Transfer of tenancy application form - East Ayrshire Council

APPLICATION TO SUB-LET, ASSIGNOR KEEP LODGERS1. MR MRS MISS MS2. SURNAME3. OTHER NAMES4. ADDRESSPOST CODE5. TELEPHONE NUMBEROfficial Use OnlyAPPROVED / REFUSEDSIGNEDDATE

A. TO BE COMPLETED BY THE TENANT6. Please give details of all the people living in your house.NameRelationship toApplicantDate ofBirthMarital StatusSexM / F7. Are any of the above sub-tenants or lodgers, etc?YesNoIf yes, who? __________________________________________________________________________________________________________________________________________________________________________8. When did you move into the above address?

9. What type of house do you live in?Flat – 4-in-a-block, Ground FloorFlat – 4-in-a-block Upper FloorFlat – Walk-Up-Block Ground FloorFlat – Walk-Up-Block First FloorFlat – Walk-Up-Block Second FloorFlat – Walk-Up-Block Third FloorMaisonette – Ground FloorMaisonette – First FloorMaisonette – Second FloorDetachedSemi-DetachedMid-TerraceEnd TerraceBungalowSheltered HouseHostelBed –SitterShared TenancyOther(Please Specify)10. How many rooms are in your house, excluding kitchen and bathroom?11. How many rooms will be exclusively available to the person wishing to sub-let, assignor lodge?12. Are the rooms furnished? Yes No

13. Please give your reasons for wishing to sub-let, assign or keep a lodger?________________________________________________________________________________________________________________________________________________________________________________________________________________________14. What payment will you receive from the sub-lessee, asignee or lodger?________________________________________________________________________15. Will you remain in occupancy of the home? Yes No16. If you will not remain in occupancy, where can you be contacted?AddressPostcodeTelephone Number17. How long is permission requested for?18. What date do you wish permission to start from?19. DECLARATION BY APPLICANTI hereby declare that the particulars given are true. I understand that I will remainresponsible for adherence to the Conditions of Let, including payment of rentnotwithstanding any permission given by the Council to assign, sub-let or take a lodger.I further understand that any breach of the Conditions of Let, may result in the Counciltaking steps to recover possession of house in accordance with the terms of the Housing(Scotland) Act 1897, Schedule 3.Signed_____________________Date_______________________

B. TO BE COMPLETED BY EACH PERSON WISHING TO TAKE UP SUBLET ORBECOME ASIGNESS OR LODGER (Further copies can be obtained from theHousing Office if necessary).20. Please give details of yourself and those wishing to be considered as part of yourfamily if you take up sub-let or become asignee or lodger.Name Present Address Relationshipto ApplicantDate of Birth MaritalStatusSexM / F21. Please list, from the most recent backwards, all the addresses you have lived atsince you were sixteen (continue on a separate sheet if necessary).Address Name held in Owner/Tenant orotherDate Given UpMonth/YearReason formoving22. Do any of those listed at Question 20 above, have an application for housingregistered with East Ayrshire District Council?YesNoIf yes, who? ___________________________________________________________________________________________________________________________________________________________________________________________

23. Do you have any pets? Yes NoIf yes, give details.24. DECLARATIONI hereby declare that the particulars given are true. I understand that the tenant will remainresponsible for adherence to the Conditions of Let, including payment of rentnotwithstanding any permission given by the Council to assign, sub-let or take a lodger.I further understand that any breach of the Conditions of Let may result in the Counciltaking steps to recover possession of the house from the tenant in accordance with theterms of the Housing (Scotland) Act 1987, Schedule 3 and that, if this occurs, I will haveno further rights to reside at the property.I hereby authorise East Ayrshire District Council to make such enquiries as are deemednecessary in connection with any information given by me, to include any personal dataprotected by the terms of the Data Protection Act 1984.Signed _________________________________Date ________________________