1. Property & Rental Details F: , E: Address:

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1 Tenancy Application Form Belvoir Lettings West Derby Liverpool 54 Mill Ln, West Derby, Liverpool, L12 7JB, T: Property & Rental Details F: , E: Total rent per month: Start date: 2. Application Details Title (please circle): Mr Miss Mrs Ms Dr Other First Name: Middle Name: Surname: Date of Birth: National Insurance No.: Passport No.: Sex (please circle): M F No. of Dependants: Marital Status (please circle): Single Married Divorced Separated Widow(er) Any Previous Surnames: Home tel no.: Work tel no.: Mobile tel no.: 3. Affordability Details Gross annual income: Any additional income? If yes please provide below Y N Amount of additional income per annum? Please provide details of any additional income: 4. Employer Details Is your employment likely to change shortly? Y N If yes please provide details of your future employer Job Title: Employers company name: Contact name: Start date of employment: Contact job title: Payroll Number: Work tel no.: Work fax no.: 5. Accountants Details (if self-employed) Do you have an accountant? Y N If No please provide 6 months bank statements showing proof of income Accountants Name: Tel no.:

2 6. Pension Providers Details (if retired or semi retired) Do you have proof of pension? Y N If yes please provide your annual statement of pension Pension providers name: Contact name: Pension reference no.: Tel. no.: Address 7. Current & Previous Addresses. Please supply addresses to cover your last three years of residency Current Previous 2nd Previous 8. Landlord details or Previous landlord details Landlord / Agent name: Tel. no.: Mobile no.: 9. Additional Information (please circle) Will any of the Tenants have pets? Y N Will any of the Tenants smoke? Y N Will there be any children living at the property? Y N Do you have a individual voluntary agreement? Y N Do you have or had any county court judgements? Y N Have you ever been declared bankrupt? Y N Have you ever been evicted from a property? Y N Will the deposit be paid by anyone other than yourself? Y N Can we pass on your details to Virgin media? Y N If yes to any of these, please give full details below

3 10. Next of kin / Emergency contact (not spouse or partner) Full name: Relation: Home tel. no.: Mobile tel. no.: 11. Bank Details Name of bank: Account no.: Sort code: Account name: Time with bank: Cheque guarantee card held Y N 12. Extra Information Where did you hear about the property that you are applying for: 13. Post Tenancy Details (alternative contact address to be supplied for the deposit scheme) Are you happy to use your next of kin's address (if no, then enter address below) Y N Administration Fees 1. The administration fee is plus VAT. This total is The administration fee for any additional applicant or a guarantor is plus VAT. This total is Part or all may be non-refundable. 2. Please note that the referencing procedure will not begin until the administration fee is paid in full. 3. The move out fee is plus VAT. This total is This will be deducted from your deposit. 4. Our VAT Registration number is VAT will be calculated at 20% Deposit 1. The deposit will be registered within one of three Government Deposit Schemes. 2. Your deposit will be equal to one month rent. 3. Once your reference have started then we may require a holding payment of , which will be deducted from your first months rent. when you move in, if you decide not to move into the property, then you will lose your holding payment. Inventory 1. The signed Statement of Condition/Inventory must be returned to the office within 3 days of you signing the tenancy agreement. If is it not returned, it will be taken you agree with the condition as stated. Withdrawal 1. Should you withdraw your application for any reason at any time once the referencing procedure has begun, some or all of your holding payment and including VAT will be retained to cover Belvoir administration costs. Any other costs incurred by the Landlord on your behalf will be deducted from the remainder of any extra payments taken. Rental Payments 1. One the first day of your Tenancy, all appropriate paperwork will be explained to you and signed on Belvoir premises. Prior to the keys being handed over by Belvoir, the first months rent and the remainder of the deposit must be paid. This will only be accepted as cleared funds. 2. Future rental payments must be made via standing order and the appropriate standing order mandate must be completed on the 1st day of your Tenancy. 3. Standing orders will be set so that rents leave your account 1 day prior to your rent date. This is due to an average 1 day clearance period from the monies leaving your account and reaching ours and will ensure that rent is cleared on the due date. 4. Please note that only one standing order per property will be accepted. If you are sharing the property, you should nominate one person to pay the rent or set up a joint account. This should be organised ready for your moving in date. Insurance 1. Tenants must show adequate insurance to protect Landlords contents against Tenant negligence and malicious damage. Arrears and Penalty Charges 1. Should rent be late, an arrears letter will be sent to you. Arrears letters carry a penalty charge of plus VAT per letter (this totals 20.00) and the charge must be cleared immediately upon receipt of a letter. If the charge is unpaid by the end of the tenancy, it will be deducted from your deposit per day will be charged for the 1st seven days that the rent is overdue. After the 1st seven days, overdue rental payments will be subject to interest at the rate of 6% per annum calculated from the date the payment was due up until the date payment is received. Renewals and Fees 1. Should you extend your tenancy on a fixed terms or periodic basis, then a renewal fee of plus VAT will be charged. This totals All tenancies maybe subject to an annual rental increase.

