Transformation Services

P.O. Box 1733 - Slough - SL1 1FS

Telephone number: 01753 475111
Helplines are open 8am to 7pm Monday to Friday
Email: counciltax@slough.gov.uk

Please complete all relevant sections below

Failure to do so may result in delays in your
application being processed

WHAT IS YOUR NEW ADDRESS?

DATE

RETURN WITHIN 7 DAYS

Email address

BEFORE COMPLETING THIS FORM PLEASE READ THE GUIDANCE NOTES PRINTED OVERLEAF

Council Tax: Change of Address Form

For the purpose of updating the Borough’s Council Tax records, please complete and return this form without delay.
Accurate Completion will ensure that your Council Tax liability is correctly calculated. When
completed, please fold and post to the address shown overleaf.
1. Full names of all adult occupants (Please use block capitals)

a) n Mr/Mrs/Miss*........................................................................................ Previous Address ....................................................................................

b) n Mr/Mrs/Miss*........................................................................................ Previous Address ....................................................................................
c) n Mr/Mrs/Miss*........................................................................................ Previous Address ....................................................................................
d) n Mr/Mrs/Miss*........................................................................................ Previous Address ....................................................................................
(*Please delete as appropriate)
Dwellings which have only one countable adult resident will attract a 25% discount. If you wish to claim this
discount please tick the box. n 25% Discount.
2. Date of completion of purchase/commencement of lease ..............................................................................................................................
3. Date(s) that the above named occupiers moved into the property ............................................................................................................
(If their dates of moving differ please provide brief details in the “further information” box provided below.)
4. Date property became furnished ......................................................................................................................................................................................
5. Name/Address of Solicitors/Letting Agents/Landlord ..........................................................................................................................................
................................................................................................................................................................................................................................................................

6. Please confirm into which of the following categories those named in Section 1 above fall: Freeholder,
Leaseholder, Tenant, Contractual Licence Holder (eg occupier of a tied property). Others (eg those with no legal
interest in the dwelling).

Person a) n ................................................................................................ Additional Information

Person b) n ................................................................................................

Person c) n ................................................................................................

Person d) n ................................................................................................

7. Please provide a copy of your tenancy agreement.

DECLARATION The information given on this form is correct to the best of my knowledge and belief.

Signature ........................................................................................................................................................Date..............................................................................

Name (block capitals) ................................................................................ Contact details (email/phone) ..........................................................

 GLUE, SELLOTAPE OR STAPLES
PLEASE DO NOT SEAL WITH:-
HEAD OF REVENUES AND BENEFITS MANAGER

TUCK IN THIS FOLD

2
FOLD HERE

BUSINESS REPLY SERVICE

P.O. BOX 1733

Licence No 129

SLOUGH
SL1 1FS

FOLD HERE

Guidance Notes
Warning
Schedule 3 to the Local Government Finance Act 1992 empowers Local Authorities to impose a penalty of £50 on persons who
fail to supply information in accordance with the provisions of that Act, or knowingly supply information which is inaccurate.
Further penalties of £200 may be imposed each time an authority repeats a request.

Liable Persons
The people responsible for paying the Council Tax are chosen, in order of priority, from the following residents:-
n Freeholders
n Leaseholders
n Tenants
n Contractual Licence Holders
n Other Residents
It should be that person who completes the details required overleaf.

Discounts
The Council Tax Law assumes that two adults live in each dwelling. If there are more the bill will not be increased but if there are
fewer it may be reduced - by 25% if only one adult lives in the dwelling.
When we count the number of adult residents certain people, although actually living in the dwelling are disregarded for Council
Tax purposes. Examples of these are: the severely mentally impaired, people in respect of whom child benefit is paid, students,
people living in nursing homes or hospitals etc. Thus
i one adult resident - 25% Discount
ii one countable resident all others being disregarded - 25% Discount
iii more than one adult resident where all are disregarded - 50% Discount
iv One adult resident who is disregarded - 50%
Application forms for discounts disregards are available upon request, please telephone the enquiry number quoted overleaf.
This authority is under a duty to protect funds it administers, and to this end may use the information you have provided on this form
for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering
public funds for these purposes. Individuals can find more information on data processing at www.slough.gov.uk/council/data-
protection-and-foi/privacy-notices.aspx
CT/5136/28-02-20