tab }{Lower }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{ \par }{\fs24 \par }{\b 3}{\tab }{\b Please tell us the amount of DLA/AA you receive per week \par \tab \-\- \par }\pard \s16\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft1200\shptop24\shpright4560\shpbottom564\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1027{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 131072}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx1200\dpy24\dpxsize3360\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b\fs32 \'a3}{\b \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 \par \par \tab }{If your partner receives DLA/AA, please tell us the amount of DLA/AA \par }\pard \s16\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {they receive each week \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft1200\shptop260\shpright4560\shpbottom800\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 196608}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8194\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx1200\dpy260\dpxsize3360\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b \par \tab }{\b\fs32 \'a3 \par }{\b \par \par }\pard \s16\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b 4\tab Does anybody provide unpaid care for you or your partner for 35 hours or more per week? \par }\pard \s16\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 \tab \tab \tab }{No }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs72 }{ \par \par Do you/your partner or any other third party receive Carers Allowance? \par \par Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 \tab \tab }{Partner }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{ Third party }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b 5\tab Are you in receipt of Income-based Jobseeker\rquote s Allowance \par }\pard \s16\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {(You may get this if you haven\rquote t paid enough NICs or you\rquote ve only paid contributions for self-employment and you\rquote re on a low Income.) \par \par }\pard \s16\ql \fi-4320\li4320\ri0\widctlpar\tx746\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0 {\tab No }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 }{Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 }{\b Please go to question B1 \par }{ \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\tab }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard\plain \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b 6\tab Are you in receipt of Contributions-based Jobseeker\rquote s Allowance \par }\pard \s16\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {(You may get this if you\rquote ve paid, or are treated as having paid, enough National Insurance contributions). \par \par }\pard \s16\ql \fi-4320\li4320\ri0\widctlpar\tx746\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0 {\tab No }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 }{Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft6720\shptop543\shpright9480\shpbottom1083\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz3\shplid1029{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 262144}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8195\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6720\dpy543\dpxsize2760\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\tab }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \tab \tab \tab }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard\plain \s16\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\tab \tab \tab Amount paid per week? }{\b\fs32 \'a3}{ \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs52 }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par \tab \tab \tab \tab }{Please go to section B1 \par }{\b \par INCOME SUPPORT}{ \par }{\fs24 \par {\listtext\pard\plain\s16 \b\f1\fs28\expnd0\expndtw2\lang2057\langfe1033\langnp2057 \hich\af1\dbch\af0\loch\f1 7\tab}}\pard \s16\ql \fi-360\li435\ri0\widctlpar\jclisttab\tx435\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin435\itap0 {\b Do you, or does someone else on your behalf, currently receive Income Support? \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b \par }\pard \s16\ql \li75\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin75\itap0 {\tab Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 }{No }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 }{\b Please go to question 10 \par }\pard \s16\ql \fi-4320\li4320\ri0\widctlpar\tx746\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0 { \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\tab }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par {\listtext\pard\plain\b\f1\fs28\expnd0\expndtw2\lang2057\langfe1033\langnp2057 \hich\af1\dbch\af0\loch\f1 8\tab}}\pard \ql \fi-360\li435\ri0\widctlpar\jclisttab\tx435\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin435\itap0 {\b Is Severe Disability Premium (SDP) paid with Income Support?\tab \par }\pard \ql \li435\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin435\itap0 {ie Does your IS letter show that you get an additional amount because you are severely disabled. \par }\pard \ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b \par }\pard\plain \s16\ql \li75\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin75\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \tab }{Yes }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt \f31\fs72}}}{\fs52 }{No }{\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b \tab Please go to question 9 \par }\pard \s16\ql \fi-4320\li4320\ri0\widctlpar\tx746\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0 { \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\tab }{\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft6240\shptop248\shpright9360\shpbottom788\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz4\shplid1030{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 327680}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8196\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6240\dpy248\dpxsize3120\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b \par \tab }{If yes, please state amount received }{\b\fs32 \'a3}{ \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b \tab \par }\pard \ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b \par \page 9\tab }{If the claim for Income Support is }{\b not}{ in your name, detail the name and National Insurance number of the person who does claim Income Support below: \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft1560\shptop294\shpright7440\shpbottom834\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz5\shplid1031{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 393216}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8197\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx1560\dpy294\dpxsize5880\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\tab \par }\pard \ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {Name }{\ul \par }\pard \ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 { \par }\pard\plain \s19\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft9120\shptop228\shpright9720\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz14\shplid1032{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 458752}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8206\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx9120\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft8280\shptop228\shpright8880\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz13\shplid1033{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 524288}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8205\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx8280\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft7680\shptop228\shpright8280\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz12\shplid1034{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 589824}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8204\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx7680\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft6840\shptop228\shpright7440\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1035{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 