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If you pay weekly, how many weeks in the year do you pay rent?
Does anyone else share rent with you and your partner?
Tell us their names and their relationship to you and your partner.
How much of the rent do you pay? every
(For example, every week/fortnight/4
weeks/month)
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| |
Accommodation details
Please tick the type of accommodation you live in
Detached house Flat over shop Hostel
Bed and Breakfast Maisonette Flat in block
Terraced house Room or rooms [ ] Room No [ ] Hotel
Studio flat Semi-detached house Flat in house
Bedsit Other (please specify)
How many floors are there in the whole building?
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 [ ]
HB/CTB 07 04/2013 d *7
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