Your council tax reference number (if known)
Forename *
Surname *
Postcode *
Property number / name *
Street *
District
Town *
County
Date occupying the property
Names of all occupants
Completion / tenancy start date
Previous address
The date you vacated the previous address
Name of new occupiers at old address
Name and address of landlord/agent of new property
Is this a furnished or unfinished let
Name and address of landlord/ agent of vacated property
Please note that fields marked * are required.