Form for fitness inspection application

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                                            Certificate of Fitness (Landlord Application)
                                        
Application for Certificate of Fitness (Landlord Application)
The Private Tenancies (Northern Ireland) Order 2006
Article 33
Lisburn & Castlereagh City Council will send a copy of this application form to the tenant.

This applicaton has a cost of £50.00
                                            
Section 1. Name of Tenant

                                            Tenant Title:
                                            
                                            First Name:
                                            
                                            Last Name:
                                            
                                            Phone Number:
                                            
                                            Date current tenancy commenced (dd/mm/yyyy):
                                            
Section 2. Address of dwelling house/flat

                                            Address Line 1:*
                                            
                                            Address Line 2:*
                                            
                                            City or Town:*
                                            
                                            Postcode:*
                                            
                                                Dwelling:
                                                
Occupied

Unoccupied

                                                Rent Payable:
                                                
Weekly

Monthly

                                            If other please specify:

Report, Pay, Apply

Certificate of Fitness (Landlord Application)

Section 1. Name of Tenant

Section 2. Address of dwelling house/flat