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Application Number:

Application for a Mutual Exchange 1.

Property address:

Tel No:

Tenancy Reference Number:

Email Address: 2.

Name of present tenant(s) in full:

Surname

3.

Date of Birth

Ethnic Origin

Disabled Y/N

Members of the household. Please give details of all people who will be moving with you:-

Surname

4.

Other Names

Other Names

Date of

Ethnic

Disabled

Joint Applicant

Birth

Origin

Y/N

Y/N

Are you currently a Stockport Metropolitan Borough Council tenant?

YES / NO*

*If NO please give the name and address of your landlord: ................................................................................................................................................................ ................................................................................................................................................................ 5.

Current property details

Type of Property (House, Flat, etc.): ........................................................................................................ Size of Property a) Number of bedrooms:..................................................................................................................... b) Number of living rooms:.................................................................................................................. Tenancy start date:................................................................................................................................. 1


6.

What type / size of property, do you want to move to?

Type of property (tick appropriate): House Flat Maisonette Multi-Storey flat

   

Bungalow Flat with a lift Flat with no lift Studio

   

Size of property a) 7.

Number of bedrooms: Do you currently have any rent arrears on your account?

YES / NO*

* If YES, a)

How much is outstanding: ÂŁ ............................................................................................................

b)

What arrangement has been made to pay this off?: .........................................................................

.................................................................................................................................................................... .................................................................................................................................................................... Please note: An exchange cannot proceed unless the rent account is clear. 8.

Does your current property have any adaptations?

YES / NO*

For example, walk in shower, grab rails etc. * If YES, please give details: .................................................................................................................................................................... .................................................................................................................................................................... 9.

Are there any specific property requirements or adaptations you need?

YES / NO

For example, central heating, a shower (not a bath), or disabled adaptations. .................................................................................................................................................................... .................................................................................................................................................................... 10.

Proposed exchange

Do you already have someone you would like to exchange with? * If YES please complete the details below: Name: Address: Telephone No: Type of property: Number of bedrooms:

2

YES / NO*


11.

Area preferences

Which areas of Stockport would you like to live in? Please indicate by ticking as many boxes as you like below - this will not affect the properties you can bid for: East Area: Bredbury Covent Garden Marple Offerton Spring Gardens West Area: Adswood Cale Green Cheadle Hulme Didsbury Road Heald Green Reddish 12.

          

Brinnington Hazel Grove Marple Bridge Rectory Fields Victoria Park

Bramhall Cheadle Councillor Lane Edgeley Larkhill The Heatons

          

    

Compstall High Lane Mottram Street Romiley Woodley

     

Bridgehall Cheadle Heath Davenport Gatley Shaw Heath Lancashire Hill

Alterations to the property

Have you as a Stockport Tenant made any alterations to the property (such as new doors)? If the answer is YES, before this exchange can be approved you must sign to agree to one of the following: Please delete whichever is not applicable. 1. Reinstate the alteration to its original state. 2. Allow the Council to charge me for them to carry out the work. 3. The incoming tenant agrees to maintain the alteration without cost to the Council. 13.

Do you have any pets?

YES / NO*

If YES what sort do you have and how many: .................................................................................................................................................................. 14.

Do you give permission for your details to be passed to other suitable exchanges or for

 

your property details to be included in the Mutual Exchange advert? Yes I give permission for the Area Housing Offices to pass on my exchange details. Yes I give permission for my property details to be included in the monthly Mutual Exchange advert.

Signature (tenant): .................................................................. Signature (incoming tenant): ................................................. (Please note: A Technical Officer will carry out an inspection before your exchange is agreed) 3


DECLARATION This form has been completed honestly to the best of my / our knowledge. I give permission for my Housing Office to carry out checks on the information given to confirm that the details supplied are correct. Name(s) and Signature(s) of occupants: Name: ...................................................................................................................................................... Signature: ................................................................................................................................................. Name: ...................................................................................................................................................... Signature: ................................................................................................................................................. Date: ........................................................................................................................................................

FOR OFFICIAL USE ONLY Details of Home Visit Location

Condition

Living room Dinning room (where applicable) Kitchen Bathroom / toilet Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Hall / stairs and landing Garden - front Garden - rear Details of any adaptations Any other comments: ............................................................................................................................ .................................................................................................................................................................. .................................................................................................................................................................. Are there any additional reports to attach? YES / NO* * If YES please state what they are .................................................................................................................................................................. .................................................................................................................................................................. Date of visit: ........................................................................................... Name of office visiting: .......................................................................... 4


Housing Officer’s comments

Technical Officer’s comments

Manager’s comments

AGREED / REFUSED Date Agreement conditions (are there any specific conditions to which the exchange has been agreed - For example, current tenant to make good a specific alteration to the property).

Name of Officer making decision

Signature 5


Ref: 764 / December 2010

If you want to exchange your home with someone else, please complete this form. If you would like a copy in large print, Braille, on audiotape or CD, please contact the Social Inclusion Team on 0161 474 2860 or email: inclusion@stockporthomes.org

Stockport Homes is a limited company that exists to manage the housing stock owned by Stockport Metropolitan Borough Council. 6

Mutual Exchange form  

Application for a Mutual Exchange

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