Brighton & Hove Housing Application Form Page 8

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6 Bedrooms in your present accommodation
Please state who uses each bedroom (M = Male, F = Female).
Age 1st
M/F
Age 2nd
M/F
Age 3rd
M/F
Age 4th
M/F
person
person
person
person
Studio flat
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Bedroom 5
7 Previous addresses
Have you ever had action taken against you for breach of tenancy, such as a Notice of Seeking
Yes
No
Possession, Notice to Quit, injunction or Anti-Social Behaviour Order?
If yes, please give the date and details below.
7.1
Please give details of the addresses you and your partner have lived at during the past five
years. Start with the address you lived in before your current home and work back.
You
Your partner
Previous address 1
Previous address 1
Lived there from
to
Lived there from
to
Reason for leaving
Reason for leaving
Name, address and telephone no. of landlord
Name, address and telephone no. of landlord
Was landlord a local authority or housing
Was landlord a local authority or housing
Yes
No
Yes
No
association?
association?
Previous address 1
Previous address 1
Lived there from
to
Lived there from
to
Reason for leaving
Reason for leaving
Name, address and telephone no. of landlord
Name, address and telephone no. of landlord
Was landlord a local authority or housing
Was landlord a local authority or housing
association?
Yes
No
association?
Yes
No
If necessary, please use the space provided on page 14 to continue
8

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Parent category: Business