Social Housing Policy

Transcription

1 Social Housing Policy POLICY STATEMENT: The Hurunui District Council shall ensure it has a transparent system in place to manage Councilowned social housing by: Giving priority for tenancy to residents who, due to their age or personal circumstances, may be unable to afford housing at market rates. Ensuring its practices comply with the Residential Tenancies Act 1986 and the Residential Tenancies Amendment Act Ensuring all new tenancy applicants are assessed in relation to the criteria and are made aware that their ongoing tenancy is subject to the condition that they continue to meet that criteria, assessed upon annual review. Ensuring that should the Council, due to the lack of applicants who meet the criteria, take on a tenant in the interim not meeting the criteria, sets in place a short, fixed term tenancy agreement allowing a 45 day notice to vacate when a suitable applicant is found. Conducting an annual review of each tenancy agreement to ensure tenants continue to meet the criteria for social housing tenancy. Serving written notice to vacate within 90 days on existing tenants that no longer meet the Council s social housing Priority One, Two or Three criteria, where suitable candidates meeting the criteria are waiting to take up such a tenancy. Inspecting each housing unit (and respective fixtures, fittings and chattels) prior to a new tenant taking up tenancy, to ensure it is maintained and presented in a suitable condition. Maintaining the current stock of 34 units, while it is practicable to do so. Conducting an annual maintenance assessment of the housing stock and scheduling maintenance as appropriate. Responding to requests by tenants for repairs or maintenance between annual inspections as required. Responding appropriately to any incidents of intentional damage. Conducting a robust assessment to determine whether existing housing stock is meeting current and future needs before adding to, or selling off stock. Ensuring any addition to, or reduction of, current social housing stock is consistent with legislative and policy requirements. SCOPE OF POLICY: Council officers who monitor and implement the policy. Note: The three residential houses owned by the Hurunui District Council (Jollies Pass Rd, Hanmer Springs; Leithfield Beach Motor Camp; and Seddon St, Cheviot) are excluded from this policy. RESPONSIBILITIES: Elected members of the Council shall set the policy in relation to the purchase, maintenance and sale of social housing units, along with the criteria for tenancy. The Hurunui District Council shall: Ensure that it complies with the responsibilities of a landlord, including lodging tenancy bonds with the Department of Building and Housing.

2 Ensure that, at the time of application, all tenants are aware of the criteria to qualify for Council social housing and that tenants must continue to meet this criteria in order to maintain such tenancy. Ensure that information collected from potential and actual tenants is held securely, and is collected, handled, used and disseminated respectfully and in accordance with relevant legislation. Take all practicable steps to ensure all social housing units are occupied by suitable applicants, achieving 100% occupancy where possible. Ensure all tenants are aware of and understand their rights and responsibilities as a Hurunui District Council social housing tenant. Encourage potential and actual tenants to access information about their rights and responsibilities from the Department of Building and Housing, where appropriate. Ensure social housing stock is maintained to a suitable standard. Ensure any changes to the social housing stock are consistent with legislative and policy requirements. The implementation of this policy is the specific responsibility of the Manager Regulatory Services who shall delegate relevant day-to-day tasks to Team Leader Property, but shall retain overall responsibility. The Team Leader Property shall be responsible for the day-to-day management of tenants and property maintenance. INTERPRETATION / DEFINITIONS: Note: The following definitions are from here: Authorised person = any person who, relevant to a particular piece of personal or health information, might reasonably be expected to have access to it in terms of the express reasons for the collection of the information Chattels = things the landlord provide, such as curtains, that are not fixed in place Fixed-term tenancy = the tenancy lasts until the date specified on the tenancy agreement. At this time, the tenancy will revert to a periodic tenancy, unless: the landlord and tenant enter into a new tenancy agreement or agree to extend the existing tenancy agreement, or either the landlord or the tenant gives the other written notice of their intention not to continue with the tenancy. This notice must be given between 21 and 90 days before the end date of the fixed-term tenancy. Market Rent = the level of rent other people are paying for the same type of property in a similar sort of area Periodic tenancy = lasts until either the tenant or the landlord gives the required notice to end it. Note: this is the type of tenancy recommended in this policy. Privacy = the right of any individual to have identifiable information about them held securely and not disclosed inappropriately Tenancy = when a property owner lets another person or group live in a place in exchange for rent

