Tenancy Application

Your Name (required) *

Property Applied For *

On what date would you ideally like to move into the property?

Email Address *

Daytime Tel *

Mobile

NI Number

Passport Number

Will you be claiming Housing Benefit?
YesNo

Agreed Rent

State full names and date of birth of all proposed occupiers of the property

Occupier 1 First Name Occupier 1 Surname Occupier 1 Date of Birth

Occupier 2 First Name Occupier 2 Surname Occupier 2 Date of Birth

Occupier 3 First Name Occupier 3 Surname Occupier 3 Date of Birth

Occupier 4 First Name Occupier 4 Surname Occupier 4 Date of Birth

Is this application for single or joint tenancy?
SingleJoint

Current Address *

Postcode *

Time at current address in years and months

If less than six months please provide previous address

Previous postcode

ExistingPrevious letting agent / landlord

Landlords name and addresss

Landlords postcode

Landlords Telephone

Do you have pets?
YesNo

Present employers name and address

Employers postcode

Employers Telephone

Position

Salary (per year) £

Payroll Number

Bank Name

Does your account support direct debit payments?
YesNo
All applicants need to provide copies of their last three bank statements

Next of kin name and address

Next of kin postcode

Next of kin telephone

Guarantors name and address

Guarantors postcode

Guarantors telephone

Guarantors workplace name and address

Guarantors workplace postcode

Guarantors workplace telephone

We will use the information provided to decide your application, please note we have the right to refuse your application at any time.

Please contact me via
EmailTelephonePostSMS

All applications processed must be backed up with the following*:

• Your Passport / Driving licence
• An employer’s reference or employment contract stating your employment and position
• Your last 3 months of pay slips
• Your last 3 months of bank statements
• A previous landlord’s / letting agent’s reference (If any)

Please attach the documents you have, further information can be forwarded at a later date.

I declare the details I have provided are true.

This form collects your details above so that we can correspond with you. Check out our privacy notice for more information.

I consent to Roberts Estates storing my details submitted by via this contact form.

NOTES

In dealing with your application we may make a search at one or more licensed credit reference agency (the agencies) will keep a record of the search.

Any information submitted will be destroyed immediately in the event of an unsuccessful application. Should we be unable to communicate with you for 14 days during the application process, your information will be destroyed.