* Your name

* Daytime telephone number

* Your e-mail address

* Property address

* Your previous address

* Full name(s) of liable person(s) (Mr/Mrs/Miss/Ms/Other)

* Date when furniture was moved into the property

* Date property actually occupied

* Total number of adult (18 years or over) occupiers moved into the property

* Have you bought the above property?
Yes No

* If YES, give date of completion of sale

* If NO, give name and address of owner/landlord

* ....and the dates of your tenancy
From To

* ....and is this rented property furnished?
Yes No

Name and forwarding address of previous occupier (if known)

DIRECT DEBIT Monthly
DIRECT DEBIT Half Yearly
CASH/CHEQUE (1st of the month only)