House in Multiple Occupation Change of Circumstances form

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1. Complete this form to tell us of a change in circumstances for your currently licenced HMO property. You can inform us of a change in occupation numbers, a change in property configuration, or a change in property ownership / management.
  
  For more information please visit the HMO licence pages.
  
  This form is one page long and should take no longer than a few minutes to complete.
2. Licence details
  1. HMO licence number (as quoted on your HMO licence documentation)
  2. HMO Address line 1
  3. HMO Address line 2 (optional)
  4. Town/city
  5. Postcode
3. Your details
  1. Name
  2. Address line 1
  3. Address line 2 (optional)
  4. Town/city
  5. Postcode
  6. Telephone number
  7. Email address
4. The change in circumstances
  1. The change in circumstances (optional)
5. Planning Application Number for changes to configuration of property
  1. Planning Application Number for changes to configuration of property (optional)
6. Which items have changed: (optional)
  
  Occupant number
  
  Room number
  
  Both the above
7. New number of occupants
  1. NEWOCCUPANTS (optional)
8. New number of rooms
  1. NEWROOMS (optional)
9. Do you know the new owners details? (optional)
  
  Yes
  
  No
10. Details of the new owner
  1. Name (optional)
  2. Address line 1 (optional)
  3. Address line 2 (optional)
  4. Town/city (optional)
  5. Postcode (optional)
  6. Telephone number (optional)
  7. Email address (optional)
11. Do you know the new managers details? (optional)
  
  Yes
  
  No
12. Details of the new manager
  1. Name (optional)
  2. Address line 1 (optional)
  3. Address line 2 (optional)
  4. Town/city (optional)
  5. Postcode (optional)
  6. Telephone number (optional)
  7. Email address (optional)
13. Please input the correct new contact information
  1. Whose contact information if this? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Name (optional)
  3. Address line 1 (optional)
  4. Address line 2 (optional)
  5. Town/city (optional)
  6. Postcode (optional)
  7. Telephone number (optional)
  8. Email address (optional)
  9. Do you need to update the contact information for another person? (optional)
    
    Yes
    
    No
14. Please input the correct new contact information
  1. Whose contact information if this? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Name (optional)
  3. Address line 1 (optional)
  4. Address line 2 (optional)
  5. Town/city (optional)
  6. Postcode (optional)
  7. Telephone number (optional)
  8. Email address (optional)
  9. Do you need to update the contact information for another person? (optional)
    
    Yes
    
    No
15. Please input the correct new contact information
  1. Whose contact information if this? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Name (optional)
  3. Address line 1 (optional)
  4. Address line 2 (optional)
  5. Town/city (optional)
  6. Postcode (optional)
  7. Telephone number (optional)
  8. Email address (optional)
  9. Do you need to update the contact information for another person? (optional)
    
    Yes
    
    No
16. Please input the correct new contact information
  1. Whose contact information if this? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Name (optional)
  3. Address line 1 (optional)
  4. Address line 2 (optional)
  5. Town/city (optional)
  6. Postcode (optional)
  7. Telephone number (optional)
  8. Email address (optional)
17. NEWCONVICTIONS
  1. Who does this conviction or caution relate to? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Provide details of the conviction or caution below
    
    ADDITIONALINFORMATION (optional)
  3. Do you need to add another conviction or caution? (optional)
    
    Yes
    
    No
18. NEWCONVICTIONS
  1. Who does this conviction or caution relate to? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Provide details of the conviction or caution below
    
    ADDITIONALINFORMATION (optional)
  3. Do you need to add another conviction or caution? (optional)
    
    Yes
    
    No
19. NEWCONVICTIONS
  1. Who does this conviction or caution relate to? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Provide details of the conviction or caution below
    
    ADDITIONALINFORMATION (optional)
  3. Do you need to add another conviction or caution? (optional)
    
    Yes
    
    No
20. NEWCONVICTIONS
  1. Who does this conviction or caution relate to? (optional)
    
    Landlord
    
    Licence Holder
    
    Manager
    
    Agent
  2. Provide details of the conviction or caution below
    
    ADDITIONALINFORMATION (optional)
21. Provide any additional information below
  1. ADDITIONALINFORMATION (optional)
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House in Multiple Occupation Change of Circumstances form