3 Tenancy Agreement = A written agreement that the landlord and the tenant sign before the tenant moves in, so everyone knows what they have agreed to. Refer to Appendix 1 for more information. Tenancy Tribunal = the body, similar to a court, that decides how a problem between a tenant and a landlord will be solved. Wear and tear = the normal things that happen in a property when people live in it, such as the carpet getting older or the walls getting small marks on them. Written notice = A letter from the landlord or tenant to tell the other person that something is happening, such as moving out or an increase in rent. RELATED DOCUMENTS / REFERENCES: Hurunui District Council Fees and Charges Residential Tenancies Act 1986 administered by the Department of Building and Housing Residential Tenancies Amendment Act 2010 Social Housing Reform (Housing Restructuring and Tenancy Matters Amendment) Bill Local Government Act 2002 Local Government Amendment Act 2012 PROCEDURES: The Hurunui District Council social housing in the district shall aim to be self-funding i.e. the income from rent will ideally cover the cost of maintaining all social housing. Social Housing Stock: The Hurunui District Council owns the following social housing stock: 5 Church Street Amberley - 9 units (3 double, 6 single) 5 Pound Street Amberley - 3 units (1 double, 2 single) 35 Princes Street, Waikari - 5 units (5 single) 53 Conical Hill Road, Hanmer Springs - 3 units (3 single) 4 Seddon Street, Cheviot - 4 units (4 single) 5 Rolleston Street, Cheviot - 4 units (4 single) 16 Buckley Street, Cheviot - 5 units (5 single) In general, each unit contains: A heat pump Floor coverings Window coverings thermal drapes or blinds A stove Access to a clothes line Tenants are expected to provide: Fridge and washing machine Furniture A television aerial or sky dish Criteria for Tenancy: When Hurunui District Council officers are seeking tenants for social housing, applicants will be assessed using the following priorities, in this order:

4 PRIORITY ONE: a. That the units be let: To persons being 65 years of age or over, or To any adult residents who have been established on an Invalid s Benefit for at least 18 months and, due to their personal circumstances, may be unable to afford housing at market rates, or are unable to easily access rental housing in their own right e.g. mobility issues; mental health issues; disability issues. b. In addition to a) above, all such persons shall: Have a housing need, and Have preferably lived and worked in the district or have family who live in the district, and Have total assets, including cash, investments and house property that do not exceed $25,000 for a single person or $30,000 for couples. PRIORITY TWO: To persons over the age of 60 years who otherwise meet the above criteria. PRIORITY THREE: To persons over the age of 60 years with assets in excess of the amount stipulated above. PRIORITY FOUR: To persons of any age, when all reasonable efforts to secure tenants who meet the above criteria have not been secured. In this instance, tenants shall be placed on a three month fixed term tenancy and made aware that when a new tenant who does meet the criteria is identified, they will be given 45 days written notice to vacate (refer above). Rentals: All rental rates shall be calculated as a percentage of a fair and equitable rent for the housing provided, with reference to the current market rental in that respective town. A comparative analysis shall be conducted to determine the market rental for a one bedroom unit in each town where the Council owns units. A sliding scale shall be applied, enabling the higher priority tenants to pay a lower rent, as follows: Priority One: Priority Two: Priority Three: Priority Four: tenants shall pay 45% less than the market rental in their area tenants shall pay 40% less than the market rental in their area tenants shall pay 25% less than the market rental in their area tenants shall pay the market rental in their area A rent review shall be carried out annually in February of each year, with any adjustments in rent to be effective from the first week in July of each year. A summary of single and couple rental rates for single and double units for the current financial year shall be included in the annual Fees and Charges. Couples: Where a couple wishes to rent a social housing unit, both people are required to complete an application form, providing their asset and income information. Where applications are accepted, rental rates for couples may be up to 30% higher than the single rate, but must remain within the range of what that couple might be expected to pay allowing for the discount on market rental rates in their respective priority area. For instance: A Priority One couple renting a double unit in Amberley may be required to pay up to 30% more than a Priority One tenant renting the same unit, as long as the total amount would still be approximately 45% less than the comparable market rental.

