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21/05/2007 16:38 02080031867 TULIP EF55 PAGE 05/07
21/05/2007 16:33 02080031967 TULIP EFSS PAGE 06/07

BCON/NINEDAV
CICS Account and case numbers: 55508596 01623514 BCON/NMEDAY
CIC3 Account and cade numbers: S55G06&6 01623514

Household details; please list all the people living in your household and
Did / do you and your partner have any bank provide details of their income.
or building society accounts, savings or Yes
investment during this period? Name Date ofDid they move Date ofTheir Their
birth In or out? move relationship to Income
(Please state the claimant
if Yes, please list them below and provide proof of the which) £
amounts held for the above period. provide the last two full
months statements for every bank or building society for you
and your partner

£ -

£

£

Please note: we can only accept
ORIGINAL documents as proof.

23

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Aim t’8E251£80Z0 93:91 Afl03/QB/91