Guarantor Application Form
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1 Chancery House, 3 Hatchlands Road, Redhill, Surrey, RH1 6AA Tel: Fax: info@blincref.com Guarantor Application Form To avoid any delays in the referencing process please ensure relevant fields are filled in carefully in BLOCK CAPITALS. Letting Agent and Landlord Information (to be completed by the Letting Agent/Landlord) Agent name Agent number Property ref Agent contact name Service required* 24 hours 48 hours Photo ID copy taken and retained by agent If yes please specify Legal Expenses & Rent Guarantee Insurance If yes please specify 6 months 12 months With Excess Without Excess Signed by negotiator Date Print name *24 hour service will require forms by 12pm Mon-Fri, 48 hour service will be required by 3.30pm Mon-Fri. Both services will require all fields to be completed correctly and referees to confirm details promptly 1 Property Information Property address Proposed tenancy start date Length of tenancy months Rental amount PCM Total. of joint applicants. of permitted occupants Applicants share of rental PCM 2 Personal Information Title First name Middle s Surname Date of birth National Insurance number Nationality Marital status of dependants Are any dependants over 18 Are you known or have you ever been known by any other names or aliases? If please state:
2 3 Right to rent/id Verfication To ensure there are no delays with the referencing process please fill out the appropriate ID sections required as per the following guidelines: British Citizens Passport section OR if you do not hold a passport please tick the I am a British citizen but do not hold a passport. EEA Citizens Passport section OR ID Card Section. n EEA Citizens Passport section AND ID Card/Resident Permit section or Travel Visa section. If you are not currently holding any of these documents as they are with the home office please fill out your home office reference number in the section provided. Passport Verify the MRZ code on both UK and international passports UK GBR F International SGP M ID Card/Resident Permit Verify the MRZ code on European Union ID Cards, UK National Identity Cards and UK Residence Permits. Please enter the first two lines of the MRZ (Machine Readable Zone) on the reverse of the card: IR GBR M FRA 6 Travel Visa If you require a travel visa/work permit please fill out the following section to verify the MRZ code on UK and European Visas (printed within passports) or UK Entry Clearance documents. Please enter the first 5 characters of the top line of all the lower line of the MRZ (Machine Readable Zone): VC GBR GBR M Office Reference Number I am a British Citizen and do not hold a passport 4 Bank Details Please provide details of your current account in order to verify your ID and, where required verify your address. This information will be held in accordance with the data protection act. Sort code* Account no.* Is your bank account registered to your current address?* If no please complete the below information: * City*
3 5 Current Details Current address Date of Move In If the period at your current address is less than 3 years please continue to section 6. If not please proceed to section 7. 6 Previous Details - Please provide details for the last 3 years (use separate sheet if required) Previous 1 Period at address Start End Previous 2 Period at address Start End
4 7 Current Employment Details Permanent Contract Temporary Self employed (if self employed please provide details of accountant or proof of earnings in the form of your last filed Tax Return or SA302.) of employer (or accountant) Contact name* Contact position held Landline phone number Fax number Position held by you Start Date Current gross salary/hourly rate and hours contracted Please provide details of any additional income (eg. pension, tax credits, benefits etc) *Please ensure that contact name can confirm your employment and salary details and are aware that we will be contacting them. If you are due to start a new employment or have a 2 nd employment please continue to section 8. If not please proceed to section 9. 8 Future/Additional Employment Details (use separate sheet if required) Permanent Contract Temporary Self employed of Employer (or accountant) Contact name* Contact position held Landline phone number Fax number Position held by you Length of employment years months Current gross salary/hourly rate and hours contracted *Please ensure that contact name can confirm your employment and salary details and are aware that we will be contacting them.
5 9 Next of Kin Please note this cannot be one of the occupants of the proposed tenancy. Relationship 10 Credit History Have you ever had any adverse credit history, whether settled or not? s of adverse credit history are: CCJ S/bankruptcies/court decrees/iva s 11 Declaration I confirm that all of the information I have provided in this application form is accurate, and to the best of my knowledge true. I consent to all of the information provided being checked and confirmed by fair and lawful means, I understand this will involve Blinc referencing contacting the referees supplied. I agree that Blinc referencing will use the information I provide on this application form and any information acquired from relevant sources to process my application for tenancy. I understand that the results of their findings will be forwarded to the instructing letting agent and/or landlord and that this information may be accessed again in the future should I default on my rental payments, apply for a new tenancy or if there is a complaint or legal challenge with significance to this process. I understand that Blinc referencing will use the services of a credit referencing agency for the purposes of Tenant vetting, identity and anti-money laundering. I understand they will check the details held with this company, and that they will in turn keep a record of that search. I understand that the information I am providing in this application form is information as described in ground 17 of the Housing Act 1996, and if any information is found to be untrue then this will be grounds for termination of the tenancy. Blinc referencing may also use or forward information to certain third parties to prevent or detect crime, such as fraud, or in other circumstances as permitted by law. All information with be treated as confidential. I hereby give authorisation for my EMPLOYER/ACCOUNTANT/PENSION ADMINISTRATOR to provide details of my earnings and dates of employment to Blinc Tenant Referencing for the benefit of completing this application. It is an offense to misrepresent any information provided in this form. By signing this form you confirm you are in agreement to the above terms and conditions and the processing of sensitive personal information by Blinc referencing. We process and hold all information in accordance with the Data Protection Act Signed Date Print name Blinc Tenant Referencing is a trading name of Blinc-UK Ltd Tel: Fax: info@blincref.com Registered address: Chancery House, 3 Hatchlands Road, Redhill, Surrey RH1 6AA Registration number:
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