Lease Extension Form

Full Name(s) of Applicant(s)

Applicant 1 Title *

Applicant 1 First Name *

Applicant 1 Middle Name

Applicant 1 Last Name *

Applicant 2 Title

Applicant 2 First Name

Applicant 2 Middle Name

Applicant 2 Last Name

Property Owner(s)

Name of Owner(s) (if different to applicant):

Property Details

Property Address Line 1 *

Property Address Line 2

Town/City *

Postcode *

Is the correspondence address different from the above? *

Yes No

Daytime Contact Number *

Email Address *

Annual Ground Rent *

Rateable Value (this will be shown on your water bill) *

Expiry Date of Lease

Type of Property

If Flat or Maisonette, which floor?

Number of Bedrooms *

Number of Reception Rooms *

Value of the property(estimate) *

When did you buy the property? *

Is the property subject to a mortgage? *

Yes No

Is the property currently on the market? *

Yes No

Have you (or any previous owner) made any alterations or extensions to the property? *

Yes No

Is the property used for residential purposes only? *

Yes No

Confirmation

Please tick the box below to confirm that all the information provided is correct to the best of my knowledge