Settlement deed application form

8/13/2019 Settlement deed application form

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Settlement deed

application form


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Contact details

First person Second (if joint applicant)

0.1 Title

0.2 First name

0.3 Middle name

0.4 Surname

0.5 Telephone number (day)

0.6 Telephone number (evening)

0.7 Email address (if applicable)

0.8 Address of the building which would benet from the settlement deed

Go to Section 1

Section 1 Interest in building

What interest do you have in the building to which the application relates? (Please select only one option)

1.1 A private individual Go to Section 2

1.2 A company Go to Section 3

1.3 A partnership Go to Section 4

1.4 Other organisation or unincorporated body Go to Section 5

Section 2 A private individual

2.1 Postal address (if dierent from the building address set out above)

Go to Section 6

When completing this application, please provide all the required information. If we do not have the required

information we will not be able to progress the application.

For further clarication or assistance on how each area should be completed, please refer to the settlement deed help

guide. This will help ensure that your application can be considered as quickly as possible.

When sending supporting documentation, please provide originals or copies certied by a solicitor or other

appropriately qualied person.


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Section 3 A company

3.1 Company name

3.2 Company number

3.3 Registered address

3.4 How the company will

sign the settlement deed

Go to Section 6

Section 4 A partnership

4.1 Name of the partnership

4.2 List of partners

4.3 Principal address

4.4 How the partnership will


Go to Section 6

Section 5 Other organisation or unincorporated body

5.1 How the organisation

should be designated

5.2 Principal address

5.3 How the organisation will


Go to Section 6

Section 6 Address for service of notications

6.1 Postal address

Continued overleaf


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How your personal information will be used

Thames Water Utilities Limited and its agents will use your personal information solely for the purpose of processing your application

for a settlement deed.

The personal information you have provided in your responses to this questionnaire will be used only for the purpose of the Thames

Tideway 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 application for a settlement deed. 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 nancial gain, I may have court action taken

against me.

Send completed application forms, along with supporting evidence to:

Settlement Deed Administrator

Thames Tideway Tunnel

The Point

37 North Wharf Road

London W2 1AF

Signature of the applicant(s):

Date:

100-PU-PRO-00000-000010

If you have questions about our other activities

Visit: www.thameswater.co.uk

For billing or account enquiries call: 0845 9200 888Lines are open weekdays from 8am - 8pm and on Saturday from 8am - 1pm(Minicom or Typetalk: 0845 7200 899)

For water or wastewater enquiries call: 0845 9200 800Lines are open 24 hours a day(Minicom or Typetalk: 0845 7200 898)

For more information about the Thames Tideway Tunnel

Call: 0800 0721 086Lines are open 24 hours a dayVisit: www.thamestidewaytunnel.co.ukEmail: [email protected]

For our language interpretation service call 0800 0721 086

For information in Braille or large print call 0800 0721 086

Settlement deed application form

Documents

Transcript of Settlement deed application form