655360}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8203\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6840\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft6240\shptop228\shpright6840\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz10\shplid1036{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 720896}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8202\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6240\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft5400\shptop228\shpright6000\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz9\shplid1037{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 786432}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8201\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx5400\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft4800\shptop228\shpright5400\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz8\shplid1038{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 851968}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8200\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx4800\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft3960\shptop228\shpright4560\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz7\shplid1039{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 917504}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8199\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx3960\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft3360\shptop228\shpright3960\shpbottom948\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz6\shplid1040{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 983040}}{\sp{\sn hspNext}{\sv 1040}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8198\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx3360\dpy228\dpxsize600\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \par \tab National \par }\pard \s19\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Insurance number\tab \par }\pard \s19\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \par }\pard \s19\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {10\tab Do you receive Pension Credit? \par \par \tab }{\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 }{go to Section B1 \par \par }{\b0\fs52 \tab }{\b0 a\tab If yes do you receive the Guarantee Credit? \par \tab }{ \par }\pard \s19\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 }{go to Question C \par }\pard \s19\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par \tab }{\b0 b \tab Do you receive a Severe Disability Addition as part of this? \par \par }\pard \s19\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{ \par }\pard \s19\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }{\b0 If you have answered yes to question 10a and/or 10b please arrange for your confirmation letter to be forwarded to the Funds with this document. (Please do not send your benefit book). \par \par }\pard \s19\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 c\tab Do you receive a Savings Credit? \par }\pard \s19\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 \par }\pard \s19\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 144 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{ \par }\pard \s19\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }{\b0 If you are unsure which type of Pension Credit you receive please list information below or send a copy of your confirmation letter \par \par }\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9242 \cellx9134\pard \s19\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9242 \cellx9134\row }\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9242 \cellx9134\pard\plain \s19\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9242 \cellx9134\row }\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9242 \cellx9134\pard\plain \s19\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft-108\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9242 \cellx9134\row }\pard\plain \s19\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\fs32\cf19 SECTION B 1}{\b\cf19 Capital \endash see notes on pages 18 - 19 \par }{ \par }\pard\plain \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {1\tab Do you or your partner have any money in a bank or building society account? (for our definition of partner, please see the notes on page 18) \par }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to question 2 \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft3600\shptop541\shpright6840\shpbottom1081\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz15\shplid1041 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1048576}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8207\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx3600\dpy541\dpxsize3240\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \tab If yes, how much? }{\fs32 \'a3}{\b0\ul \par \par }{2\tab Do you or your partner have any other capital? (Please refer to the notes on page 19 for a definition of capital). \par \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \tab If yes, please give details, including value, below. \par \par \tab If you have shares please state how many are held, with which company and the current value. \par \par \par }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\pard\plain \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {3\tab Do you have a Trust Fund, or receive any monies from a Trust Fund? (Including any monies that are paid from the Thalidomide Trust.) \endash see notes on page 19 \par \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft2280\shptop23\shpright5640\shpbottom563\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz16\shplid1042 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1114112}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8208\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx2280\dpy23\dpxsize3360\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \tab amount }{\fs32 \'a3}{\b0 \par \par \tab \par \tab (Please be aware the processing of Trust Fund cases may require extra time). \par \par }{4\tab Do you have monies held by the Court of Protection (England and Wales) Office of Care and Protection (NI) or the Office of the Public Guardian (Scotland)? \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }{\b0 \tab Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to question 5}{ }{\b0 \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft2160\shptop511\shpright4800\shpbottom1051\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz17\shplid1043 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1179648}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8209\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx2160\dpy511\dpxsize2640\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \tab \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 amount }{\fs32 \'a3}{\b0 \par \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {5\tab Are you or your partner pursuing, intending to pursue or have you or your partner ever received an award of compensation? \par }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs72 }{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to question 6 \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \tab Please read notes on pages 19 - 20 \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft5880\shptop265\shpright9120\shpbottom805\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz18\shplid1044 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1245184}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8210\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx5880\dpy265\dpxsize3240\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 When was the compensation received? }{\b0\ul \par \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft3720\shptop19\shpright7320\shpbottom559\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz19\shplid1045 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1310720}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8211\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx3720\dpy19\dpxsize3600\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 How much received? }{\b0\ul \par \par }{\b0 \par If you or your