# The Assured Tenancies and Agricultural Occupancies (Forms) Regulations 1997, Paragraph 4


(a)The existing rent is:
£....................
per ....................
(e.g. week, month, year)
(b)Does the rent include council tax?
Yes□
No□
(c)If yes, the amount that is included for council tax is:
£....................
per ....................
(e.g. week, month, year)
(d)Does the rent include water charges?
Yes□
No□
(e)If yes, the amount that is included for water charges is:
£....................
per ....................
(e.g. week, month, year)
5. (a)The proposed new rent will be:
£....................
per ....................
(e.g. week, month, year)
(b)Will the new rent include council tax?
Yes□
No□
(c)If yes, the amount that will be included for council tax will be:
£....................
per ....................
(e.g. week, month, year)
(d)Will the new rent include water charges?
Yes□
No□
(e)If yes, the amount that will be included for water charges will be:
£....................
per ....................
(e.g. week, month, year)

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Source: https://www.legislation.gov.uk/uksi/1997/194/schedule/part/4/paragraph/4 (the official version)
Page: https://openlegislation.uk/assured-tenancies-and-agricultural-occupancies-forms-regulations-1997/schedule/part-4/paragraph-4
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.