SCHEDULE FORMS PRESCRIBED FOR THE PURPOSES OF PART I OF THE HOUSING ACT 1988

FORM No. 2

4.

Details of premises.

(a)

What type of accommodation is rented?

Room(s)□

Flat□

Terraced House□

Semi-Detached House□

Fully Detached House□

Other□(Please specify)

(b)

If it is a flat or room(s) what floor(s) is it on?

Ground□ First□ Second□ Other□(Please specify)

(c)

Give the number and type of rooms, eg living room, bathroom etc.

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(d)

Does the tenancy include any other facilities, eg garden, garage or other separate building or land?

Yes□ No□

(e)

If yes, please give details:

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(f)

Is any of the accommodation shared with:

(i)the landlord?

Yes□

No□

(ii)another tenant or tenants?

Yes□

No□

(g)

If yes, please give details:

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