Application For Assessment Of Premium

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Only for Flats of which the 5-year Alienation Restriction Period has Expired
Application for Assessment of Premium
(Home Ownership Scheme (HOS) / Tenants Purchase Scheme (TPS) )
To: The Director of Housing
For Office Use:
Ref. No. :
Re :
(Address of Flat)
I / We would like to apply for the assessment of premium in respect of the captioned flat under
paragraph 1 of the Schedule to the Housing Ordinance (Cap. 283).
I / We agree that with prior arrangement, access to the flat for an internal inspection will be given to
your representative for the purpose of the assessment.
To facilitate the processing of the application, I / we attach the followings:
1. A crossed cheque / cashier order payable to the “Hong Kong Housing Authority” for
payment of administrative fee, currently at $5,910 (please state the address of the
captioned flat on the back of the cheque / cashier order); and
2. Copy/Copies of assignment(s) of the above flat.
I / We understand and agree that:
1. the administrative fee is not refundable except that if the premium is paid within the time specified
by the Director of Housing, the same amount will be deducted from the premium payable;
2. incomplete submission of the above and other requested information in this form will render my /
our application being held up from further processing;
3. my / our application is subject to the Notes to Applicants stated overleaf.
______________________________________
______________________________________
#
#
*
*
Signature of (Owner / Owner’s Representative
)
Signature of (Owner / Owner’s Representative
)
Name
: __________________________
Name
: __________________________
(in BLOCK letters)
(in BLOCK letters)
I.C. No. : __________________________
I.C. No. : __________________________
Correspondence Address
:
(if different from the above)
___________________________________________________________________________________
Tel. No. : __________________________
Date
: ___________________________
(for day time contact to arrange for flat inspection)
p
*
lease attach copy of valid authorization letter / power of attorney / order for sale
#
…/P.T.O
please
delete as appropriate

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