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Apply for it
Apply for a Mutual Exchange
About You
Title
Mr
Mrs
Miss
Ms
First Name
Surname
Date of Birth
House Name or Number
Street Name
Town or Village
Contact Number
Email Address
Details of other members of your household
Title
Mr
Mrs
Miss
Ms
First Name
Surname
Date or Birth
Relationship to you
Title
Mr
Mrs
Miss
Ms
First Name
Surname
Date of Birth
Relationship to you
Details of your current property
Property Type
House
Flat
Bungalow
Number of bedrooms
Has the property had any adaptations?
Yes
No
If yes, please give details
Have you made any alterations to the property?
Yes
No
If yes, please give details
Details of the person you wish to exchange with
Title
Mr
Mrs
Miss
Ms
First Name
Surname
Date of Birth
Contact Number
Email
Details of their other household members
First Name
Surname
Date of birth
Relationship to the tenant
Details of their property
House Number or Name
Street Name
Town or Village
Post Code
Property Type
House
Flat
Bungalow
No of bedrooms
Is the property adapted?
Yes
No
If yes, please give details
Name of Landlord
Address
Contact Number
Start date of their tenancy
Type of tenancy
Introductory
Secure
Other
I have read the Mutual Exchange statement and I accept and understand the requirement to give honest and accurate information.
I certify, that to the best of my knowledge, the information I have given on this pro-forma is true. I will advise STAR Housing of any change in circumstances.
Agree to our Privacy Notice
Our Privacy Notice
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