Termination Notice Ending your Tenancy

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Please complete and return to Bolton at Home. V3 Nov 17 Termination Notice Ending your Tenancy I / we understand the 4 week notice period will only start from the Monday after Bolton at Home receives the termination notice. I / we understand that this notice is a legally binding document to end the tenancy. I / we understand I /we are liable for the rent during the notice period. I / we understand that I / we will be charged if there is rubbish left in the property / gardens, or the property is not left in a good, clean condition, or repairs are required due to willful damage, or there have been unauthorised alterations to the property. Please refer to leaflet on Ending your Tenancy or visit our website www.boltonathome.org.uk for full information and required standards for ending your tenancy to avoid any charges. Name of tenant: Name of joint tenant: (If applicable) Address of the tenancy you are ending: Postcode: Telephone number: Email address: Mobile number: We will remind you when to hand in your keys/fobs, so please ensure a mobile number is provided. Please note: If they are not returned on time, a late key charge will be applied which is equivalent to 1 weeks rent. Please provide us with your forwarding address: This is compulsory. Postcode: Please tell us about the current property: Number of bedrooms in the property: Is this a furnished tenancy? Is there careline equipment in the property? Yes / No Yes / No

More about the property: If the property has any of the following, please tick the relevant boxes below: Stair lift Wet room Log burner Level access shower Adapted kitchen units Laminate flooring Disabled ramps Hand Rails Structural alterations Any other changes, alterations or adaptions? If you have ticked any of above, please tell us who aurhorised these: Bolton at Home authorised: Completed privately: Please tell us why you are leaving: Please tick or circle below why you are leaving and where you are moving to. Why are you leaving? Where are you moving to? Downsizing Over occupied Repairs Employment Domestic abuse Unsuitable heating Personal reasons, for example, moving in with partner / relationship breakdown mestic abuse Anti-social behaviour Environmental Issues Medical needs Financial Hardship Prison Private rented accomodation Housing Association Accommodation Owner occupier Shared ownership In prison Lodger non Bolton at Home Lodger Bolton at Home Long term hospital Nursing home tenant Please indicate if you give permission for Bolton at Home to forward your new address to our prefered energy supplier. Yes / No I / we understand Bolton at Home will dispose of any goods or personal items left in the property or gardens and understand I will be charged for the removal and disposal of such items. I / we understand that if my rent account is not clear, Bolton at Home may take legal action against me. Signature Tenant: Signature: (Joint Tenant) On completion, this form should be returned to: Bolton at Home Valley House - 98 Waters Meeting Road The Valley Bolton BL1 8SW Date: Date: OFFICE USE: Date notice received by Bolton at Home: Received by Officer Name: Termination Date:

3 Ending your tenancy correctly is important. V3 Nov 17 Ending your tenancy We want to ensure you are able to move out with as little fuss and cost to yourself as possible. We may decide not to offer you further housing in future if you leave debt outstanding. Please read this leaflet carefully to find out how to ensure your move goes smoothly. Giving us notice You must complete and return the termination form providing at least 4 weeks notice. The notice period will only start when we receive the termination notice, which always begins on a Monday. Please contact us as soon as possible if you need to change, extend or cancel your termination. Please note: If you give less than 4 week s notice or hand in your keys early, Bolton at Home will charge you rent for the full notice period. Overlap in tenancies If you move into your new tenancy before you terminate the current one, you will be responsible for paying rent for two properties. You will need to make provision to pay this to us. If you are receiving Housing Benefit, this is normally only paid for the address where you are actually living. Therefore if you move into your new property before your current property is due to terminate, you will need to complete a Housing Benefit Overlap form and return this to us so we can support your application. As this is only awarded in exceptional circumstances, you may need to make provision to pay the overlap in rent to us.

Housing Benefit If you receive Housing Benefit and you leave the property before the end of the agreed termination period, this benefit may stop and you will be responsible for paying full rent. Clear outstanding rent Before your tenancy ends, please clear all rent, service charges and any outstanding debts otherwise we will pursue this through the courts where necessary. You can discuss your rent with us on 01204 328000. Keys / fobs Please ensure that all keys / fobs are returned to us on time otherwise we will apply a late key charge which is equivalent to 1 week rent. All keys / fobs must be handed into our Head Office by 10am on the Monday immediately following your Sunday termination date. If you fail to return all keys / fobs, we will apply the late key charge which will cover the cost of replacing the locks. You will be provided with a receipt. We will send a reminder by phone or text so please ensure you provide us with all up to date contact numbers. Making sure your property is left in good condition Once you have left the property, we will conduct a full inspection to ensure the property is left clean, tidy and free from damage and any unauthorised alterations. Your tenancy agreement sets out your responsibilities concerning the condition of your property, in summary, these are as follows: 1. Repairs We will charge you for the cost of any repairs if this is a result of wilful or accidental damage. 2. General condition If we need to clean or remove rubbish from the property, loft or gardens, then you will be charged for the cost of this. You must remove all furniture, carpets, laminate flooring, personal belongings and any items you do not want. The only exception is the items belonging to Bolton Council (for example you rented a furnished tenancy.) We will not accept responsibility for any items left behind and we will dispose of them without warning and charge you for the cost of clearance. 3. Alterations - If you have made alterations to the property without our permission, you will need to ensure that the property is put back to its original condition otherwise we will charge you for this.

5 Re-direct mail to your new address This can be done at the Post Office. Unfortunately we cannot accept responsibility or allow you access for your post once you have moved out. Also, please ensure that you provide your forwarding address to us. Notify your Utility suppliers You will need to notify your gas, electricity and water providers that you have changed address, the date you leave and supply a final meter reading where possible otherwise you may be liable to pay the usage until the next tenant moves in. If you have gas / electric prepayment meters, please leave the prepayment card / key in the property when you leave. Notify Bolton at Home of the following: 1. If the tenant goes into nursing home or hospital Please provide the date the tenant is due to go into nursing home / hospital and the date the stay becomes permanent. Return the tenancy termination form to end the tenancy. The notice period required is a minimum of 4 weeks. 2. If the tenant goes to prison If you are going to prison, are on remand, or serving a prison sentence you must ensure we are informed. A relative, probation officer or prison liaison can contact the office to discuss your options. It may be best to end the tenancy, especially if likely to be away from home for more than 13 weeks. If receiving housing benefit this may stop depending on how long you will be away. You will then be responsible for paying full rent. For more information, you can visit our website at www.boltonathome.org.uk Head Office: Bolton at Home Valley House 98 Waters Meeting Road The Valley Bolton BL1 8SW Opening Hours: Monday to Friday, 9am 5pm Telephone: 01204 328000

Housing Benefit Overlap Request If you are receiving Housing Benefit and are moving home you could be responsible for rent on two properties at the same time. Housing Benefit is normally only paid for the address where you are actually living. However, overlapping Benefit may be awarded on both properties but only in exceptional circumstances. This can only be applied for once you have moved to your new address. If you wish to be considered for this please complete this form and send to: Bolton at Home, Income Management (FTA Section) Valley House 98 Waters Meeting Road, The Valley, BL1 8SW a) Your name(s): Age(s): b) Your new address: c) Your old address (the one for which you wish to claim overlapping Housing Benefit): _ d) Reason(s) for moving home: (give as much information as possible to support your claim, use a separate page if necessary) e) On what date were you notified of the new tenancy offer? f) On what date did you agree to accept the new tenancy? g) On what date does / did the new tenancy start? h) On what date did you move into your new tenancy? Signature (Tenant): Date: Signature (Joint Tenant): Date: Bolton at Home office use only Tenancy termination date: Copy sent to HB Section, 2 nd Floor Howell Croft Office Use: Please Scan to old address: