Mutual Exchange Application

Please complete this form if you wish to be considered for a mutual exchange. To complete the form, you will also need the details of the tenant you wish to exchange with.

Forename of applicant

Surname of applicant

Address

City/Town

ZIP/Postal Code

Phone number

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Email address

Confirm email

Date Present Tenancy Commenced

Type of Tenancy (if known)

Landlord Address

City/Town

ZIP/Postal Code

Weekly Rent on Present Tenancy

Property type

Number of bedrooms

Number of living rooms

Please provide details of all persons living in the property (including yourself) and provide details of their name, gender, age and relationship to you.

Please provide details of the party you wish to exchange with.

What is their name?

Address

City/Town

ZIP/Postal Code

Name of Landlord (if Known)

Is the person you are exchanging with a Halton Housing customer?

Yes

Please ensure they complete a application form also otherwise the mutual exchange process cannot progress.

Have you thoroughly inspected the property into which you propose exchanging and are you agreeable to accepting the house in its present condition?

Yes

Please state the reasons for the proposed exchange

Signature of applicant

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Mutual Exchange Application Form