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Declaration

I/We confirm that the information provided in order to assess my/our housing circumstances is both true and accurate. I understand that I/We may be liable for prosecution if I/we;

• Make any false statements
• Withhold any information
• Do not tell Epsom & Ewell Borough Council about any material change in circumstances as soon as possible after the change occurs.

If prosecuted by the council and found guilty by the courts, I/we could be ordered to pay a fine of up to £5000 (s214 of the Housing Act 1996) and my/our application being cancelled and any offer or nomination to a property being withdrawn.