4 Refund of Deposit 1. Arrears, interest on arrears, arrears penalty charges and other fees not paid will be deducted from the deposit should they not be settled prior to vacation of the property. 2. In the case of Tenants sharing a property, the deposit will be returned to the account or person nominated to pay the rent. Any internal disputes should be settled privately. 3. Should there be a dispute between Tenant and Landlord which can not be settled amicably, the Belvoir will act as arbitrator. Other Fees 1. A fee of plus VAT will be charged for any re-scheduled inspection appointments, due to us being unable to gain access as arranged or due to a second appointment to inspect recommended improvements to bring the property to a satisfactory standard have been acted upon. This totals and becomes due when Belvoir attend the property. 2. A fee of plus VAT will be charged for any call out to the property made by Belvoir upon your specific request. This totals and becomes due when Belvoir attend the property. This fee will not apply if the call out is specifically related to a genuine maintenance/repair issue. 3. A fee of plus VAT will be charged for any re-scheduled contractors appointments, due to them being unable to gain access as arranged. This totals becomes due when you receive an invoice. 4. All rental payments made with cash will incur an adminstration fee of plus VAT. This totals All rental payments made with a debit card will incur an adminstration fee of plus VAT. This totals 15. Payments made with a credit card will incur an additional 2.5% plus vat charge. This totals 3% of the total amount paid on the card. 6. A fee of 300 plus VAT will become payable should wish to terminate your tenancy agreement and vacate the property early (subject to permission from your Landlord/Belvoir). This will cover the extra administration and costs incurred by Belvoir. This totals 360. You must be aware you will be liable to pay monthly rent until your agreement is superseded with a new tenancy. 7. Please be aware it will be in breach of your tenancy and a chargeable item against your deposit of 100 per meter if you allow a utility provider to install a pre-payment meter of any kind whilst you are a Tenant. Other Information 1. Cheques should be made payable to Belvoir. However, ALL initial funds (fees, deposit and rent) must be cleared on or before the move in day. 2. All properties are offered subject to their not being sold, let or withdrawn by the owner. 3. Some applicants will need a Guarantor (i.e. students, low income). Belvoir will advise you if you need to have a Guarantor. 4. Belvoir would always advise that you seek legal advice before you sign a tenancy agreement. Belvoir would be happy to supply you with a draft copy of the agreementwhen you receive all completed references forms, fees and deposit. 5. The cost of any work authorised by you or someone acting on your behalf without written consent from Belvoir or the Landlord will not be reimbursed. 6. All or part Belvoir fees/charges are NON REFUNDABLE. DECLARATION I confirm that the information supplied is to the best of my knowledge and belief to be true. I consent to this information being verified by contacting the third parties on 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 Belvoir may search the files of a Credit Referencing Agency and also IDS Ltd (The Insurance Industry s Data Collection Agency) who will keep a record of that search. I understand that I may obtain copies of my own credit records by way of an application to the Credit Referencing Agency and that Belvoir will supply me with the name and address of the Credit Referencing Agency if asked. I give my consent to the information being used by credit card companies, credit reference companies, tracing companies, debt collecting agents, existing/previous landlords, letting agents, employers, accountants and any other party that may assist in the event of any default by me in the covenants in my tenancy agreement. I understand that the letting agent will use the information provided to make a decision about my application. This can mean that if any information is found to be untrue the application can be declined and I may lose all or part of my application fee. The information provided in this form by me is information as described in Ground 17 of the Housing Act 1966 and I understand that if any of the information within this application is found to be untrue it is grounds for termination of the tenancy. I understand that in the event of my defaulting on the rental payment, that any such default may be recorded with the credit Referencing Agent 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. I understand and give my consent that in the event of any default by me in the covenants in my tenancy agreement with my landlord; the information contained herein may be disclosed to credit card companies, credit reference companies, tracing companies, debt collecting agencies, existing/previous landlords, letting agents, employers, accountants and any other party that may assist in the recoveries of any monies due or to trace my whereabouts. I understand that the information provided by me may be transferred to a country outside the EU for the purposes only of processing this reference application, notwithstanding such transfer, Belvoir will remain the Data Controller for this purpose of this application. The details supplied here will be kept secure and confidential in accordance with the UK Data Protection Act. Please take this as our general consent to divulge relevant information to third parties with regard to this application. Please take this as our specific authority to discuss with the Housing Benefit Department any relevant information including how much is due and when it is due, and any outstanding discuss information still required by the Housing Benefit Department. I agree to my details being passed to Endsleigh Insurance Ltd and will accept their contact in relation to providing a quotation for Tenants Contents Insurance unless I have ticked the box at the end of this application advising that I am not interested. Please ensure that this application is returned to Belvoir Lettings within 4 days of the viewing. Failure to do so may result in the property being re-advertised and also may result in some of the application fee paid being forfeited. The details you provide will be held by Belvoir Lettings and may be used to keep you updated on products and services supplied by us and other organisations which we believe will be of interest to you. If you prefer not to receive this information please tick this box { } Signed: Date:

