Thank you for your interest in renting a property through us .

Please complete the pre-qualification form below and return it to us as soon as possible so that we can help you with your property search:

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Declaration

Declaration 1. *

• I confirm that the information I am providing is true and accurate and give permission for it to be verified by the Letting Agency if required.

Declaration 2. *

• I understand that this information may be accessed again should I apply to rent a future property with the Letting Agency.

Declaration 3 *

• I understand that the information on this form may be shared with the Landlord of the property, as well as third-party referencing agencies.

Declaration 4. *

• I agree and accept to receive legal documentation for this tenancy digitally via email, or online via the City and County website.

Declaration 5. *

• I understand that providing false information may lead to the Letting Agency withholding the Holding Deposit.

Declaration 6. *

• I confirm that I am in a position to proceed with the tenancy, should I be invited to make a formal application by the Letting Agency.

Personal details

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Name *

Email *

Marital Status *

Phone Number: *

Date of birth: *

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Nationality *

Your right to rent share code (if applicable)

Current Address *

Address Line 1

City

State / Province / Region

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Time at address (years, months) *

Are you currently renting? *

• Yes
• No

Do you have a confirmed end date for your current tenancy? *

• Yes
• No

Have you ever been 2 or more weeks late on a rent payment? *

• Yes
• No

Do you smoke? *

• Yes
• No

Do you have pets? *

• Yes
• No

Will any under 18s or other dependents be living with you in the property? *

• Yes
• No

Will any of your dependents be turning 18 during the initial tenancy term? *

• Yes
• No

Please provided the ages of all under 18s or dependents who will be living in the property:

Financial Details

What is your total personal annual income (£)? *

What amount of cash savings do you have and want to make us aware of (£)? *

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What are your sources of income? *

How will you be able to prove your income? *

Primary source of income

Employment

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Company name

Start date of employment

Additional Bonuses / Commission (£)

Are you in full-time or part-time employment?

• Full Time
• Part Time

Position

Annual base salary (£)

Contract Type

Do you have a fixed end date?

• Yes
• No

Self-Employment

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Company name

Additional Bonuses / Commission (£)

Start date of self-employment

Type of Self-Employment

Annual base salary (£)

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Pensions

Annual income from pensions (£)

Independent means

Annual income from independent means (£)

Student loans/scholarship

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Annual income from student loans/scholarship

Benefits

Annual income from benefits

Do you receive housing benefits? *

• Yes
• No

Credit
Do you have any of the following:

County Court Judgments or Court Decrees? *

• Yes
• No

Bankrupt in last 6 years? *

• Yes
• No

IVAs or DROs in the last 6 years? *

• Yes
• No

Credit history details? *

• Yes
• No

Offer conditions and additional information.

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Proposed move in date:

Proposed tenancy duration:

Maximum monthly Rent (£): *

Furnishing preference:

List of names who will be signing the tenancy agreement with you:

Other Requirements:

Submit