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01246 231111

I Am Moving Into North East Derbyshire

Please complete this form if you are moving into North East Derbyshire and need to tell us about it.

If you are moving out of North East Derbyshire to another area please complete our 'Moving Out of NE Derbyshire Form'.

If you are moving from one house to another both within NE Derbyshire, please fill in our 'Moving within the District' Form.

» Required Fields

Your contact details

» Your full name:

Daytime phone number:

Your email address:

Your property details

» New address details:

Previous address details:

Date moved in:

Date furniture moved in:

Number of adults moving in:

Full names of all adults moving in:

Type of occupancy:

Owner
Tenant
Other

Please complete this box if you answered 'Owner':

Completion date of purchase:

Name and address of solicitor:

Solicitor's phone number:

Name of previous owner:

Previous owner's forwarding address:

Please complete this box if you answered 'Tenant':

Date tenancy started:

The property is rented:

Furnished
Unfurnished

Property rented via:

Landlord
Agent
Other

Name and address of the above:

Phone number of above:

Additional Information:

Please use this space to provide us with any other information you feel is relevant:

Contact Details
Connect NE Revenues and Benefits Saltergate, Chesterfield, Derbyshire, S40 1LF Location: Council House		Telephone: 01246 217600 Fax: 01246 217444 Text Us: 0780 0002425 Contact Us: Enquiry Form