The application is from a prospective tenant/guarantor.
Please enter as appropriate:
Upon completion, please return this form to:
Name of Landlord/Agent:
Address of Landlord/Agent:
In the case of joint applicants, each joint applicant must complete and submit a separate application form.
Please either photocopy this form for the number required before completing – or ask for the number of forms required.
Applicantdetails
Full name:
Current residential address:
Time at current address:
(a utility bill or council tax statement from the last three months)
Proof of residency supplied
Previous residential address:
(If less than three years at current address)
Time at previous address:
If you have lived at your current and previous address for a total of less than three years, then please include any other addresses you have lived at in the last three years on a continuation sheet.
Email address:
Daytime contact number:
Mobile contact number:
National Insurance number:
Date of birth:
GROSS annual income:
Name(s) of other joint applicants (if any):
Relationship(s) to you:
Residency status at your current address
(Please tick as appropriate)
Private tenant:
Lodger:
Tenant of a housing association:
Council tenant of local authority
Living with family
Owner with no mortgage
Owner with mortgage
Current landlord/agent contact details
(fill this section in if you are currently a tenant)
Name:
Address:
Contact number:
Email address:
How much rent do you pay for this property per month?
Please ensure your landlord/agent is aware a reference request will be made.
Employment/Occupation status
Employed
Full-time student
(please answer the employer section of this application)
(please answer the student section of this application)
Unemployed
Retired
Self-employed
Other
(please answer the self- employed section of this application)
Bank/building society details
Account name:
Bank/building society:
Account number:
Sort Code:
Employer details
Job title:
Start date with employer:
Name of employer:
Address:
Contact name/department:
Contact email address:
Contact phone number:
Please ensure that the contact is aware that we will be requesting a reference from them. They must be able to confirm details of your salary/income and how long you have worked at your current employer.
Self-employed details
Name of accountant:
Address:
Email address:
Phone number:
Additional financial information
If you have any additional sources of income, then please state the amounts below:
Overtime:
Bonus:
Universal Credit:
Housing benefit
Income support:
Unemployment benefit:
Sickness
Retirement pension:
Disability Allowance:
Tax credits:
Other
Additional financial information (not compulsory for guarantor applicants)
If you have any loans, please provide details of the lender(s), the total amount of the loan(s), monthly repayments, and the expiry date of the loan(s) below:
If you have any credit or store cards, please provide us with details of the card provider, your credit limit, and the balance owing below:
Have you, or any other joint applicants been insolvent, bankrupt, made arrangements with creditors or been involved in any criminal or civil court proceedings in the last six years?
If yes, please provide details below:
Student information
University or College:
Address:
Course attending:
Graduation year:
Personal reference
Where necessary we may need to request a suitable personal reference. This person should not be related to you, or a party to this agreement (i.e. another joint applicant, or the prospective tenant). Please provide the name, address and contact details of a suitable character reference below:
I confirm that I am over 18 years of age and the information given above is true and accurate. I confirm that no one will be living in the property except anyone who is named above.
Tenancy information
Property address:
Preferred start date:
Rental period:
Preferred duration of tenancy:
Rental amount:
If anyone other than a joint applicant will be living at the property (including any children or other dependants) please provide their names, ages and relationship to you below:
If you have any pets who will be living at the property, please specify the name, type of animal, breed and age of the pet below:
Security deposit information (tenant applicants only)
Deposit amount:
Will anyone else besides yourself pay towards the deposit?
If yes, provide the names, addresses of each person paying towards the deposit beside yourself and also the amount of the deposit each one is contributing:
If the details provided above change then you must notify us immediately.
If your application is successful, and you are granted a tenancy, we require a forwarding address where we can contact you regarding the security deposit at the end of the tenancy. Please provide us with a suitable forwarding address below:
Right to Rent
From 1st February 2016, landlords and letting agents in England are required to check the immigration status of all adult tenants before they agree to enter into a tenancy agreement. This is to establish you have a ‘right to rent’ legally in the UK. We will contact you to arrange a suitable time and location to perform this check.
A tenancy agreement cannot be granted if all adult occupiers cannot prove they have a right to rent in the UK.
To establish whether you have permanent right to rent we will need you to provide sufficient evidence of a permanent or temporary right to rent in the UK.
Further information on supporting documents and proving your right to rent status is available athttps://www.gov.uk/government/publications/right-to-rent-document-checks-a-user-guide
Next of kin / emergency contact details (tenant applicants only)
Please provide details of your next of kin/emergency contact.
Supporting information:
Please provide us with any other supporting information you think may assist us with assessing your application below:
Declaration
I confirm that the information supplied by me in this application is true and complete to the best of my knowledge and I understand that providing false or misleading information may lead to my application being refused.
I understand that the information provided here will be retained and used only as necessary and for a specific purpose in accordance with the General Data Protection Regulation (GDPR) as set out in the privacy notice supplied by the Landlord/Agent.
I authorise my employer, my bank / building society, a local authority (if I was previously a council tenant), current or former landlord, and the any personal referee named, to provide information about me, any prior tenancy history, and any employment / financial affairs as appropriate to the Landlord's enquiries.
If I am making a tenancy application, I consent to receiving my copy of ‘How to rent: a checklist for renting in England’, the energy performance certificate (EPC), gas safety certificate, electrical installation condition report (EICR) or any other documentation relating to the proposed tenancy via the given email address on page 1.
I authorise the Landlord/Agent named at the beginning of this application form to make whatever enquiries, including a credit check, they deem necessary in connection with this application.
I consent to a credit check being carried out in relation to myself which will be conducted on the Landlord/Agent’s behalf by:
Signature:
Name:
Date:
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