5 A Priority Three couple renting a unit in Cheviot may be required to pay up to 30% more than a Priority One tenant renting the same unit, as long as the total amount would still be approximately 25% less than the comparable market rental. Transferring Between Units: If a tenant is assigned to, or is currently occupying, a Council social housing unit in one location and wishes to move to another preferred area within the District, they must request this in writing. Consideration will be given to this request, taking into account whether there are vacancies in the preferred / new area and the priority rating of that tenant in comparison to potential tenants on any waiting lists. Application Forms: An application form (refer Appendix 2) can be posted out or picked up from the Hurunui District Council office or any service centre. Applicants are required to indicate: full name and date of birth (ID to be provided) preferred location/s age length of time lived in the District (or if they have family in the District) current living arrangements income assets, including property they own; investments (evidence is required) next of kin medical adviser / GP (A supporting letter may be required) Once completed, signatures are to be witnessed before a Justice of the Peace(JP) or a solicitor of the high court before the form is returned to Team Leader Property. The application will be assessed against the above priority criteria to determine eligibility. Tenant Information: Files in respect of each address or unit complex shall contain information related to the repairs, maintenance and chattels of the respective buildings, while personal information pertaining to tenants shall be held on tenant files. Information collected and held by the Hurunui District Council in respect of potential and existing tenants shall: Be held securely, in a locked safe or filing cabinet. Only be accessed by authorised Council officers. Only be used for the purpose for which it was collected. Be made available to the person to whom that information relates, upon request and, where requested, shall be changed if the information held is incorrect or out of date. Signed tenancy agreements and annual tenancy review documentation shall be held on each tenant s file, together with the original application form and any updated income and asset information. Tenancy Agreements: As the Hurunui District Council acts as a landlord, Residential Tenancy and Bond Lodgement processes (through the Department of Building and Housing) shall apply in the management of all social housing tenancies. The Tenancy Tribunal shall be used by either party to resolve any disputes, should this be necessary.

6 Periodic Tenancy agreements (refer Tenancy-Agreement.pdf) shall apply to Priority One, Two and Three tenants i.e. either party can cease the tenancy by giving notice. Fixed Term tenancy will be used for Priority Four tenants only. Although, as a landlord, the Council may give 90 days written notice to any tenant without specifying the reason, in most circumstances a reason would be given. Such reasons may include: The tenant no longer meets the criteria (refer below). The tenant has caused intentional damage to the property. The tenant has physically or verbally abused neighbouring tenants. The tenant has breached conditions of his / her tenancy e.g. has a dog without approval. Where a Priority Four tenant is taken on, a three month Fixed Term tenancy agreement shall be utilised, with 42 days notice to vacate being given should a Priority One, Two or Three tenant become available (refer below). Tenancy Terms and s: Rent: It is the tenant s responsibility to ensure that the correct amount of rent is paid, on time. Tenants who are behind in their rent are responsible for contacting the Team Leader Property to make an arrangement to rectify this. Tenant Behaviour: All tenants must respect their neighbours right to quiet enjoyment. If tenant s behaviour is such that an offence is likely to have been committed, the Police should be called. If complaints of unacceptable behaviour by tenants are received, these will be followed up. A formal warning may result and, if such behaviour continues, tenancy may be terminated. Council officers will not get involved in any disputes between tenants and / or disputes between tenants and other neighbours. Where an informal attempt to resolve the matter has been unsuccessful, a 14 day remedy letter may be issued whereby the Team Leader Property will formally request the parties to resolve the issue, otherwise an application will be made to the Tenancy Tribunal for an order to terminate the tenancy. Tenant Only to Reside in Units: Only the tenant or tenants who sign the tenancy agreement shall live in the unit provided. Tenants are welcome to have visitors, but space limitations preclude other people staying in a unit. Couples occupying a unit are required to pay rent at the couples rate. Tenants are required to notify the Council of any change in their living arrangements. Keys: One set of keys will be provided to the tenant at the beginning of the tenancy. If the tenant loses their keys, a $10.00 fee will be incurred for the Council to provide a replacement set. Any damage caused by the tenant to gain access to their unit must be remedied by the tenant, at their expense. If the tenant is locked out, Council officers will unlock the unit during normal working hours. Cars and Parking: In cases where there are not enough carports for every unit, carports are allocated to the tenant longest in residence with a need for a car port. New tenants may request to be on the waiting list for a carport. Designated parking areas are to be used for tenant s cars, where these are available. Where there are no designated parking areas, tenants must be considerate when parking vehicles so as not

7 to block access to other tenant s cars. Non-road worthy or wrecked vehicles will be removed at the owner s expense. Smoke free: Smoking is not permitted inside any Council social housing unit, but is permitted outside the unit, including on verandas, balconies or decks. Pets: No dogs will be permitted to be kept as pets by any tenant. Cats, caged birds and other domestic pets will be allowed subject to specific approval being sought and given by Council. Tenants may be permitted to keep one cat on the following terms and conditions: 1. A $50 pet bond to be paid to Council. 2. The cat must be neutered or spayed, and evidence of this provided. 3. The cat must always wear a flea collar and bell. 4. Any damage to the unit caused by the cat must be repaired by the tenant. If not repaired, the cost of the work will be deducted from the Pet Bond, and from their tenancy bond, if necessary. 5. In the event of the tenant no longer being able to care for the cat him / herself, that tenant shall make suitable alternative arrangements for the ongoing care of the cat. 6. The Pet Bond will be refunded to the tenant at the end of the tenancy, provided the unit has sustained no pet-related damage. Floor Coverings: The Council will provide all floor coverings within the social housing units. Where current tenants have provided their own carpet they will be replaced when required or a negotiated purchase may take place if the flat is vacated. Alterations: The tenant is responsible for requesting and receiving permission in advance for any installations, alterations or for fixing equipment. Property Care: Tenants are encouraged to maintain the gardens in the immediate vicinity of their unit, however the Council shall ensure well-kept properties by organising lawn and garden care and hedge trimming where the resident does not carry out this work. Utilities: The tenant is responsible for: Notifying any faults or problems and requesting any repairs or maintenance. Arranging and paying for telephone / internet connection. Arranging and paying for an electricity supplier. Replacing any light bulbs. Regular refuse disposal. Requesting permission to erect an (additional) aerial. Not wasting water. The Council is responsible for: Replacing stove hobs which fail due to normal wear and tear. Repairing and maintaining the units where this relates to normal wear and tear. Fixing sewerage and waste water blockages.

8 Unit Maintenance: Annual Property Inspections: That, with at least 48 hours notice given to the respective tenants, a full annual inspection be carried out on all social housing units, whereby the Property Inspection Report Form (Appendix 3) is completed by the Team Leader Property or their delegate of the Council, together with the Tenant. Following the completion of all such inspections, a report confirming the exercise has been completed together with a summary of the results of inspections be tabled at the next available Strategy and Policy Committee meeting. That, where required, maintenance of social housing stock be carried out in a timely and cost effective manner, with at least 24 hours notice given to tenants. That all rental properties be inspected at any change of tenancy and a written report be completed. Incidental Maintenance and Repairs: Tenants are required to inform the Team Leader Property about: Maintenance issues or concerns that arise throughout the year, where it would be inappropriate to defer such matters until the annual inspection. Unintentional damage to the property, whether caused by themselves or others. The Team Leader Property shall ensure that such repairs and maintenance be carried out in a timely and cost effective manner, with at least 24 hours notice to tenants. Intentional Damage: Where intentional damage was caused by tenants or others, the cost of repairing intentional damage shall be met by the person or person s concerned, where this is known. In the first instance, the person causing the damage is responsible to repair such damage at their own expense, or pay to have it repaired. The matter may be referred to the Police where: The perpetrator is not known and / or has not admitted liability. The person responsible has refused to pay for repairs, or is unable to do so. The person responsible initially agreed to pay for repairs but failed to do so. The Hurunui District Council may initiate a 90 day notice to vacate for any tenant who causes significant intentional damage to a social housing unit, whereby causing such damage is the reason. Annual Review of Tenancy: Note: The annual review of tenancy is separate from the annual rent review, above. For instance: the Council may decide to impose a small increase in rent on all tenants thus any increase in rent as a result of the annual Tenancy Review would be in addition to a general rent increase. An annual Tenancy Review (refer Appendix 4) shall be conducted with each tenant in conjunction with the annual maintenance inspection. The review shall be completed by the Team Leader Property of the Council, together with the tenant. The purpose of this review is to establish the current priority level of that tenant (refer above). The outcomes will be: If the tenant has maintained their priority level, their tenancy and current level of rental shall be maintained.

