South Northamptonshire Council
Moving Out Form
1. Customer Details
Title:
Miss
Mrs
Mr
Ms
Dr
Sir
Lady
Lord
Dame
Rev
Firstname:
Surname:
Email:
Tel No (including area code):
Mobile:
Account Reference Number:
2. Address moving out of:
Number/Name:
Address Line 1:
Address Line 2:
Town:
Postcode:
3.Forwarding address
Name/Names:
Date you vacated property:
Number/Name:
Address Line 1:
Address Line 2:
Town:
Postcode:
Name/Names:
Date you vacated property:
Number/Name:
Address:
Address:
Town:
Postcode:
Were you the Owner or Tenant?
Owner
Tenant
4. Owner Section: (if tenant, go to section 5)
If you were the owner, have you sold the property?
Yes
No
If not sold - please provide details:
If yes, what date did you complete the sale?
Has the furniture been removed from the property?
Yes
No
If yes, what date was the furniture removed:
Please confirm the name of the new owner:
Previous address of the new owner if known:
Number/Name:
Address Line 1:
Address Line 2:
Town:
Postcode:
5. Tenant Section: (if owner, go back to section 4)
If you were the tenant of this property, has your tenancy ended?
Yes
No
Date tenancy ends:
Is the property let:
Furnished
Unfurnished
Please confirm the name of the landlord/managing agent:
Address of Landlord:
Number/Name:
Address Line 1:
Address Line 2:
Town:
Postcode:
6. Additional information: