Housing Benefit second property form (LA1)

Form LA1
LA office address
Customer Accounts
Central Bedfordshire Council
Watling House
Dunstable
Bedfordshire
LU6 1LF
Your address
Our phone number is
0300 300 8306
This should be the address you are claiming benefit
for, not the address of your additional property.
Your reference number (if known)
Date
/
/
We need some more information
In your application for Housing Benefit/Council Tax Support
you said that you have an interest in property which is not the
property you are living in.
We need some more information about the property
before we can decide how much benefit you could
get.
Please answer the questions as if you were doing so on
the date you made your claim for benefit/support.
If there have been any changes since this date,
tell us on a separate sheet of paper.
When you have answered the questions, send this form
back to us.
If you have any recent papers to show how much the
property is worth, please send them to us with this form.
This could be a valuation document or evidence of the sale
of the property. We will send the papers back to you.
If you cannot send us anything to show how much the
property is worth, we may have to arrange for the property
to be inspected externally by an independent valuer.
The valuer will give an opinion about the value of the
property. Please make sure you tell us everything about the
property which may affect its value.
If you need any help to fill in this form, please get in touch
with us. Our phone number and address are at the top of this page.
Please turn over
Part 1
1
About the property
Full address of the property.
If you have an interest in
more than one property, tell
us about the other properties
on a separate form LA1
or answer all the following
questions on a separate sheet
of paper.
Postcode
2 Please tell us what type of
pr
operty it is.
House, bungalow or flat
Number of bedrooms
Block of houses or flats
Shop
or warehouse
Land
acres / hectares
Please send an Ordnance Survey plan of
the land showing the boundaries.
Other – please explain
3
Are you taking steps to
dispose of the property or your
share in it –
for example, by selling it?
If it is already for sale, when did
you first take these steps?
No
Yes
Please tell us about this on a separate sheet of paper.
Please send us proof that the property is for sale, such as
estate agent’s sale particulars.
/
4
Is the property subject to
divorce or dissolution of a civil
partnership proceedings?
For example, proceedings
about the disposal of
assets of the marriage/civil
partnership.
/
No
Yes
What stage have the proceedings reached?
Please send details of any proposals, court orders or agreements
affecting the property.
When did you leave the
matrimonial home/home of the civil
partnership?
5
Do you intend to live in
the property?
No
Yes
When do you intend moving in?
/
/
What stops you living
in it now?
6
What is your
interest in the
property?
Please tick one box.
Freehold
Leasehold
How long is the lease for?
What date did the lease start?
How much is the rent or
ground rent, excluding VAT?
/
£
Please send a copy of the tenancy agreement.
Other Please
give details
/
every
Part 1
7
About the property continued
Is there a mortgage or
other charge on the property?
No
Yes
How much is outstanding?
£
Please send a copy of the latest mortgage statement.
Are there any mortgage
arrears secured on the
property?
Is any other debt secured
on the property?
No
Yes
How much are the arrears?
£
How much is outstanding
£
No
Yes
Please send a copy of the latest statements etc.
8
9
Has planning permission
been granted for any
proposed changes to the
property?
For example, the building of an
extension.
No
Has planning permission
been refused for any
proposed changes to the
property?
No
Yes
Please tell us about this on a separate sheet of paper.
Yes
10 Are there any legal
restrictions on the
property?
No
11 Are there any tenants
living in the property or
using it for business?
No
Please tell us about this on a separate sheet of paper what the plans
were and why permission was refused.
Yes
Please tell us about this on a separate sheet of paper.
Yes
Please tell us about them.
£
every
Names of all the tenants
Amount of rent you should get
and how often it is payable
excluding VAT
Length of tenancy
Date tenancy started
Please tick to tell us the
type of tenancy.
Please send a copy of
the tenancy agreement,
if you can.
Assured
Protected business tenancy
Assured shorthold
Other business tenancy
Other residential tenancy
Part 1
About the property continued
12 Please tell us about anyone who
• lives in the property who is not a tenant, or
• uses it for business.
Person 1
Name of occupier/user
Person 2
Do they live there?
No
Yes
No
Yes
Do they use it for business?
