Your council tax reference number (if known)
Forename *
Surname *
Postcode *
Property number / name *
Street *
District
Town *
County
Vacation date
List any remaining occupiers
Completion / tenancy end date
New or correspondence address
Date into new address
Is there a single occupant at new address?
Name of new occupiers at old address
Name and address of landlord/agent at vacated property
Is vacated property furnished?
Name and address of landlord agent of new property
Is this a furnished or unfurnished let?
Please note that fields marked * are required.