Online Rental Application Form

Section 1: Property Details

Property address applying for

Postcode applying for

Length of lease

Preferred move in date

Section 2: Tenant Personal Details

Title

First name

Middle name(s)

Last name

Date of birth

Marital status

NI number

Telephone

Email address

Do you or any intended occupiers smoke?

Do you have any pets?

Please provide information on type of pets

Section 3: Address History

Current address

Current postcode

How long have you lived at this address?

Address Status

Landlord / Letting agency (if applicable)

Contact name

Contact number

Why are you leaving this property?

Section 4: Tenant Credit Information

Do you have any undischarged bankruptcy?

If yes please specify

Have you previously rented a property?

Have you ever been in arrears with your rent payment?

If yes, how much?

Have you ever been named on a mortgage?

Have you ever been in arrear with your mortgage payments?

If yes, how much?

Section 5: Employment Information

Employment Status

Your position

Name of company

Employer address

Contact name

Contact number

Contact email

Contact position

Annual salary

Is your position going to change in the near future?

If yes, please provide details

Please give details of any extra income

Section 6a: Self Employment, Director, Independent Means, Retired

Please fill out the below sections applicable to you.

Self-Employment

Start date

Annual income

Can an accountant verify income?

Independent Means

Have you got proof of income?

Can an accountant verify income?

Retired

Have you got proof of income?

Pension provider

Pension number

Pension amount

Section 6b: Benefit Entitlement

Please provide details of all benefits currently received.

Section 7: Other Occupants

Please list all potential occupants below:

Occupant 1

Occupant 1 name

Occupant 1 dob

Relationship to occupant 1

Occupant 2

Occupant 2 name

Occupant 2 dob

Relationship to occupant 2

Occupant 3

Occupant 3 name

Occupant 3 dob

Relationship to occupant 3

Occupant 4

Occupant 4 name

Occupant 4 dob

Relationship to occupant 4

Occupant 5

Occupant 5 name

Occupant 5 dob

Relationship to occupant 5

Occupant 6

Occupant 5 name

Occupant 5 dob

Relationship to occupant 5

Section 8: Emergency Contact

Emergency contact must live in NI and not cohabit with applicant.

Emergency Name

Emergency Number

Emergency Email

Emergency Address

Section 9: Character Reference

Please provide details of your character reference. This person should be a professional and should not be a relative or employer.

Reference Name

Reference Number

Reference Address

Section 10: Declaration and Consent

I confirm that the information supplied, to the best of my knowledge and belief is true. I consent to this information being verified by contact the third parties on this form. I understand that the results of the findings will be forwarded to R A Noble Auctioneer and Estate Agents and their client and may be accessed again in the future.

I understand that in the event of any default by me of the covenants in my tenancy agreement, the information contained herein may be disclosed to tracing companies and / or debt collection agencies in order to recover any monies due or to trace my whereabouts.

The information provided in this form by me is information as described in G round 17 of the Housing Act 1966 and I understand that if any information within this application is found to be untrue, it is grounds for termination of the tenancy.

General Data Protection Regulations

By providing us with the above information you consent to us obtaining, holding and using personal data about you in connection with the business of letting and renting out of residential properties as specified for as long as may be reasonably required for our legitimate purpose. We will use that information for communicating with you. We may also provide that information to third parties with a legitimate reason to receive it in connection with your dealings with us (e.g. landlords, utility and service providers etc.) or to such third parties required by you or the law. Our privacy policy can be found on our website.

Files & Media

Depending on your circumstances, please upload the following:

Copy of photographic ID
Address verification document ( i.e. utility bill )
Copy of your Benefit Decision Notice
Accountant verification
Copy of payslip
Copy of National Insurance Number, or Proof of NI Number
Housing Benefit letter stating monthly / weekly rent allowance
Employer reference confirming length of employment, title, salary and whether permanent or temporary basis

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Tenancy Application Form

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