9 If the tenant s circumstances have changed such that they have shifted between Priority One, Two or Three, their tenancy shall be maintained, but the rental will be adjusted up or down the scale accordingly (refer above). If the tenant s circumstances have changed such that they no longer meet Priority One, Two or Three, they shall be informed that a written notice giving 90 days notice to vacate will be sent within 7 days. Where the annual tenancy review determines that a tenant s priority status has changed in the last 12 months, the rental rate shall be adjusted to reflect that, using the scale above e.g. if a Priority One tenant inherited funds in excess of the assets listed above, he / she / they would then pay rental at the Priority Three level. Any existing tenant who experiences a change of financial or personal circumstances during the year, may initiate the completion of a form (Appendix 5), enabling their rent to be reviewed accordingly. Waiting List: The Hurunui District Council may develop and maintain a waiting list of suitable applicants, by preferred geographical location, who have met Priority One criteria and are looking for housing. In the event of social housing tenancies being held by a number of Priority Two, Three of Four tenants, waiting lists for Priority Two and Three applicants may also be established. Any person on the waiting list who experiences a change of financial or personal circumstances during the year, may initiate the completion of a form, enabling their priority rating to be reviewed accordingly. Tenant Giving Notice to Vacate a Unit: The tenant may give 21 days notice at any time. A forwarding address should be provided to enable the Council to repay the bond, following the final inspection. Where a tenant vacates a unit without 21 days notice, the Council may choose not to seek any outstanding rent due for the notice period where: The tenant had to move suddenly due to ill-health. The tenant shifted to residential care. The tenant died. Future Demand for Social Housing in Hurunui District: When considering the construction or acquisition of additional social housing stock in future, the following shall be satisfied: 1. That this intention falls within the Hurunui District Council s purpose (Section 10, Local Government Act 2002), or the Council resolved to work outside of that specified purpose. 2. That an assessment of housing needs in a specified area (or district-wide) is conducted and it is determined that existing social housing stock is inadequate or does not match the current or emerging needs. 3. That the location of any additional housing stock match assessed need, including: geographical location; proximity to services; accessibility; and the safety and well-being of the tenants. 4. That, where current stock does not match current or emerging needs, consideration be given to the viability of selling some existing stock and using the proceeds to replace it with stock that would better match the current or future need.

10 5. That, if additional housing is to be built as a result of assessed need, the Council could confidently expect that stock to generate sufficient revenue to cover the initial outlay and ongoing maintenance. Adopted Council meeting 28 June Replaced Council meeting 9 February 1995 Council meeting 15 July 1999 Council meeting 18 July 2002 Council meeting 29 June 2006 Strategy and Policy Committee 13 August 2013 Update to position descriptions 1 June 2017

11 Tenancy Information Appendix 1 A basic tenancy agreement must include: the full names of both the landlord and tenant; the address for service of the landlord and tenant; the contact addresses of the landlord and tenant ; the address of the property; the date you both sign the tenancy agreement ; the date the tenancy begins; the date the tenancy will end (if it is for a fixed term); whether the tenant is under 18; how much bond the tenant is paying; how much rent will be paid and how often; how the rent will be paid (the place or bank account number); a list of any chattels (like a washing machine or furniture) that the landlord is providing; and a copy of the body corporate rules (if the premises are part of a unit title). The tenancy agreement can also include: how many people can live in the house; details of any letting fee; whether the tenant can transfer the tenancy to someone else ; where the tenant can park their car; and whether the tenant can have a cat or a dog or other pets. Rights and Responsibilities: Landlords and tenants have rights and responsibilities when they agree to a tenancy. Some of these are listed below. The landlord must: sign a tenancy agreement and give the tenant a copy ; send any bond money, including part payments, to the Department of Building and Housing within 23 working days and give the tenant a receipt for any payment that is made ; make sure the property is clean and tidy before the tenant moves in ; make sure all the locks work and the property is reasonably secure; maintain the property and do any necessary repairs; ensure the plumbing, electrical wiring and the structure of the building is safe and working; provide adequate water collection and storage for premises without reticulated water supply; write and tell the tenant at least 60 days before they put the rent up ; take all reasonable steps to ensure tenants don t disturb any of the landlord's other tenants; write and tell the tenant if they decide to put the property on the market; obtain the tenant s consent before showing the property to real estate agents, buyers or prospective tenants; pay the tenant back for any urgent work the tenant has paid for (as long as the tenant can prove they tried to tell the landlord about the problem before getting it fixed and the tenant didn t cause it on purpose or by being careless); and in relation to a periodic tenancy: o give the tenant 42 days notice to vacate the property once the sale of the property has gone unconditional, or if the owner or a member of their family needs to move in o otherwise, give the tenant 90 days notice if they want the tenancy to end;

