Mutual Exchange Application form Please read all the notes carefully A mutual exchange is to swap homes with another tenant. As a secure tenant you have a legal right to arrange a mutual exchange with another tenant or a chain of tenants. You can swap with tenants of other Councils or Housing Associations as well as Tamworth Borough Council tenants. Both parties in any mutual exchange need the permission of each landlord to swap homes. You will not normally be allowed to exchange if: you have rent arrears you have a current notice of seeking possession, court costs or any recharges you have a possession order for nuisance or breaking your tenancy agreement. the property you are moving to is designed for a specific need that you do not have e.g. adapted for wheelchair use or specifically designed for elderly people you will over occupy or under occupy the property you are moving to. The Council must give you a formal written decision on whether it will allow you to go ahead with the mutual exchange within 42 days of receipt of all application forms Please read the information below before completing this form. No exchange must be undertaken before written approval is received from the Housing Manager and Deeds of Assignment have been read and signed by both parties. This exchange will only take place following a property inspection by a Housing Options officer from TBC Council. Subject to your acceptance of the property concerned in the decorative order discussed the maintenance of the agreed alterations will be your responsibility. No repairs that are tenants' responsibility will be undertaken by the Council during the first 12 months other than health and safety or fair wear and tear. Any outstanding repairs must be put right prior to the exchange taking place. Any repairs that are the responsibility of TBC should be reported to Mears (on 0800 183 0044) prior to the property inspection. NB – Fish Ponds - under Health and Safety legislation as a landlord TBC cannot grant permission for fish ponds to remain even if the incoming tenant would like this – they must be filled in and the garden re-instated in a satisfactory condition. On the day of the exchange the property must be left completely empty by the outgoing tenant – lofts / sheds / garages and gardens should be cleared. None of the household bins should be overflowing– nothing placed in the wrong bins – e.g. only recycling in the blue bin and only garden refuse in the green bins. No bin bags should be left at the property – they must be taken or disposed of by the outgoing tenant at the local waste facility. Applications cannot be processed until forms have been received from all parties involved in the exchange(s). -1- Your Details Title Applicant Joint tenant Please state relationship to applicant – Mr / Mrs / Miss / Ms / Other Mr / Mrs / Miss / Ms / Other First name (s) Surname Previous surname(s) NI number Date of birth / / / / Address post code Date moved to this address Home phone number Mobile phone number Email address Your current home What type of property do you currently live in? – Please tick the box House Bungalow Flat - ground floor Flat - upper floor Maisonette – ground floor Maisonette – upper floor Do you live in sheltered accommodation? yes / no What type of tenancy you currently hold? Who is your landlord? Tamworth Borough Council Another Local Authority Housing Association What type of tenancy do you currently hold? Secure Tenancy Flexible fixed term tenancy other If you are a tenant of a Housing Association or another Local Authority please attach a copy of your tenancy agreement to confirm whether you have a secure/assured or fixed term tenancy Did you 'succeed' to this tenancy yes / no -2- Please give the name and address of your landlord (if not TBC) Name Address If you are not a Tamworth Borough Council tenant please give the contact details of your Housing Officer Name: Phone number: Your current household Please list below everyone who currently lives in your household and whether they will be moving with you or not. First name male/ female Last name Date of birth Relation ship to you moving with you You yes / no 2 yes / no 3 yes / no 4 yes / no 5 yes / no 6 yes / no Do you have any pets? yes / no (Some types of housing is unsuitable for some pets) Details of pets How many bedrooms are there in your current home? 1 / 2 / 3 / 4 / 5 Has your current property been adapted in any way? yes / no Details of adaptations (eg level access shower / stair lift / handrails) Do you still require these adaptations? yes / no Reasons no longer required -3- Property you wish to exchange to Address of property - post code Type of property - please tick House Bungalow Flat - ground floor Flat - upper floor Maisonette – ground floor Maisonette – upper floor How many bedrooms are in the property? 1 / 2 / 3 / 4 / 5 Who is the landlord? (please tick) Tamworth Borough Council Another Local Authority Housing Association Please give the name and address of the landlord (if not TBC) Name Address If not a Tamworth Borough Council property please give the contact details of Housing Officer responsible for the property Name: Phone number: Reason you wish to exchange Signature I/We have read and I/we agree to accept the conditions under which a mutual exchange of tenancies may be granted. (Both signatures required if this is a joint tenancy) Applicant's signature Joint tenant Date Return your completed form to: Tamworth Borough Council, Void and Allocation team, Marmion House, Lichfield Street, Tamworth; Staffs, B79 7BZ Tel: 01827 709 520 Fax: 01827 709376 email: VoidandAllocationTeam@tamworth.gov.uk -4-