4. The form of declaration mentioned in regulation 7(3)(a) is as follows—
I/we declare that the information contained in this application is correct to the best of my/our knowledge. I/We understand that I/we commit an offence if I/we supply any information to a local housing authority in connection with any of their functions under any of Parts 1 to 4 of the Housing Act 2004 that is false or misleading and which I/we know is false or misleading or am/are are reckless as to whether it is false or misleading.
Signed (all applicants)
Dated
I/We declare that I/We have served a notice of this application on the following persons who are the only persons known to me/us who are required to be informed that I/we have made this application:
| Name | Address | Description of the person’s interest in the property or the application | Date of service |
|---|---|---|---|