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When completing this application form, please provide as much information and evidence as you can. For further clarification or assistance on how each area should be completed, please refer to the exceptional hardship procedure application form assistance guide. This will help ensure that your application can be considered as quickly as possible. Where information is required and is not provided, we will contact you and ask you to submit it. When sending supporting documentation, please provide originals or copies certified by a solicitor or other appropriately qualified person.
Contact details
First person 0.1 0.2 0.3 0.4 Title First name Surname Capacity in which the Applicant / person with power of attorney / solicitor / agent application is made (delete as applicable) First name Surname Company / organisation name (if applicable) Contact address (of agent, if applicable) Second (if joint applicant)
0.9
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Telephone number (evening) Email address (if applicable) Address of the property which you are applying for
0.13
0.14
Please tick the boxes below where you consider that you meet the procedure criteria as set out in this guidance. Applications which do not meet all of the criteria are likely to be rejected. Section 1 Interest in property Section 2 Section 3 Section 4 Section 5 Proximity to Thames Tunnel Efforts to sell No prior knowledge Exceptional hardship
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Please include with this application evidence to support your answers. Evidence provided should be originals or certified copies, and may include one or more of the following: All applicants Proof of ownership deeds, conveyance to current owner or Land Registry office copy entry. Proof of residency at the property for the required duration e.g. utility bills or bank statements dated at least six months apart within the last 18 months. Owner-occupier of business premises Copy of business rates bill if commercial property. Mortgagees Details of any mortgage, roll or reference number with contact details for the bank / mortgagee. Personal representatives of a deceased person Death certificate, power of attorney, grant of probate, last will and testament if personal representative.
Please include with this application evidence to support this description. To meet this criteria, the property must be within 100m of the area currently identified as being part of a construction site for the Thames Tunnel. Outside this limit the independent panel that will review all applications may exercise its discretion, based on the particular circumstances of the case. Evidence provided should be originals or certified copies, and may include, for example: a copy of sales particulars of the property the filed plan held at the Land Registry a map pinpointing the precise location of the property, where identification by address might be difficult. The currently published proposals for construction sites may be found on the project website www.thamestunnelconsultation.co.uk. Alternatively, please contact the helpline on 0845 366 2950 with your property address and we will provide this information to you ahead of completing this form.
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3.4
Name, address and telephone number of agent(s) approached to obtain suggested asking price
When was the property first placed on the market? What was the initial asking price for the property? What is the current asking price for the property?
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What offers have you received for the property? 3.8 Date of offer 3.9 By whom / via which estate agent?
3.10
Offer
3.11
Name, address and telephone number of agent(s) currently marketing the property
Please include with this application evidence to support your answers. Evidence provided should be originals or certified copies, and must include: the instruction letter from an estate agent, or estate agents if joint or multiple agency appointment And at least one of the following: valuation and marketing proposal letters from prospective agents from whom you took advice prior to placing the property with your appointed agency proof of date on which marketing commenced mailshot, newspaper advert, internet entry evidence of marketing activity feedback from viewings of the property other letters and relevant documentation held by your agent(s) marketing the property, including evidence of offers received.
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Please include with this application relevant supporting evidence, all of which should be originals or certified copies. Depending on the reason(s) put forward, this evidence may include, for example: documentation confirming a change in employment location or job offer proof of additional dependents legal documentation setting out the terms of divorce or change in marital status medical report(s) explaining illness or state of health and if applicable reason for need to relocate without delay financial documentation such as letters from lenders or accounts setting out financial difficulties and how pressing they are.
5.2 Please tick the boxes for each section that you have completed and provided evidence for Section 1 Interest in property Section 2 Section 3 Section 4 Section 5
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5.3
Please list all the supporting evidence that you are sending along with this application form
5.4
Please provide any other information that you think is relevant to your application
If necessary please enter additional details on a separate sheet or in the appropriate section at the end of the form.
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Thames Water Utilities Limited and its agents will use your personal information solely for the purpose of processing your application under the exceptional hardship procedure. The personal information you have provided in your responses to this questionnaire will be used only for the purpose of the Thames Tunnel project and in accordance with the Data Protection Act 1998. We will not disclose your information to other organisations except to prevent fraud or if required to do so by law. While we are considering the application we will make a copy of your documents and supporting evidence and return your documents to you. DECLARATION I / we understand that you will use the information I have provided on this form to determine my claim under the exceptional hardship procedure, and that you may check some of that information with third parties, including those whose details I have provided. I declare that the information I have given on this form is correct and complete. I understand that if I knowingly give information that is incorrect in order to secure financial gain, I may have court action taken against me. Signature of the applicant(s):
Date:
Send completed application forms, along with supporting evidence to: Exceptional Hardship Procedure (EHP) Administrator Thames Tunnel Project 7th Floor The Point 37 North Wharf Road London W2 1AF All documents will be returned by recorded delivery.
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