APPLICATION FORM

PROPERTY ADDRESS

HOW DO YOU KNOW ABOUT PROPERTY?

Local Paper / Office / Website (Which One?)

Personal Details

1^ST APPLICANT		2^ND APPLICANT
Title	Mr / Mrs / Ms / Other		Mr / Mrs / Ms / Other
Full Name		Full Name
Current Address	Postcode	Current Address	Postcode
Date of Birth	/ /19	Date of Birth	/ /19
Age		Age
Tel No.		Tel No.

Previous Address

(If under 1 years at current Add)

Previous Address

(If under 1 years at current Add)

Children Details

Ages & Sex

M / F Age:

M / F Age:

M / F Age:

Current Landlord Details

Current Landlord

Telephone No.

Are you in Arrears or been in arrears in the last 6 months?

Reason For Moving

Employment

1st Applicants Employer, Address &	Start Date
Telephone Number
2^nd Applicants Employer, Address &	Start Date
Telephone Number

Housing Benefit

Are you in receipt of Housing Benefits?

Guarantor Information (Must own their own house and be prepared to sign the contract)

Full Name	Telephone No.
Address & Postcode

DECLARATION/FORM OF CONSENT (DATA PROTECTION AUTHORISATION)

I/We, the above mentioned applicants hereby instruct and authorise my current/former landlord/agent of _______________________________________ to release to ESTATES UK LTD any information in connection with my tenancy with them, including information on any arrears or antisocial behavior.

Any further understand that ESTATES UK LTD will carry out credit checks on me/us.

1^st Signature

2^nd Signature

OFFICE USE ONLY