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[]
[null,"Name of Assessor:"]
[null,"Date of Assessment:"]
[null,"Mosaic Ref:"]
[]
[null,"Allowance Type",null,null,"Tick if Applicable","Amount to Apply","Weekly Amount","Deductions"]
[null,"Single Allowance<25",null,null,false,58.9,{"$f":"IF(E7=TRUE,F7,0)","v":0}]
[null,"Single Allowance>25",null,null,false,74.349999999999994,{"$f":"IF(E8=TRUE,F8,0)","v":0}]
[null,"Couple Allowance",null,null,false,116.8,{"$f":"IF(E9=TRUE,F9,0)","v":0}]
[null,"First Child Element",null,null,false,39.6,0]
[null,"Child Under 1 years",null,null,false,5,0]
[null,"Child under 3 year",null,null,false,3,0]
[null,"Second Child",null,null,false,39.6,0]
[null,"Third Child",null,null,false,39.6,0]
[null,"Fourth Child",null,null,false,39.6,0]
[null,"Fifth Child",null,null,false,39.6,0]
[null,"Expectant Mother",null,null,false,3,0]
[null,"Maternity Grant",null,null,false,300,0]
[null,"Medical/Dental needs Allowance",null,null,false,0,0]
[null,"Travel Allowance dependent on circumstances",null,null,false,0,0]
[null,"Winter Clothing Allowance: One off payment only",null,null,false,0,0]
[null,"Council Tax",null,null,false,0,0]
[null,"Gas/Electric Water",null,null,false,0,0]
[null,"Other",null,null,null,null,0]
[null,"Other",null,null,null,null,0]
[null,"Other",null,null,null,null,0]
[null,"Other",null,null,null,null,0]
[null,null,null,null,null,"SUB TOTAL",{"$f":"SUM(G7:G27)","v":0}]
[null,"Deductions"]
[null,"Income from Work",null,null,null,null,null,0]
[null,"Income from Maintenance",null,null,null,null,null,0]
[null,"Income from Child Benefit",null,null,null,null,null,0]
[null,"Deductions for Utilities",null,null,null,null,null,0]
[null,null,null,null,null,"Total Allowance",null,{"$f":"G28","v":0}]
[null,null,null,null,null,"Total Deductions",null,{"$f":"SUM(H7:H33)","v":0}]
[null,null,null,null,null,"Total Weekly Amount",null,{"$f":"H34-H35","v":0}]