12 o o give 48 hours notice to inspect the property but not more than once every four weeks and only between the hours of 8am and 7pm (the landlord can come onto the section without giving notice, but must respect the tenant s privacy); and give 24 hours notice to do repairs and do them between the hours of 8am and 7pm. The landlord can also: enter the property in an emergency without informing the tenant; and enter the property at other times if the tenant freely allows. The landlord must not: ask for more than 4 weeks rent as bond ; ask for more than 2 weeks rent in advance, or ask for rent to be paid before it is due; inspect the property more than once in every 4 weeks, except to check on work they ve asked the tenant to do to remedy a breach of the tenancy agreement ; interfere with the tenant s peace, comfort and privacy; interfere with the supply of gas, water, electricity or telephone unless to avoid danger or to enable maintenance or repairs; unreasonably refuse to allow a tenant to put up fixtures such as shelves; change the locks unless the tenant agrees; evict a tenant (this needs a possession order enforced by the District Court); or take the tenant s belongings as a security for money owed at any time during or after the tenancy or refuse to hand back belongings left behind at the end of the tenancy (provided the tenant pays any actual and reasonable storage costs). The tenant must: pay the rent on time (the tenant should not withhold rent even if they think the landlord is breaching the tenancy agreement); keep the property reasonably clean and tidy ; tell the landlord as soon as possible about any damage or anything that needs to be fixed ; fix any damage they or their visitors cause on purpose or by being careless, or pay for someone to fix it; pay for all charges that are exclusively attributable to the tenant s occupation of the premises, for example telephone, electricity, gas and internet ; pay for water if the water supplier charges on the basis of consumption; make sure the number of people living in the property does not exceed the amount the tenancy agreement allows (this does not include people visiting for a short time); give 21 days notice to leave (if on a periodic tenancy); let the landlord show prospective tenants, real estate agents, buyers or valuers through the property in a way that suits the landlord and tenant; and leave at the end of the tenancy and: o take away all their belongings; o leave the property reasonably clean and tidy; o give back all keys, access cards and garage door openers; and o leave everything the landlord owns. The tenant must not: stop the landlord coming into the property when the Act says they can; remain at the property after the tenancy has ended; disturb the peace, comfort or privacy of other tenants and neighbours, or allow anyone else at the property to do so;

13 damage, or let anyone the tenant has allowed on the premises damage the property, whether it be on purpose or carelessly; renovate the building, change it or attach anything to it unless this is in the tenancy agreement or the landlord agrees in writing; interfere with, or stop from working any means of escape from fire such as smoke alarms; transfer the tenancy to someone else, unless the landlord agrees in writing; threaten or assault, or permit any other person to threaten or assault, the landlord, or any member of the landlord s family, or any agent of the landlord, or another building occupant or neighbour; do anything illegal at the property or let anyone else do anything illegal; or change the locks without asking the landlord first. Additional information is available on the Department of Building and Housing website:

14 Appendix 2 APPLICATION FORM FOR SOCIAL HOUSING TENANCY Please circle your preferred location/s: Amberley Waikari Hanmer Springs Cheviot 1. Full Name(s) Surname First Name/s 2. Present Address Phone: 3. Date of Birth 4. How long have you lived in the Hurunui District? 5. If you are not currently living in the Hurunui District do you have family members living in the District? 6. Current living arrangements: a. Do you occupy whole house, flat, rooms, or are you boarding? (b) Number of rooms occupied by you (c) Length of time in present premises Years Months (d) Are these premises rented? Weekly rental $ (e) Are you the sole occupant(s)? (f) If others occupy the premises, what is the relationship to you? 7. Property owned by you: a. Address of Property b. Name of occupant (if not self)

