Supplementary A - London Borough of Hillingdon

(DRAFT COMBINED PROBATIONARY / SECURE TENANCY AGREEMENT FOR SIGNATURE)
TENANCY AGREEMENT
Address _________________________________
________________________________________
Property Size ______________________________
Reason tenancy granted : _____________________
(Specify : e.g. Transfer/EHU/Waiting list)
Application No. _____________________________
Commencing date of Tenancy __________________
Rent Details
Net rent
Water charge
Garage rent
______________
______________
______________
Service charges ______________
TOTAL
GROSS RENT
______________
Family Composition
Name Date of Birth Relation to tenant
Tenant
Previous address ____________________________________________________________
Please delete any of the following which do not apply :
1. I/We understand that I am/We are probationary tenant/s and that I/We will become secure
tenant/s on the first anniversary of the date that the tenancy started, as long as you have not
started repossession proceedings against me/us or served a ‘notice of extension’.
2. I/We agree that in respect of the above previous address £ …………… arrears of rent are
owing to the Council. In consideration of the Council granting the above tenancy, I/We agree
that any payments made by me / us will first be credited towards these arrears.
3. I/We understand that if I/We have given the Council false information in connection with the
application that has resulted in the tenancy being granted, legal proceedings may be taken
and I/We may be liable for prosecution.
4. I/We confirm that I/We have received an application form for Housing Benefit.
5. I/We accept the above tenancy and confirm that I/We have received a copy of the Conditions
of Tenancy. I/We accept these conditions.
Signed ____________________
Signed ______________________
(Joint Tenants)
_____________________________
Witnessed by _______________________________ Date
_________________________
Cabinet report 15 th March 2007 appendix to Item 3 Page 3