Form EEA4 - UK Border Agency - the Home Office

Residence in the EEA state6.9 Please give details of where you, the British citizen, and your family lived while the Britishcitizen was working or self-employed in the EEA state named above. Start with the most recentaddress. Continue on a separate sheet if necessary.Please also provide relevant evidence, such as tenancy agreements, leases, mortgagestatements, etc. If the accommodation was provided by an employer, friend or relative, pleaseprovide a letter from them confirming this, together with proof that you/the British citizen lived atthat address (e.g. utility bills in your/their name).AddressWho lived there (you,the British citizen, anyother family members)Dates livedthere (from/to)Ownership of property (pleasetick for each address)Owned by you/the BritishcitizenRented by you/the BritishcitizenProvided by employer/friend/relativeOther - please specifyOwned by you/the BritishcitizenRented by you/the BritishcitizenProvided by employer/friend/relativeOther - please specifyOwned by you/the BritishcitizenEEA4 Permanent Residence Card Version 06/2014 - page 22 of 38