Application Form, Mutual exchange

4 AdaptationsDo you or any member of your family have any physical disabilities? YES NOIf YES, give name(s) and details of disabilityIs your property adapted for the disabled?If YES, what are the adaptation(s), e.g. grabrail, shower, ramping?YESNO5 PetsDo you have any pets? YES NOIf YES, what pets do you have?6 Have you ever been served with a Notice of Seeking Possession?YESNOIf YES, give the expiry date:Day Month Year7 About the tenant you want to exchange withTheir surnameTheir first namesTheir titleMr Mrs Miss MsTheir telephone/mobile number(s)Their addressPostcode:Is the type of property they occupy a –Tick [✓] one answer onlyHouseBungalowMaisonetteBedsitFlatHow many bedrooms do they have?8 DeclarationThe information on this form is true and I understand that I must not make any arrangements to move until I havereceived the written permission of my landlord.Your SignatureJoint Applicant’s Signature (if you have a joint tenancy only)DateDateNow return this application form to:Coast and Countryside Housing ServicesShepway Housing Centre3-5 Shorncliffe RoadFolkestoneKentCT20 2SQPhone 01303 851700Date Application received(For Office Use only)Page 2You must not exchange until you have been granted permission to do so by us.Tenants who owe rent will not be permitted to exchange until their rent account is clear.mutual exchange/04/03/1