Leasehold Reform Act 1967 Leasehold Reform Act 1967

Application by Tenant to Valuation Officer for Certificate as to Reduction for the purposes of the Leasehold Reform Act 1967, in the Rateable Value of premises on account of Tenant’s Improvements

Date

To the Valuation Officer.

1 I am the tenant of , and my landlord is

of

2 It has been [agreed in writing between me and my landlord] [determined by the county court] that the improvement[s] specified in the First Schedule hereto [is an improvement] [are improvements] to which F1Schedule 8 to the Housing Act 1974 applies, and that I or a previous tenant under the tenancy made the improvement[s] or contributed to [its] [their] cost, and that the works specified in the Second Schedule hereto were involved in the improvement[s].

3 It has not been agreed between me and my landlord whether any or what reduction is to be made under said Schedule F28 in the rateable value of the premises for the purposes of the M1Leasehold Reform Act 1967, and I hereby make application to you for a certificate under paragraph 3(2) of the said Schedule 8(Note 4).

Signature of Tenant