Today's date (required)

Your Name (required)

Your Email (required)

By ticking the box below you consent for Eastlight to communicate with you using this address in all aspects of this exchange.
 
I have read and I understand the statement above.
Your address (required)

Phone Number (required)

I will be available to move from:

How many homes are involved in this exchange? (required)
123456

Please list details of everyone in the household who will be moving, starting with yourself as tenant.
Your name, sex and date of birth (required).
MaleFemale

Resident 2 - Name, sex, date of birth and relationship to tenant
N/AMaleFemale

Resident 3 - Name, sex, date of birth and relationship to tenant
N/AMaleFemale

Resident 4 - Name, sex, date of birth and relationship to tenant
N/AMaleFemale

Any further residents moving - please list name, sex, date of birth and relationship to tenant.

Details of present accommodation
Type of home (please select)
HouseFlatBungalow
Type of tenancy (please select)
AssuredSecureFixed-term
Number of bedrooms (required)

Any pets? (yes or no) YesNo

Please tell us:
Your landlord's name (required)

Their email address (required)

Their phone number (required)

Are you currently an employee of Eastlight Community Homes? (required)
YesNo

Are you currently receiving Housing Benefit or Universal Credit? (required)
Housing BenefitUniversal CreditNone

Is there anyone else, excluding those mentioned earlier, who lives with you now? (required)
YesNo
If yes, please give details

I would like to exchange with:

Their Name (required)

Their email (required)

Your reasons for requesting this mutual exchange

Important
Please be aware by exchanging properties you may lose your 'Right to Buy' and the conditions of your new tenancy may change. Please seek advice from your proposed new landlord.
 
When you come to complete your exchange, all parties will require a witness to digitally sign a legal document to allow the exchange to go ahead. The witness needs to have access to an email address and should not be related to you or any other party involved. Please think about who this is going to be as to avoid delays in your mutual exchange. We will contact you for these details at the property inspection stage.
 
In addition, please note that we will only proceed to check your eligibility once you have ticked the declaration.
 
Declaration
I have inspected the property that I wish to move into and I am willing to accept it in its present condition. I understand that we can't move until we have received the written consent from our current landlords. I have read and understood the leaflet on exchanging homes. If you are joint tenants, you must both agree to the move. You will both be required to sign an agreement before a Mutual Exchange can take place.
 
I confirm that I have sought and gained the approval of the customers I wish to exchange with to include their personal details, including their email addresses.
 
The information you provide will be processed to check your eligibility for “Mutual exchange”. For further information regarding how we may use, store, process and share your personal information, please see Our Privacy Policy
 
I have read and I understand the statement above. I confirm that the information supplied is true and complete to the best of my knowledge.