Housing Application Form Page 7

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Please remember
A tied tenancy is where living in accommodation is a condition of your job. For example, the
landlord of a public house would get living accommodation above a public house.
Who is your landlord? _______________________________________________________
14 What type of property do you live in?
Please tick the appropriate box.
House
Flat
Maisonette
Bedsit
or studio flat
Bungalow
No fixed address
Hostel
Hotel or bed
or sleeping rough
and breakfast
Mobile home
Other
or caravan
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15 Does the property you live in have serious problems which could be
harmful to health? If so, please describe the problem.
Yes
No
If 'yes' please provide proof.
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16 If you live in a private rented accommodation, have you been served with
a notice seeking possession (NSP) or a possession order?
Yes
No
If 'Yes', please attach the NSP or possession order.
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17 If you live in a hostel, do you have a support plan in place?
Yes
No
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18 What is the name of your support worker?
___________________________________________________________________
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19 If you live in private rented accommodation, has any legal action been taken
against the landlord for disrepair?
Yes
No
If 'Yes', please give details ____________________________________________________
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20 Do you own your home or have a financial interest in a property, even if you
do not live in it?
Yes
No
If 'Yes', please state the address _______________________________________________
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21 Do you have use of a garden?
Yes
No
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Parent category: Business