Applicant Details:
Full Name and Title:
Current Address:
Time at Current Address:
Years
Months
Please attach proof of residency:
Proof of Residency Supplied:
Previous Address:
Time at Previous Address:
Years
Months
Previous Address (2):
Time at Previous Address (2):
Years
Months
Email Address:
Daytime Contact Number:
Mobile Contact Number:
National Insurance Number:
Date of Birth:
Gross Annual Income/Salary:
Marital Status:
Name(s) of Other Joint Applicants (if any):
Relationship of Joint Applicants to You:
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 (ie. another joint applicant, or the prospective tenant). Please provide the name, address and contact details of a suitable character reference below:
Next of Kin / Emergency Contact Details:
Please provide details of your next of kin / emergency contact:
Residency Status at Your Current Address:
Private tenant Lodger Tenant of a housing association Council tenant Living with family Owner with no mortgage Owner with a mortgage Local Authority:
Mortgage Lender's Name:
Current Landlord/Agent:
Landlord or Agent Name:
Landlord or Agent Address:
Landlord or Agent Email Address:
Landlord or Agent Contact Number:
How much rent do you pay for this property per month?
Please ensure your current landlord/agent is aware a reference request will be made as part of the referencing process.
Employment/Occupation Status
Employed Self-employed Full-time student Retired Unemployed Other Please specify details:
Employer Details:
Your Occupation:
Start Date at Present Employer:
Name of Employer:
Address:
Contact Name / Department:
Contact Email Address:
Contact Number:
Employment Contract:
Please ensure that the contact name / department is aware that we will be requesting a reference from them. The contact must be able to confirm details of your salary / income and how long you have worked at your current employers.
Self-Employed Details:
Name of Accountant:
Accountant's Address:
Accountant's Email Address:
Accountant's Contact Number:
Please ensure that your accountant is aware that we will be contacting them to require a reference and proof of your finances.
Student Information:
University or College:
Address:
Course Attending:
Graduation Year:
Bank/Building Society Details:
Bank/Building Society:
Name on Account:
Account Number:
Sort Code:
6 Months Bank Statements:
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 (please provide details)
We require proof of this income. Please attach this evidence to your application.
Proof of Additional Income
Additional Financial Information (not compulsory for guarantor applicants):
If you have any loans, please provide the 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:
Please provide details:
Tenancy Information:
Property Address:
Preferred Tenancy Start Date:
Rental Period (months):
Preferred Duration of Tenancy (months):
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:
Deposit Amount:
Provide the names, addresses of each person paying towards the deposit besides yourself and also the amount of the deposit each one is contributing:
If the details 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 statis 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 documents from List A (if you have permanent right to rent), List B (if you have temporary right to rent in the UK), or a sharecode from https://www.gov.uk/prove-right-to-rent
Right to Rent Documents:
For information on supporting documents and proving your right to rent status is available at
.
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 any personal referee named, to provide information about about me, any prior history, and 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 email address supplied by me on this form.
I authorise the McCutchion Davis Properties to make whatever enquiries, including credit check, they deem necessary in connection with this application.
Name:
Date:
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