Landlord Form Property Details Property Address (the property that has been applied for) Property URL Monthly Rent * Share Of Rent * You will be responsible for the full rent as a guarantor. . Guarantor Details Title MrMissMrsMsOther First Name * Full Middle Name Surname * Date Of Birth * Sex * MaleFemale Marital Status * SingleMarriedDivorcedSeparatedWidow(er) No of Dependants * Mobile Number * Home Number Email Address * Address History Current Address * Postcode * Period at address: Years * Months * Living Status * Property OwnerFurnished TenantUnfurnished TenantLiving with Relatives Is your period at the current address less than 3 years? * NoYes Previous address(es) of the Prospective Tenant Address Postcode Period at address: Years Months Address Postcode Period at address: Years Months Address Postcode Period at address: Years Months Employment Details If your employment is likely to change please supply your offer letter or contract of new employment Full time employedPart Time EmployedTemporary/ContractStudentUnemployedSelf-Employed RetiredHousewife/Home MakerPayment in Advance Occupation Start Date Organisation Name Address Postcode Employer Reference Provider Details Contact Name Job Title Phone Number Email Address * Additional Information to assist the referee Accountant Details Please only complete if you are self employed Company/Accountant Name Address Postcode Phone Number Email Address * Additional Information to assist the referee Affordability Detail Gross Annual Income (£) Any additional sources of income? Amount of additional income per annum (£) Details of additional income Additional Information Have you ever received any County Court Judgements, Court Decrees, Bankruptcy, or Administration orders? * Please also be aware that it may harm your application if you say NO and are later found to have County Court Judgments, Bankruptcy Orders etc. NoYes Please provide more details for County Court Judgments, Bankruptcy Orders etc. Use this space to provide any additional information we may have requested. Attach Documents Please provide any relevant documents and two forms of identification as follows. Passport or Driving Licence Utility Bill with current address 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 letting agent and/or landlord and maybe accessed again should I default on my rental payment or apply for a new tenancy agreement in the future. I agree that the agency or their approved agent may search the files of a Credit Reference Agency and will keep a record of that search. I understand that I may request the name and address of the Credit Reference Agency to whom I may then apply for a copy of the information provided. 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 and IDS Ltd, who may supply the information to other credit companies or insurers in the quest for the responsible granting of tenancies, insurance and credit. 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 one or more tracing companies and/or debt collection agencies in order to recover any monies due or to trace my whereabouts. I understand that the information provided by me may be transferred to a country outside of the EU for the purposes only of processing this referencing application, notwithstanding such transfer, the agency will remain the Data Controller for the purposes of this application. The information provided in this form by me is information as described in Ground 17 of the Housing Act 1996 and I understand that if any information within this application is found to be untrue, it is grounds for termination of the tenancy. I also understand that any default in the payment of rent may affect any future application for tenancies, credit or insurance. I confirm and consent to the above.
