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Title*

First Tenants Full Name (required)*

Date of Birth:(required)*

AGE*

National Insurance Number (required)*

Nationality (required)*

Please enter your nationality.

Right To Rent (required)*

British Citizenship

Eu National

Visa Holder (with full right to stay in uk)

Please tick to confirm your right to rent in the UK, By choosing the appropriate box above.

Smoker*

Yes

First Tenant Email (required)*

Second Tenants Full Name (if applicable)

Second Tenants Date of Birth (if applicable)

Second tenants age

National Insurance Number *Required If Joint Application*

If a joint application is being sought, the second tenants national insurance number is required to process application.

Nationality

Please enter your nationality.

Right To Rent

British Citizenship

Eu National

Visa Holder (with full right to stay in uk)

Please tick to confirm your right to rent in the UK, By choosing the appropriate box above.

Smoker

Yes

Second Tenant Email (required)

Second Tenants Title

Relationship To First Tenant

Please state your relationship to the tenant applying, wife/husband, partner, mother etc.

Current Address*

Street Address Address Line 2 ZIP / Postal Code Country

Your Contact Number(required)*

Time At Current Address Years and Months (required)*

Reason For Move(required)*

Current Landlords Name(required)*

Current Landlords Contact Details, including address if possible (required)*

Current Landlords Email Address (required)*

How do you hold your current tenancy ?(required)*

private rent

council tenant

universal credit

Living With Parents

as a lodger

as a property owner

as a housing association

Permission to contact landlord (Required)*

yes

Benefits you are in receipt of ?(required)*

Housing Benefit

Unemployment Benefit

Pension (retirement)

Universal Credit

Income Support

Sickness

Disability Allowance

NO BENEFITS

Please tick all that apply.

If you have ticked yes to above, does your entitlement cover the full rent on the property being applied for.

Full Amount

Part

If answered part to above, please state how you will fund the top-up.

Property Applied For*

Please indicate which property you have applied for, only brief address needed. If not known please call the office 01253 291816

Property Type (required)*

Please state the type of property you are applying for, this will help us recommend others if this application is not successful.

Have you viewed or someone viewed this property on your behalf*

Please let us know if you have already viewed the property you are applying for.

Number of Adults (required)*

Number of Children (if applicable)

Ages of Children (if applicable)

Pets (if applicable)

yes

Details of your pets (if applicable)Dogs? please state breed

Rent Guarantor available (required)*

yes

Is the Guarantor a Homeowner

Yes

Deposit Bond Available ? (required)*

yes

Please see advert for details of amount of bond required.

Please confirm that you have holding deposit*

Yes

If this application is accepted, you will be required to pay a holding deposit equivalent to 1 weeks rent, so we can take property off the market and carry out referencing. If you are not successful this will be refunded, but if you pull out of the let before tenancy commences, or any of the information supplied proves incorrect or untrue the holding deposit will not be refunded. The holding deposit will be deducted from the rent in advance or bond payable when tenancy agreement is signed.

Amount of Bond Available (required)*

Please see advert for details of amount of bond required.

Rent in Advance (required)*

yes

Amount of Rent you can pay in Advance (required)*

Date you would like tenancy to start?

Insert a date of when you would like the tenancy to start if your application is sucsessful.

Landlords Reference Available (required)*

yes

Personal Reference Available (required)*

yes

Has any prospective tenant any Credit Issues (required)*

yes

If yes to above please tick below

Defaults

CCJ

IVA

OTHER Please explain In box below

Please use below to explain previous credit history problems.

Employment Status 1st Tenant (required)

Job Title

Employment Status 2nd Tenant (required)

Job Title

Time At Current Employment And Full Name and Address of Employer including contact number (if stated employed/self employed above)

Weekly Income (required)*

Is Your Work Seasonal? (Required)*

Yes

Please supply us with a form of photo ID, a picture or scan of passport, driving licence full or provisional or approved id card, this is required under the right to rent act. For acceptable id see here: https://www.gov.uk/government/publications/right-to-rent-document-checks-a-user-guide

Max. file size: 100 MB.

2nd Tenant Id

Max. file size: 100 MB.

If there is a second tenant please upload id here

Additional Evidence

Drop files here or

Max. file size: 100 MB.

Please upload evidence required Ie payslips, bank statements etc here. If unsure please call the office to ask what is required.

Have you or joint tenant, any known medical conditions

Please enter any medical conditions, this helps us assess your suitability for the property applied for, and will assist us if you do become a tenant to give you priority on issues that may arise during your tenancy that may effect your health.

Next Of Kin Name Address And Phone Number

Please provide us with as much detail as possible the contact details for your next of kin.

How did you find CPM?

Signed*

Date*

Enter date of form being filled out