Application referring a notice proposing a new rent under an Assured Periodic Tenancy or Agricultural Occupancy, to the Tribunal

Published date21 March 2018
Subject MatterRent application forms
Residential Property Tribunal Service

First-tier Tribunal Property Chamber

(Residential Property)

Ref no. (for office use only)

Application referring a notice proposing a
new rent under an Assured Periodic Tenancy or
Agricultural Occupancy, to the Tribunal

Section 13(4) of the Housing Act 1988 (as amended)

It is important that you read the notes below carefully before you complete this form.

If your landlord has served a Notice on you, proposing a new rent under an assured periodic tenancy, including an assured shorthold periodic tenancy, use this form.

You may also use this form to refer a notice proposing a new rent or licence fee for an assured periodic agricultural occupancy. In such a case references to ‘landlord or tenant’ can be read as references to ‘licensor or licensee’ etc.

Applications should be sent as a Microsoft Word document by email to the relevant regional tribunal address shown in the Annex to this form. You must also send by email the documents listed in section 9 of this form. If you cannot access email or find someone to assist you in lodging your application by email, then a paper application will be acceptable although there may be a delay in dealing with this. Sending an application on paper will not be suitable in urgent cases.

Please make sure a copy of the application is served on the other party/parties to the application. If you are unable to serve a copy on the other party/parties, please bring this to the tribunal’s attention in the covering email or if sending by post in a covering letter.

Please do not send any other documents. When further evidence is needed, you will be asked to send it in separately.

If you have any questions about how to fill in this form or the procedures the Tribunal will use, please contact the appropriate regional office.

If you are completing this form by hand please use BLOCK CAPITAL LETTERS.

  1. DETAILS OF TENANT(S) REFERRING THE LANDLORD’S NOTICE TO THE TRIBUNAL

Name:

Address of premises to which the tenancy relates (including postcode):

Address for correspondence (if different from above):

Telephone:

Day:

Evening:

Mobile:

Email address:

2. NAME and ADDRESS (including postcode) OF LANDLORD or AGENT(S)

Name:

Address (including postcode):

Address for correspondence (if different from above):

Telephone:

Day:

Evening:

Mobile:

Email address
(if known):

Fax:

Representative name and address, and other contact details:

Name:

Reference no. (if any)

Address (including postcode):

Telephone:

Day:

Mobile:

Email address:

Fax:

  1. DETAILS OF PREMISES

(a)

What type of accommodation do you rent?

Room(s)

Flat

Terraced house...

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