Landlord agreement
Required hidden information
Record Type
ContactId
RecordId
Landlord details
Landlord reference
Landlord name
Landlord's address (including postcode)
Email
Contact number
Landlord bank details
Name of bank/building society
Name the account is in
Sort Code
Account number
Declaration
I confirm that I agree to the conditions covering the payment of housing benefit direct to myself in respect of all my tenants and agree:
To tell the F&HDC Revenues & Benefits Office of any change in the housing costs
To tell the F&HDC Revenues & Benefits Office if any of my tenants move out, or change rooms
To tell the F&HDC Revenues & Benefits Office if there is any change in my tenanct's circumstances
To repay all recoverable housing benefit overpayments which I am liable for
That failure to repay housing benefit overpayments may result in future payments being used to clear the debt
Name
Date