partner have not yet received it, when do you expect to? }{\b0\ul \par \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft720\shptop29\shpright9360\shpbottom569\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz20\shplid1046 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1376256}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8212\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx720\dpy29\dpxsize8640\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0\ul \par \par }\pard\plain \s21\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par 6\tab IF YOU ARE IN RECEIPT OF INCOME SUPPORT, INCOME BASED JOB SEEKERS ALLOWANCE OR GUARANTEE CREDIT PLEASE GO TO PAGE 13 AND COMPLETE PART B3 IN FULL \par }\pard\plain \ql \fi-720\li1440\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \tab }{ \par }\pard \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b IF YOU OR YOUR DEPENDENT DO NOT RECEIVE INCOME SUPPORT, INCOME BASED JOB SEEKERS ALLOWANCE OR GUARANTEE CREDIT PLEASE CONTINUE ON PAGE 7 AND COMPLETE PARTS 2 AND 3 IN FULL. \par \par \par \par \par \par \par }{ \par }\pard\plain \s15\ql \fi-1440\li1440\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs32\cf18 PART 2\tab Please complete Part 2 if you or the person who is receiving Child Benefit for you do NOT receive Income Support, Income Based Job Seekers Allowance or Pension Guarantee Credit \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\fs32 \par }{\fs32\cf19 SECTION A2 }{\cf19 Your Income \endash see notes on page 19 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {1\tab Benefits \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \par We need to know all the benefits you, your partner or the person receiving Child Benefit for you receive and the amount paid. Please read the list of benefits below and complete the weekly amount where appropriate. \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \par }\trowd \trgaph108\trleft612\trkeep\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt \clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4214 \cellx9321\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { Type of Benefit\cell }\pard \s15\qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {Weekly Amount\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trkeep\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh \brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4214 \cellx9321\row }\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt \clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb \brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \cell }{Applicant\cell Partner/other\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt \brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Bereavement Allowance\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Incapacity Benefit\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Industrial Injuries \par Disablement Benefit\cell }{\b0\fs32 \par \'a3\cell \par \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl \brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr \brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Retirement Pension\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Severe Disablement Allowance\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 War Disablement Pension\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 War Widows Pension\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt \clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb \brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Widowed Parent Allowance\cell }{\b0\fs32 \'a3\cell \'a3\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4308 \cellx4920\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2400 \cellx7320\clvertalt\clbrdrt \brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1814 \cellx9321\row }\pard\plain \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 If you have stated that you receive either }{Industrial Injuries Disablement Benefit}{\b0 or }{War Disablement Pension}{\b0 or }{War Widows Pension}{\b0 , please give a full breakdown in the space below of the components and amounts (you can obtain this from your benefits agency if you do not have a copy) \par \par }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\pard\plain \s15\ql \fi-600\li600\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin600\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\page 2\tab We need to know about the income you your partner or the person who is receiving Child Benefit f or you receive and the amount paid. Please read the list of income below and complete the weekly amount where applicable. \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\tab }{\b0 \par }\trowd \trgaph108\trleft600\trkeep\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvmgf\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3614 \cellx9441\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {Type of Income\cell }\pard \s15\qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {Weekly Amount\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft600\trkeep\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvmgf\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl \brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr \brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3614 \cellx9441\row }\trowd \trgaph108\trleft600\trkeep\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh \brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvmrg\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr \brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cell Applicant\cell Partner/other\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft600\trkeep\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvmrg\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl \brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr \brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\row }\trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt \clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb \brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\pard\plain \s15\ql \li0\ri0\sl360\slmult1\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Child Maintenance\cell }\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\row }\pard\plain \s15\ql \li0\ri0\sl360\slmult1\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Earnings, payments in lieu of earnings or working tax credit\cell }\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt \clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb \brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\row }\pard\plain \s15\ql \li0\ri0\sl360\slmult1\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Statutory Sick Pay\cell }\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb \brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\row }\pard\plain \s15\ql \li0\ri0\sl360\slmult1\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Student Loans\cell }\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt \clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb \brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\row }\trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr \brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\pard\plain \s15\ql \li0\ri0\sl360\slmult1 \widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 Other\cell }\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft600\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl \brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4920 \cellx5520\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr \brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1920 \cellx7440\clvertalt\clbrdrt\brdrs\brdrw15\brdrcf1 \clbrdrl\brdrs\brdrw15\brdrcf1 \clbrdrb\brdrs\brdrw15\brdrcf1 \clbrdrr\brdrs\brdrw15\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1694 \cellx9441\row }\pard\plain \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par }{3\tab Are you entitled to take out a student loan? \par \par }\pard \s15\ql \fi720\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0 \tab \tab No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{ \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \s15\ql \li0\ri0\widctlpar\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {4\tab Do you or your partner receive an Occupational Pension? \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 \par \tab }{You \par }{\b0 \tab Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0 \tab \tab No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 }{\b0 \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft6840\shptop457\shpright9600\shpbottom997\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz21\shplid1047 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1441792}}{\sp{\sn hspNext}{\sv 1047}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8213\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6840\dpy457\dpxsize2760\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \tab \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }{\b0 \tab If yes please give the monthly net amount(s) }{\fs32 \'a3}{\ul \par }{\b0\ul \par \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 { Your Partner \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0 \tab Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0 \tab \tab No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\b0\fs52 }{\b0\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0 Please go to next question \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft6840\shptop471\shpright9600\shpbottom1011\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz22\shplid1048 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1507328}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8214\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6840\dpy471\dpxsize2760\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \tab \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }{\b0 \tab If yes please give the monthly net amount(s) }{\fs32 \'a3}{\b0\fs32 \par \tab \par \par }{\fs32 \page B}{oard and Lodging \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 \par }{5\tab Do you or your partner receive an income from boarders who pay to live in your household? (Please read the notes on page 20). \par }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to question 6 \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }{\b0 If yes, please state how many boarders live in your house and the amount they each pay per week below \par \par }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b0 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\pard\plain \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {6\tab Do you or your partner receive an income from subletting part of your home? \par }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to Section B2 on page 10 \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }{\b0 \par If yes, please state how much rent is paid each week by each tenant below \par \par }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b \trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\trowd \trgaph108\trleft612\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8522 \cellx9134\row }\pard\plain \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \b\f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs32 \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs32 \page }{\fs32\cf19 SECTION B2 \tab }{\cf19 Housing costs and other allowable expenses \endash see notes \par }\pard \s15\ql \fi720\li1440\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0 {\cf19 on page 21 \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }{\b0 Please use this section to tell us about your housing costs, giving exact figures \par \par }{1\tab Do you or your partner make mortgage payments? \par \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }{\b0 If yes, please give the monthly payment figure }{exclusive}{\b0 of house and contents insurance }{\b0\fs32 \'a3 \par \par }{\b0 (The figure should include both parts of an endowment mortgage and linked insurance. Please see notes section on page 20 for information). \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0\ul \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {2\tab Do you or your partner make a payment to an insurance company to protect your mortgage payments against unemployment or sickness situations? \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft6960\shptop453\shpright9720\shpbottom993\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz23\shplid1049 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1572864}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8215\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx6960\dpy453\dpxsize2760\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0\fs52 \tab }{\b0 If yes please give the monthly payment figure }{\fs32 \'a3}{\b0 \par }{\b0\ul \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\page 3\tab Are your mortgage payments currently being made by an insurance company through a mortgage protection scheme? \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }{\b0 \par Please notify the Funds when this arrangement ceases and see notes section page 21 for information \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b0\ul \par }{4\tab Do you or your partner pay rent by written agreement? \par }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\tab \par }\pard \s15\ql \li720\ri0\sb120\sa120\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft7560\shptop453\shpright10080\shpbottom993\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz24\shplid1050{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn lTxid}{\sv 1638400}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8216\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx7560\dpy453\dpxsize2520\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0 If yes, please state how much you or your partner pay after housing benefit has been deducted and how often you pay it }{\b0\fs32 \'a3 \par }{\b0 per week/month/year (delete as appropriate) \par }\pard \s15\ql \li0\ri0\sa120\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {5\tab Do you or your partner pay ground rent. \par \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes}{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }{\b0 \par If yes, how much do you or your partner pay per year? \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft960\shptop357\shpright4080\shpbottom897\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz25\shplid1051 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1703936}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8217\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx960\dpy357\dpxsize3120\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0\fs32 \par }{\fs32 \'a3 \par }{\b0 \par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {6\tab Do you or your partner pay Water Rates?}{\b0 \par \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\b0\fs52 \par }{\b0 \par If yes how much do you or your partner pay per year? \par }{\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft960\shptop297\shpright4680\shpbottom837\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz26\shplid1052 {\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 1769472}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8218\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs28\expndtw2\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \par }}\dpx960\dpy297\dpxsize3720\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b0\fs32 \par }{\fs32 \'a3}{ \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {7\tab Do you or your partner pay Council Tax? \par }{\b0 \par }\pard \s15\ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b0 Yes }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\tab \tab }{\b0 No }{\b0\fs72 {\field{\*\fldinst SYMBOL 127 \\f "Monotype Sorts" \\s 36}{\fldrslt\f31\fs72}}}{\fs52 {\field{\*\fldinst SYMBOL 103 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{ }{\b0 Please go to next question \par \tab }{\b0\fs52 {\field{\*\fldinst SYMBOL 105 \\f "Wingdings 3" \\s 26}{\fldrslt\f32\fs52}}}{\fs52 \par }\pard \s15\ql \fi-720\li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\fs20\lang1024\langfe1024\noproof\langnp1033 {\shp{\*\shpinst\shpleft6720\shptop202\shpright9360\shpbottom742\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpby