Housing Allowance Application Form (Page 2 of 3) in pdf

Housing Allowance Application Form Page 2

For Official

SECTION B: RENTAL STATUS

Use

Reference

I am a tenant

Tick the

Proof to be attached

Tick the

Proof is

code

because -

applicable

to this application

applicable

attached

box

form

box if

proof is

attached

Yes

I pay occupational rent

Offer to purchase/

to the person I am

Deed of Sale which

buying my home from

includes the

occupational rent

clause

I rent a home from a

Rental Agreement

private landlord/

municipality

I rent a home from

Rental Agreement

family or friends

I am obliged to occupy

Rental Agreement

and rent State Housing

as defined in Part XVI

of Annexure B to

PSCBC Res. 3 of 1999

I am voluntary

Rental Agreement

occupying and renting

Other Housing in terms

of a departmental

policy defined in Part

XVI of Annexure B to

PSCBC Res. 3 of 1999

For Official

SECTION D: OCCUPANCY DETAILS

Use

The home is occupied by -

Tick the

Proof to be attached

Tick the

Proof is

applicable

to this application

applicable

attached

box

form

box if

proof is

attached

Yes

Myself

A sworn affadavit

My spouse

My dependants

My spouse and dependants

Date of Occupancy

The full residential address of the home is:

Housing Allowance Application Form Page 2

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