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Application Form

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Tenancy Application Form

Please complete the form in BLOCK CAPITALS and ensure the application is completed in full. All sections marked with * are mandatory information. A tenancy application form must be completed for each applicant. If you require a Guarantor then as part of your Tenancy Application they must complete the Guarantor Application Form.

Due to the confidential nature of the information supplied and required, we regret that no explanation will be given if we are unable to recommend a tenancy. You may however request the name of the credit reference agency searched.

Property Details
House Number: Flat Number:
House Name: Street:
Town: Postcode*:

 

Rental Details
Share of rent per month*: £ Tenancy term (months)*:
Total rent per month*: £ Deposit amount*:

 

Affordability Details
Gross annual income*: £  
Amount of additional income per annum?*: £  

Any additional sources of income?* Y/N:

 

If yes please provide details of any additional income*:

 
 

 

Applicant Details
Title*:    
First name*: Middle name:
Surname*: Date of birth *(dd/mm/yyyy) :
Sex*:

No of dependants*:
Marital Status*:    
Any previous surnames*:    
Employment type*:    
Home phone number*: Work phone number:
Mobile phone number: Email address*:
National Insurance Number*:    
Have you ever been issued with a county court judgement*? (Y/N):

Have you had any detrimental information registered against you?* (Y/N):

If Yes, please provide details:    

 

Self Employed Details (Where applicable)
Self employed from: Company name:
Company address:
Business type: Website address:
Company registration number VAT registration number:
Type of business*?:    

 

Current Employer Details

Is your employment likely to change shortly*? (Y/N):

Yes No
(If Yes, please provide details of your future employer)
Job title*: Start date*:
Payroll number: Employers company name*:
Contact name*: Contact job title:
Postcode: Building number:
Building name: Street:
Town*: County:
Daytime phone number*: Fax number*:
Email address*:    
Additional information to assist the referee:

 

Accountant Details
Do you have an accountant*? (Y/N): Yes No
Accountants name*: Contact name:
Postcode: Building number:
Building name: Street:
Town*: County:
Daytime phone number*: Mobile phone number:
Fax number*: Email address*:

Additional information to assist the referee:

 

Please supply addresses to cover your last 3 years of residency
Current Address - Please complete all address details where appropriate

Postcode*: House number:
Flat number: House name:
Street: Town*:
Is this a foreign address?* (Y/N): Yes No
Time at address from*: (mm/yyyy) To: (mm/yyyy)
Living status*    

 

Previous Address - Please complete all address details where appropriate
Postcode*: House number:
Flat number: House name:
Street: Town*:
Is this a foreign address?* (Y/N): Yes No
Time at address from*: (mm/yyyy) To: (mm/yyyy)
Living status*    

 

2 nd Previous Address - Please complete all address details where appropriate
Postcode*: House number:
Flat number: House name:
Street: Town*:
Is this a foreign address?* (Y/N): Yes No
Time at address from*: (mm/yyyy) To: (mm/yyyy)
Living status*    

 

Landlord details or Previous landlord details
Landlord/Agent name*: Contact name*:
Postcode: Building number:
Building name: Street:
Town*: County:
Daytime phone number*: Mobile phone number:
Fax number: Email address:

Additional information to assist the referee:

   

 

Bank Details
Current account held?*(Y/N): Yes No    
Sort code*: Name of bank*:
Account name*: Account number*:
Address*:

 

Additional Information
Will any of the tenants have pets?* (Y/N): Yes No
Will any of the tenants smoke?*(Y/N): Yes No
Will there be any children living at the property?* (Y/N): Yes No
Names of children Date of birth
   
   
   
   
Next of Kin
First name: Surname: Relationship:
Postcode: House/Flat number/Name: Street:
Town: County:    
Home Phone: Mobile number: Email address:

Please ensure that you have completed all fields indicated * as failure to do this may result in a delay in you moving into the property.

Declaration

I hereby confirm that the information provided by me is to the best of my knowledge true. I consent to this information being verified by contacting the third parties detailed in this form. I understand that the results of the findings will be forwarded to the appointed letting agent and/or landlord and may be accessed again should I default on my rental payment or apply for a new tenancy agreement in the future. I agree that Express Lettings (Nottingham) Ltd will make a search with their credit referencing agency , which will keep a record of that search and will share information with other businesses. They may also make enquiries about the principal directors with a credit agency.

I also understand that in the event of my defaulting on the rental payment, that any such default may be recorded with the Credit Referencing Agency, who may supply the information to other credit companies or insurers in the quest for the responsible granting of tenancies, insurance and credit. I understand that in the event of any default by me in respect of the covenants in my tenancy agreement with my landlord, the information contained herein may be disclosed to Express Lettings Ltd and/or one or more tracing companies and/or debt collection agencies in order to recover any monies or to trace my whereabouts.

By confirming my agreement to proceed I am accepting that Express Lettings (Nottingham) Ltd may use my information in this way

I consent to the information provided to be used in this way.

Signed: Date:

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