5 Please find enclosed a list of suitable proofs of address and photo ID: Proof of Identity: This is established by the provision of one of the documents in the list below. If the document you are using as proof does not include a photo - which is essential then a separate passport style photo must be provided and countersigned by a suitable person. The list of suitable persons is the same as used when applying for a passport and can be found at: Full or Provisional new style driving licence Current signed Passport European Economic Association (EEA) ID Card Resident permit issued to EEA applicant by Home Office Firearms/shotgun certificate State Pension or Benefits Book/Notification letter Sub Contractors Tax Certificate Inland Revenue tax notification letter Credit Card statement Criminal Records Bureau Certificate Police Warrant Card Forces ID Card Birth certificates are not an acceptable form of identification. Proof of An applicant must provide 2 forms of Proof of Address, other than evidence being used as ID. Both forms of Proof of Address must be dated within 3 months from date of application. However if you are using an annual bill as proof this must be dated within 12 months of the application The items below are acceptable: Utility Bill. (Not Mobile phone bill) Full or Provisional new style driving licence Letter from employer, on headed paper, confirming applicant s home address Bank/Building Society Statement. Most recent mortgage statement Current Local Authority Tax bill Local authority rent card or tenancy agreement House or motor insurance certificate State pension or Benefit notification letter Credit Card Statement Criminal Records Bureau Certificate Payslip TV Licence Student Loan Award Letter Sky Bill

TENANCY APPLICATION FORM

TENANCY APPLICATION FORM Anyone over the age of 18 that will be living in the property is required to fill out an application form. We charge a non refundable admin fee of 150 for the first applicant and