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

FORM No. 4 E+W

4.  (a)The existing rent is:	£....................	per ....................
	(e.g. week, month, year)
(b)Does the rent include council tax?	Yes□	No□
(c)If yes, the amount that is included for council tax is:	£....................	per ....................
	(e.g. week, month, year)
(d)Does the rent include water charges?	Yes□	No□
(e)If yes, the amount that is included for water charges is:	£....................	per ....................
	(e.g. week, month, year)
5. (a)The proposed new rent will be:	£....................	per ....................
	(e.g. week, month, year)
(b)Will the new rent include council tax?	Yes□	No□
(c)If yes, the amount that will be included for council tax will be:	£....................	per ....................
	(e.g. week, month, year)
(d)Will the new rent include water charges?	Yes□	No□
(e)If yes, the amount that will be included for water charges will be:	£....................	per ....................
	(e.g. week, month, year)