MHDC Self employed earnings

Self-employed earnings

Failure to provide any of the information requested may result in unnecessary delays.
To ensure the more accurate calculation of your entitlement to Housing Benefit and / or Council Tax Support we have received further guidance on the information we need to ask from you.

We are now asking you to do the following:
1. Provide your latest Certified Audited Accounts, if available
2. Provide your personal and business bank / building society accounts to support your Trading Accounts
We may need to agree a percentage allocation of certain items where there is the possibility that part is personal use rather that purely business related; use of the telephone, for example.

Please note, some assessments for self employed persons are based on notional figures and will be reassessed once income for the actual period is available. This may result in an under payment, or possible overpayment of benefit. If so, these will be discharged or recovered in the usual way.

Please also note that you have 3 months from the date you became self employed in which to register with H.M. Revenues & Customs. You must register as self employed regardless of your overall net profit / loss. H.M. Revenues & Customs will provide you with a Tax Reference Number which is required by this office if you are to be treated as self employed.

Failure to do so will result in a new claim being treated as defective or an ongoing claim being suspended.
Claimant's details
Claim reference:
Full name*

FirstSURNAME
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone number

Area CodePhone Number
BUSINESS DETAILS
Name of business:*
Nature of the business:
Business address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone number

Area CodePhone Number
The average number of hours you work per week:
The date the business started:

DayMonthYear
The start date of your current financial year:

DayMonthYear
Tax reference number:
About the business income
Do you have any prepared accounts (whether or not they are audited) for the last financial year?

YesNo
If 'YES' please upload a copy.

Cancelof
Do you have your latest Self assessment calculation?

YesNo
If 'YES' please upload a copy.

Cancelof
If 'NO' please give the reasons why you have no accounts and the date you expect to have them
Do you have insurance against ill health / loss of earnings?

YesNo
If 'YES' please provide details.
Is your business a partnership?

YesNo
If 'Yes' what percentage of the total profit/ loss is yours?
Is your husband / wife* a partner in the business?

YesNo
If ‘YES’ what percentage of the total profit / loss is theirs?
Is your husband/ wife* on the payroll?

YesNo
If 'YES' what are his/ her earnings?
For example £350 every week
*By this we mean anyone you live with as though you are husband or wife or civil partners. This includes anyone who may live away from your address for periods of time but consider this property to be their main residence.
TRADING, PROFIT AND LOSS ACCOUNT
Exact period covered from:

DayMonthYear
To

DayMonthYear
Sales/ Takings/ Income/ Commission
(please include any withdrawals in this figure)
PLUS
VAT refunded
PLUS
Planned business start up award
PLUS
Closing stock
PLUS
Goods taken for own use
Subtotal
LESS
Opening stock
LESS
Purchase/ Cost of Sales
LESS
VAT paid out
Gross profit
Expenses
Please provide: original invoices and itemised phone bills with business calls marked to support your percentage apportioning of shared expenses.

Do not include:

Depreciation, Hire Purchase or Money spent to set up or expand the business

(NB: if you work from home or use your private vehicle for business use, please enter the percentage of use for the business in the second box for each item)

Wages paid to:

	£	Every (e.g. week, month)
Self
Spouse
Other employees

	£	%
Rent/ mortgage interest (business premises)
Business rates
Water rates
Heating and lighting
Cleaning Telephone
Business insurance (excluding vehicle insurance
Advertising
Printing & Stationery
Postage Accountants charge
Bank charges (Business account only)
Interest payments on business loan (please enclose a copy of the agreement)
Repair/ replacement of a business asset (Do not include motor vehicles)*
Leasing charges
Drawings
Other expenses

*Was this covered by insurance?

YesNo

Motoring expenses total

	£	%
Petrol
Road tax
Insurance
Radio hire
Repairs

If you have a company vehicle do you have use of it outside of business?

YesNo
National insurance
Do you hold an exemption certificate?

YesNo
Personal pension contributions
Amount paid - £
Frequency (e.g. weekly/ monthly)
Is it reasonable to assume that the trading figures for the next six months will be similar to those quoted above?

YesNo
If 'NO' please explain why
Phone Number*

Area CodePhone Number
Email*
example@example.com
We are trying to reduce how much paper we use and hope you will help us to go paper free. This means that if you contact us by email or provide us with an email address we will set your council tax account up so that in future your bill and all other correspondence from this department will be sent to you by email. Do you wish to receive your bills by email?*

YesNo
Declaration: By submitting this form I agree to the best of my knowledge and belief that all the information I have given on this application is true and complete in all respects. I authorise the council to make any enquiries they wish to verify the information. Personal data is collected and processed in accordance with data protection law.

I agree that Malvern Hills District Council can use my personal data for the purpose of processing the Application for self employed earnings, I understand my data may be shared with other departments within the council for the purposes of processing my application. For further information about how your data is managed please refer to the privacy notice on our website

You must notify the council as soon as these circumstances change. You acknowledge that failure to do so could result in a penalty being imposed.
Full Name*

First NameLast Name
Date*

DayMonthYear
PLEASE NOTE ANY ASSESSMENT WILL BE BASED ON A NOTIONAL FIGURE AND THE CLAIM MAY BE RE-ASSESSED WHEN WE RECEIVE YOUR FINAL ACCOUNTS FOR THE YEAR IN QUESTION.
Should be Empty:

Self-employed earnings

Claimant's details

BUSINESS DETAILS

About the business income

TRADING, PROFIT AND LOSS ACCOUNT

Expenses

National insurance

Personal pension contributions