FORM 2 Application referring a Notice proposing different terms for a Statutory Periodic Tenancy to the Tribunal
The form Below is provided for informational purposes only and to find out more please visit the Government website here.
This form should be used by a landlord or a tenant who has been served with form 1 (notice under Section 6(2) of the Housing Act 1988), varying the terms of a statutory periodic tenancy.
FORM 2
Application referring a Notice proposing different terms for a Statutory Periodic Tenancy to the Tribunal
Housing Act 1988 section 6(3)
· Please write clearly in black ink.
· Please tick boxes where appropriate and cross out text marked with an asterisk (*) that does not apply.
· This form should be used by a landlord or a tenant who has been served with a notice under section 6(2) of the Housing Act 1988, varying the terms of a statutory periodic tenancy which arises when a fixed term of an assured tenancy, an assured shorthold tenancy or an assured agricultural occupancy ends.
- When you have completed the form, please send it to the tribunal with a copy of the notice served on you proposing the new terms of the statutory periodic tenancy.
1. Details of tenant(s)
Name of tenant(s)…………………………………………………………………………………………………………..
Address of premises to which the tenancy relates: ..........................................................................................
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Address for correspondence (if different): .......................................................................................................
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2. Details of landlord(s) / agent*
Name:...........................................................................................................................................................
Address:.......................................................................................................................................................
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3. Details of premises
(a) What type of accommodation is rented?
Room(s) Flat Terraced House
Semi-Detached House Fully Detached House Other (please specify)...........................................
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(b) If it is a flat or room(s) what floor(s) is it on?
Basement Ground First Second Other (please specify)......................................
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(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
If yes, please give details:...................................................................................................................................
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(e) Does the tenant share any of the accommodation with:
(i) the landlord? Yes No
(ii) another tenant or tenants? Yes No
If yes, to either of the above questions, please give details......................................................................................
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4. When did the statutory periodic tenancy begin?...............................................................................................
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5. Services
(a) Are any services provided under the tenancy (eg cleaning, lighting, heating, hot water or gardening etc.)?
Yes No
If yes, please give details...................................................................................................................................
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(b) Is a separate charge made for services, maintenance, repairs, landlords' costs of management or any other item? Yes No Not applicable
If yes, what charge is payable ? £..................... per............................... (e.g. week, month, year)
(c) Does the charge vary according to the relevant costs? Yes No Not applicable
If yes, please give details...................................................................................................................................
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6. Is any furniture provided under the tenancy? Yes No
If yes, please give details. Continue on a separate sheet if necessary or provide a copy of the inventory.................
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7. Repairs
(a) What repairs are the responsibility of the landlord? Continue on a separate sheet if necessary.
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(b) What repairs are the responsibility of the tenant? Continue on a separate sheet if necessary.
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8. Other terms
Give details (if known) of the other terms of the tenancy, e.g. can you assign the tenancy (pass it on to someone else) and if so is a premium (a payment which is in addition to rent and equivalent to more than two months rent) payable on an assignment? Continue on a separate sheet if necessary.
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9. Tenancy agreement
(a) Is there a written tenancy agreement? Yes No
If yes, please attach the tenancy agreement (with a note of any variations).
It will be returned to you as soon as possible.
10. Statement
I/We* attach a copy of the notice proposing changes to the statutory periodic tenancy and, if applicable, an adjustment of the amount of rent and apply for it to be considered by the Tribunal.
To be signed and dated by the landlord or the landlord’s agent (someone acting for the landlord) or the tenant or the tenant’s agent.
If there are joint landlords or joint tenants each landlord/tenant or the agent must sign unless one signs on behalf of the rest with their agreement.
Signed ............................................................... Date ...............................................................................
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Please specify whether: landlord / landlord's agent / tenant / tenant's agent
Name(s) (Block Capitals) ...............................................................................................................................
Address........................................................................................................................................................
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Telephone: Daytime ............................................ Evening............................................................................