No
Yes
No
Yes
How long have they occupied
the property?
Relationship to owner or
tenant if any
Age if 60 or over or if under 19
and still in education
Are they a lone parent?
No
Yes
No
Yes
No
Yes
No
Yes
Are they sick or disabled?
What social security benefits
do they get, if any?
What date was this
benefit paid from? /
/
Person 3
/
/
Person 4
Name of occupier/user
Do they live there?
No
Yes
No
Yes
Do they use it for business?
No
Yes
No
Yes
How long have they occupied
the property?
Relationship to owner or
tenant if any
Age if 60 or over or if under 19
and still in education
Are they a lone parent?
No
Yes
No
Yes
No
Yes
No
Yes
Are they sick or disabled?
What social security benefits
do they get, if any?
What date was this
benefit paid from? /
/
/
/
13 Please tell us about the outgoings on the property.
If someone else is responsible for any of the following items, please get their permission to tell us this information.
Amount and how often it is paid
Mortgage £
every
Ground rent
£
every
Council tax or business rate
£
every
Water charges
£
every
Rent charge
£
every
Please tell us about any other outgoings
£ every
Name of person who pays it
Part 2
About jointly owned property
14 Do you jointly own the
property with anyone?
No
Go to Question 24 at the start of Part 3.
Yes
Please tell us the names of all the owners
Names of owners who would be
entitled to a share in the proceeds if
the property was sold (the
beneficiaries).
Names of legal owners of the
property who would not be entitled
to a share in the proceeds if the
property was sold – for example,
trustees or solicitors.
15 Are you a joint tenant (joint
owner in Scotland)?
This will apply to you if your share
would increase automatically if one
of the other owners were to
unfortunately die.
No
16 Are you tenant in common
(common owner in Scotland)?
This may apply if the share is
written down in a legal document. If
it is written down, please send us a
copy of the document.
No
Yes
Yes
What is your share?
17 Did you buy the property?
No
Please explain how the
property came into your
possession (eg the
property was left to you in
a will; my son bought it for
me)
Yes
i)
What was the original
ii)
purpose of buying the
property? (ie, the reason
you originally bought it –
as a home, an investment etc)
Did you purchase the property
yourself? (ie, did you finance
the property from your own
savings or with a loan from
a building society, bank etc).
If not, please explain.
18 What is the property used for at
the moment?
19 Would any of the other owners be
willing and able to buy your
share?
No
20 Would any of the other owners be
willing to sell the property as a
whole?
No
21 Are there any agreements
between the owners about selling
the property, if one of the joint
owners wanted to sell it?
No
Yes
Yes
Yes
If one of the joint owners wanted to sell,
would they be likely to take legal action
to force a sale?
No
Yes
Please tell us about this on a separate sheet of paper.
Part 2
About jointly owned property continued
22 Has a share in the property ever
been sold before?
No
Yes
How much was it sold for?
When was it sold?
23 Are there any court orders which
affect the way the property is
sold?
For example, an order that the
property must be sold as a whole.
If a court order is being pursued,
tick Yes.
Part 3
£
/
/
No
Yes
Please tell us about this on a separate sheet of paper
More about the property
24 Is there anything else that may
affect the value of the property?
For example,
• the interior is derelict or
sub-standard
• restrictions on its sale
• shared access or difficulties or
restrictions on access
• if services are provided
• if a smallholding or land for
personal use is attached to it (in
addition to any garden)
• if it is occupied only in part, (tell
us which part).
No
Yes
Please tell us about this in the box below.
25 What is your estimate of the
value of the property at the date
on the front of this form?
26 Do you give us
permission to arrange
for the property to be
valued by an
independent valuer, if
necessary?
If
No, please tell us why.
£
No
Yes
Remember that any valuation will be done by means of an external examination, in accordance with the Royal Institution of
Chartered Surveyors (RICS) guidelines. It is important that you give us as much information about the property as possible so
we can obtain an accurate valuation.
Part 4
Your declaration
I understand that if I give
information that is incorrect or
incomplete, I may be liable to
prosecution or other action.
Your signature
I declare that the information I have
given on this form is correct and
complete.
Date
/
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