15 c. If you are not the occupant, please state why not d. Do you receive rentals? If so, weekly amount $ e. Have you sold any property within the last five years? f. If so, address of the property sold g. Sale Price $ Mortgage(s) held $ 8. Income Applicant 1 Applicant 2 (a) Are you in receipt of a benefit or pension? If yes, what type of benefit/pension? Amount of benefit or pension $ $ (b) Do you receive any other income? If so, please state amount received per week, from 9. Assets: Wages/Salary/Benefit Accident Compensation Interest (per annum) Maintenance Other (state source) What assets do you own? (Approximate value excluding car, furniture and personal effects) Applicant 1 Applicant 2 (a) Cash (on hand and in bank) (b) House and other property (c) Investments (d) Other (Please state)

16 Add a condition that provides the right for the Council to conduct an Annual Tenancy Review that will either: Request that the tenant reaffirms with their signature, or Completes a reassessment of their assets and income to determine their Priority rating It should stipulate that if the tenant no longer meets Priority One, Two or Three criteria, it will likely result in them being served with 90 days notice to vacate. 10. Next of Kin: Name Address Telephone no: 11. Are you able to care for yourself and if not, have you friends or relatives who would care for you and the flat? 12. Medical Advisor: Name of Doctor: 13. I/We do solemnly and sincerely declare that the particulars supplied are correct in every detail and I/We make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act DECARED AT this day of 200 Signature(s) Before: A Solicitor of the High Court of NZ or A Justice of the Peace in NZ

17 Appendix 3 PROPERTY INSPECTION REPORT Date of Inspection: This report details the condition of the dwelling at the commencement of the tenancy. This report is intended to help disputes. This report is to be agreed to by the Landlord and the Tenant at the commencement of the tenancy. KITCHEN Item Walls/Doors Lights/Power points Floors/Floor coverings Windows Blinds Cupboards Sinks/Benches Oven Dishwasher Refrigerator Phone Landlord Tenant Damage/Defects/Comments LAUNDRY Item Walls/Doors Lights/Power points Floors/Floor coverings Windows Wash Tub Landlord Tenant Damage/Defects/Comments LOUNGE Item Walls/Doors Lights/Power points Floors/Floor coverings Windows Landlord Tenant Damage/Defects/Comments

18 Blinds/Curtains BATHROOM Item Shower Bath Basin/Vanity Cupboard Walls/Doors Lights/Power points Floors/Floor coverings Windows Toilet Blinds/Curtains Landlord Tenant Damage/Defects/Comments BEDROOM Item Walls/Doors Lights/Power points Floors/Floor coverings Windows Blinds/Curtains Cupboard Landlord Tenant Damage/Defects/Comments GENERAL Item Garage Locks Grounds Letter box Fencing Heat pump Landlord Tenant Damage/Defects/Comments Landlords Chattels include: Carpets, vinyl, light fittings, blinds and oven, heat pump. SIGNATURES FOR THE PROPERTY REPORT INSPECTION Do not sign unless you agree to all the details in the Property Inspection Report Signed Date For LANDLORD (Hurunui District Council) Signed TENANT Date

19 Appendix 4 Annual Tenancy Review Form 1. Full Name(s) Surname First Name/s 2. Present Address Phone: 3. Date of Birth 4. How long have you lived in the Hurunui District? 5. Property owned by you: a. Address of Property b. Do you receive rentals? If so, weekly amount $ c. Have you sold any property within the last five years? d. If so, address of the property sold e. Sale Price $ Mortgage(s) held $ 6. Income Applicant 1 Applicant 2 (a) Are you in receipt of a benefit or pension? Yes / No Yes / No If yes, what type of benefit/pension? Amount of benefit or pension $ $ (b) Do you receive any other income? Yes / No Yes / No If so, please state amount received per week, from Wages/Salary $ $

20 Accident Compensation $ $ Interest (per annum) $ $ Maintenance $ $ Other $ $ (state source) 7. Assets: What assets do you own? (Approximate value excluding car, furniture and personal effects) Applicant 1 Applicant 2 (a) Cash (on hand and in bank) $ $ (b) House and other property $ $ (c) Investments $ $ (d) Other $ $ (Please state) 8. I/We do solemnly and sincerely declare that the particulars supplied are correct in every detail and I/We make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act DECARED AT this day of 2013 Signature(s) Before: A Solicitor of the High Court of NZ or A Justice of the Peace in NZ