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Part 9 - Rent
Do you pay rent for your home?
Date
What is the start date of your tenancy?
Please provide proof of tenancy, e.g. Tenancy Agreement
Date
What date did you move into this address? If you pay weekly, how many weeks in the year do you pay rent?
If you have not moved in yet, you must tell us as soon as you do move in, otherwise it could affect the Does anyone else share rent with you and your partner?
Tell us their names and their relationship to you and your partner.
amount of benefit you get.
If you are a Council tenant or owner occupier please go to Part 10 How much of the rent do you pay? every
What is the name and address of your What is the name and address of your (For example, every week/fortnight/4
landlord? (we will not contact your landlord’s agent (if applicable)? weeks/month)
landlord without your permission)
Who do you pay your rent to?
Has your rent been registered as a fair rent by a rent officer?
(If you have an assured tenancy this does not apply to you) Yes Q No| |
Postcode Postcode
Phone number Phone number Accommodation details
Please tick the type of accommodation you live in
We conduct land registry checks to confirm the current owner of the property. Detached house Flat over shop Hostel
Are you, your partner, or any of your or your partner’s children related to your landlord or agent, or Bed and Breakfast Maisonette Flat in block
to your landlord’s partner or the agent’s partner? Terraced house Room or rooms [ ] Room No [ ]
Related includes related through marriage, even if the marriage has ended. Some examples are Hotel
ex-wife, ex-husband, aunt, brother, daughter, father, grandson, grandmother, son-in-law or Studio flat Semi-detached house Flat in house
stepdaughter. Bedsit Other (please specify)
You: Yes { / } No [ ]
Q Your partner: Yes [ ] No [ ]
How many floors are there in the whole building?
If ‘Yes', how are you related?
Which floors do you live on? (if you have a room only, which floor is it on?)
Basement [ ] Ground [ ] First [ ] Second [ ] Third [ ] All [ ] Other, please give details
If you live in a single room or in a room in a hostel/hotel, where is it in the building?
Front [ ] Centre [ ] Back [ ]
We will search to establish ownership of the property. Proof of rent must be provided -
See checklist.
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