INDIVIDUAL TENANCY APPLICATION FORM
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1 1. Property Details Property Applying For Total Rent For This Property per Month Tenancy Term Years Months Preferred Commencement Date Proposed Additional Residents Names, es and Occupations (Use an additional sheet of paper if necessary) 2. Applicant Details Mr. Mrs. Ms. Dr. Prof. Revd. Forename Surname Middle Name(s) Any Previous Name(s) in full Current Address Tel Home Mob Work Time Spent at This Address yrs mths Address Page 1 of 8
2 3. Proof of Identification Required Applicants must supply their National Insurance Number, Driver s Licence or Passport number and a recent and clear photograph. Date of Birth Passport Number National Insurance Number Driver s License Number 4. Status of Proposed Occupier (Tick all options that apply) Single Living with Partner Living with Relatives Married Divorced Widowed House Owner Council Tenant Lodger Living with Friends Additional Details Smoker Pets Court Decree CCJs Bankruptcy Evictions Criminal Convictions Number of Dependants If you ticked any of the above boxes in the Additional Details section please provide details below. Page 2 of 8
3 5. Address History Applicants are required to provide full addresses for the last three years, including postcodes, dates, and any reason for moving, Please attach an additional sheet if necessary. Current Tenancy Details Currently Renting Through (Please tick) N/A (Living in a property I own, or with relatives or friends) Private Landlord Current Address Letting Agency Landlord / Agent Name Telephone Rental Amount /pw /pcm Previous Tenancy Details (In the event that you have not resided at the above address for 3 years or longer). Previously Rented Through (Please tick) N/A (Living in a property I own, or with relatives or friends) Private Landlord Previous Address Letting Agency Landlord / Agent Name Telephone Rental Amount /pw /pcm Page 3 of 8
4 6. Present Occupation Employed Self-Employed On Contract Retired Un-Employed Employer Student Independent Means Line Manager, HR or other Contact Employers Phone No. Employers Fax No. Employers Date Employment Started Your Work Do you plan to change your employment in the near future? Position Held/Job Title Is your Employment Permanent? Is your job Full-time or Part-time? Basic Salary Commission Details 7. Previous Occupation (if less than 3 years) Employed Self-Employed On Contract Retired Un-Employed Employer Student Independent Means Line Manager, HR or Other Contact Page 4 of 8
5 7. Previous Occupation (if less than 3 years) - continued Employers Phone No. Employers Fax No. Employers Date Employment Started Your Work Date Employment Ended 8. Accountant Details Do You Have An Accountant? YES NO Accountants Name Contact Name Address Fax Number Daytime Phone Number Mobile Number Additional Information Page 5 of 8
6 9. Bank Details Bank/Society Name Bank/Society Your Account Name Sort Code Account Number How Many Years Have You Banked With Your Bank? Do You Have a Cheque Guarantee Card? How Many Credit Cards Do You Have? 10. Vehicle(s) (to be kept at the property including cycles, motor cycles and caravans) Make Model Reg No: 11. Security Guarantor / Referee (Where Applicable) Must be a UK resident Full Name Occupation Home Tel No. Mob Address Page 6 of 8
7 12. Next of Kin / Emergency Contact (Not spouse or live-in partner) Must be a UK resident Full Name Occupation Home Tel No. Mob Address Page 7 of 8
8 13. Declaration I believe the information provided here to be true and authorise the landlord and/or agent to: Carry out credit searches and reference checks and to contact employers, banks, referees, guarantors and credit reference agencies. Use the information obtained with third parties to assess credit ratings for fraud prevention and tracing / debt collection. Handle all information obtained in strictest confidence and in accordance with the principles of the Data Protection Act 1988 I understand that I can request the details of any credit reference agencies used so that I can verify with them the information provided. I understand that if I default on my tenancy obligations, this information may be released to authorised debt recovery agencies and could affect any future applications I make for tenancies, credit and insurance. I hereby give my authority to Case McNair to request any information from my employer that may be relevant to confirming my eligibility for tenancy of the above property. This must include information concerning salary details, confirmation of the start of employment and contract length. Completing this form does not commit the prospective tenant or landlord to a tenancy. A shared or single tenancy will not be created until all applicants have been qualified and have signed the tenancy agreement. I understand that on completion of this form I will owe Case McNair Estate Agents a fee of 180 inclusive of Vat. In the event the results of the searches conclude that my application is deemed unsuitable I understand that this fee is non-refundable. I give my consent that correspondence and information obtained can be shared with other relevant parties, such as the Landlord. I can confirm that I have read the above and have raised any concerns with the landlord or agent. Prospective tenants should be aware that any false statement made could result in early termination of the tenancy under ground 17 of the Housing Act Applicant Signature Name of Applicant Signature of Applicant Date PLEASE NOTE THAT CASE MCNAIR ESTATE AGENTS WILL NOT BE ABLE TO PROCEED WITH THIS APPLICATION IF THE FORM IS NOT SIGNED BY THE APPLICANT. Page 8 of 8
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More informationLast Name First Name Middle. Address Number & Street City State Zip Code. Date of Birth Applicant Co-applicant / / / / Month Day Year Month Day Year
PARKVIEW APARTMENTS HOUSING APPLICATION Mr. Ms. Miss Date: Mrs. Mr. & Mrs. Last Name First Name Middle Address Number & Street City State Zip Code ( ) ( ) Home Phone Number Alternate Contact Number How
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1. 2. 3. 4. 5. 6. 7. 8. 9. Application Fee (nonrefundable). You have delivered to our representative an application fee in the amount indicated below. This fee was paid by method of. This payment partially
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