Logiværtserklæring

Københavns Kommune
International House Copenhagen
Gyldenløvesgade 11
1600 København V
Logiværtserklæring
(Må kun udfyldes af logivært)
Som ejer
Andelshaver
Lejer (Boligselskab)
Lejer (Privat)
erklærer jeg __________________________________________________________
(Fulde navn)
herved, at følgende person(er)
Navn______________________________________________________________________________________________
Navn______________________________________________________________________________________________
Navn______________________________________________________________________________________________
Navn_______________________________________________________________________________________________
bor og opholder sig på min bopæl og må registreres fra den _____________ til den ____________
på følgende adresse
Gade/Vej_______________________________________________________ Nr.______ Etage______ Side/Dør_____
Postnummer_______________ By________________________________
Kommune______________________________________________________
Ifl. CPR-lovens § 57 stk. 1, nr. 5 har du pligt til at afgive korrekte oplysninger om hvilke
personer, der bor/opholder sig på din adresse. Ukorrekte oplysninger kan medføre bøde.
Dato og underskrift, ejer/udlejer
Tlf.:
Tilladelse til delfremleje fra boligselskab/forening skal også medbringes i kopi. Grundlaget
for at indhente oplysninger fra logivært er CPR-lovens § 10, stk. 2, nr. 2
Københavns Kommune
International House Copenhagen
Gyldenløvesgade 11
1600 København V
Proof of residence
(To be completed by landlord/lady)
As the owner
Shareholder of a co-op
Tenant (Housing association)
Tenant (Private)
I __________________________________________________________
(Full name)
hereby confirm that the following people
Name______________________________________________________________________________________________
Name______________________________________________________________________________________________
Name______________________________________________________________________________________________
Name______________________________________________________________________________________________
live(s) at my residence from ________________ (day/month/year) to __________________
at the following address
Street________________________________________________________ No.______ Floor______ Door _____
Zip code _______________ City________________________________
Municipality _______________________________________________
In accordance with the CPR-law § 57 section 1, subsection 5, you are legally bound to provide
correct information about the occupants at your residency. Providing incorrect or false
information will make you liable for a fine.
Date and signature, owner/landlord
Phone
A copy of the housing company’s permission to sublet has to be submitted alongside the
proof of residence based on the CPR-law § 10 section 2, subsection 2.