Disability Allowance Application Form
04456268
Yes No
Your work and claim details Part 2 continued
27.Did you sell or transfer property or business in the last three years?
26.Do you have any other income from the Republic of Ireland or another country?
Yes No
If ‘Yes’, please give details in the space provided:
Yes No
If ‘Yes’, please give details in the space provided and attach a copy of the deed of transfer:
28.Did
you recently sell your
home to buy another?
Yes No
If ‘Yes’, please outline the circumstances in the space provided and attach supporting
documentary evidence from your solicitors regarding the financial transaction.
25(b). Do you expect to receive any additional income or money in the coming 12 months from
any other source(s) (that is for example a claim for compensation arising out of an
accident/injury, sale of property, etc.)?
If ‘Yes’, please give details in the space provided:
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