Housing Benefit and Council Tax Support self-employed mini cab driver income and expenses form. Your details. Name: Address: Post code:

Transcription

1 Housing Benefit and Council Tax Support self-employed mini cab driver income and expenses form Your details Doc type HBINCO Your claim reference number: Date of issue: Name: Address: Post code: Notes for completing this form: What you should use this form for: The details we need: The proof we need: Time limits: Help with filling in the form: This form should be used to tell us details of your income and business expenditure from your work as a self employed mini-cab driver. You can also use it to tell us about your partner s income and expenditure from their work as a self employed mini-cab driver. We need details for the last 12 weeks for Housing Benefit or Council Tax Support. If you have less than 12 weeks of details because you have just started your work, you should give the details you have and we will ask you to give us 12 weeks of details at a later date. You must ensure the expenses are accurate. We will check these expenses to make sure they are reasonable in relation to the income you have declared and the mileage you do in your work. You must provide your last two MOT certificates if your car is more than 6 months old. We will use these to check the recorded mileage. We will check the details you give us and may contact your minicab office for records of your fares and trips you have been booked for. If you have been working as a self employed minicab driver for more than three months we will expect you to have registered this with HMRC. You must return this form, fully completed, within one month of the date shown at the top of this page. If you do not fill in all the questions, or you do not give us the evidence asked for we will work out an estimated income based on the information we have. This may mean that you do not qualify for Housing Benefit and Council Tax Support. Please phone us on or visit us at Merton Link in the Civic Centre, Morden SM4 5DX. We are open Monday and Friday 9:00 a.m. till 5:00 p.m. and Tuesday to Thursday 9:00 a.m. to 1:00 p.m. 1

2 Your details Are these details for: You Your partner (please tick which of you) Partner s name «PartnerTitle» «PartnerForenames» «PartnerSurname» Period of accounts from: / / to: / / Date you started self employed minicab work: / / Your vehicle Private hire licence registration number: Date licence was issued Vehicle make and model Engine size (c.c) Is the vehicle also used for personal or private use? Yes No Do you own or hire another vehicle for personal use? Yes No Licensed cab office details PCO registration number Address of licensed cab office Postcode Contact phone number for licensed cab office Business mileage and income Please give details of your income and mileage for each working week in the tables. You should only include the miles you travel for your business. Please do not include: miles travelled for personal use. tips If the date you started self employed minicab work is more than 12 weeks ago you should fill in 12 weeks of details. If you have less than 12 weeks please fill in the details for each week starting with the week you started this work. 2

3 1. Week commencing: 2. Week commencing: 3. Week commencing: 4. Week commencing: 3

4 5. Week commencing: 6. Week commencing: 7. Week commencing: 8. Week commencing: 4

5 9. Week commencing: 10. Week commencing: 11. Week commencing: 12. Week commencing: If the last 12 weeks included Christmas and New Year, how much extra in fares did you receive for charging double or treble rates? 5

6 Fare details Please tell us about how your fares are charged. Fare for 1st mile or minimum fare Fare per mile after 1st mile or minimum fare Tips We assume a standard rate for tips as 10% on top of the value of the fares. If you disagree with this please state what % of the fares you declared was additionally paid in tips. Average % of fares as tips: % Dead miles We assume that 40% of your business miles are Dead miles. These are the number of miles you travel at the end of a fare to the start of your next fare. If you disagree with this standard rate please state what % of the mileage you declared is for dead miles. % of dead miles: Allowable expenses Please tell us about your expenses. We will check the amounts given and may ask you to provide proof of the expenses. Please note that some expenses that can be deducted by HMRC in your tax assessment cannot be deducted for working out your Housing Benefit. Cab office expenses Rent to cab office Please tell us about the rent you paid to the cab office during the period you told us about. Week Rent to cab office Rental charge for radio Week 6 Rent to cab office PCO operators licence Rental charge for radio As a mini cab driver you must register for a Public Carriage Office (PCO) operators licence and renew it every three years. Please tell us about the last PCO operator s licence you paid. Date paid Amount Period of licence First time or renewal? PCO vehicle licence As a mini cab driver you may need an annual Public Carriage Office (PCO) vehicle licence depending on the age of the vehicle. Tell us about the last PCO vehicle licence if needed. Date paid Amount Period of licence First time or renewal?

7 Vehicle running costs We assume that 20% of the vehicle running costs is for personal use. If you disagree with this standard rate please state what % of the running costs are for personal use. We may ask you for more details about this. Average % running costs for personal use: % Car insurance Please tell us about your yearly insurance cost. If your car insurance is paid monthly please tell us the total cost of your insurance for the year. Date paid Total yearly amount Period of insurance Fuel expenses Type of fuel used (e.g. petrol, diesel, BIOfuel) Please tell us what you have spent, (including personal use) in the weeks declared in the previous section on fuel. Week Amount spent on fuel Week Amount spent on fuel MOT Please tell us about the MOT expenses you have had in the last year. If you have had 2 MOTs in the last year please total the costs. Amount for year Expiry date of current MOT certificate Road tax Tell us the amount, and period that has been paid and when. Date paid Amount Rate paid Expiry date of road tax 6 months 12 months 6 months 12 months Other expenses e.g. valeting or servicing Please tell us about any other expenses you have paid in the last year. Date paid Amount Type of expense Frequency paid 7

8 Personal pension payments Tell us about any personal pension payments you make. Please tell us the annual amount, even if you make monthly or weekly payments. Pension payment frequency Declaration Total yearly amount Pension provider s name Please read this declaration carefully, and sign in the box below. This declaration is in addition to the one you have made on your application for Housing Benefit or Council Tax Support. I declare I have answered the questions on this form truthfully, and the information I have given is correct and complete. I understand you may use the information I have given on this form to help you and other departments to prevent fraud. I understand I am committing an offence, and can be prosecuted, if I knowingly or dishonestly make a false statement, give false information, or fail to tell Merton Benefits Service about a change in circumstances that might affect my benefit. I will tell Merton Benefits Service about any changes in the circumstances of me, my partner, my children, and any non-dependants living with me. I will also tell you if any of the details shown in any notification letters you send me are incorrect. If I receive too much benefit because I have given false information, or have not told you about a change, I will pay the overpayment back. Your signature: Date: Your partner s signature: Date: Please return this completed form, with all the information we need, to: Merton Benefits Service, Civic Centre, PO Box 610, London Road, Morden, SM4 5ZT. 8