LOCAL LETTINGS AND ESTATES

Midland House, 77 Huddersfield Road, Mirfield, WF14 8BL Tel: 01924 501333 Fax: 01924 501166

TO BE COMPLETED BY AGENT/TENANT
Applicants FULL Name:

Rental Address: Postcode Total rent: Total rent per Applicant: Proposed Tenancy Commencement Date: Length of Tenancy: per calendar month per calendar month

Years

Months

TO BE COMPLETED BY GUARANTOR
Title: Marital Status: First name(s): Maiden Name: Home Telephone No: Email Address: Current Address: Mr Mrs Ms Other Other
(please specify)

Married / Single / Divorced / Separated / Widowed

(please specify)

Surname: D.O.B. Mobile:

Status at current address:

Tenant (private) Tenant (council)

Owner

Time at address:
Years Months

Living with friends/family

Previous address:
(If less than 3 years at current address):

Status at previous address:

Tenant (private) Tenant (council)

Owner

Time at address:
Years Months

Living with friends/family

Please provide previous addresses and dates of residency for the last 3 years
(please attach a separate sheet if required)

YOUR EMPLOYMENT DURING THIS TENANCY

(Please notify your employer/accountant contact that enquiries will be made to verify this information)

Employed Status: Full time Job Title: Employers/Accountants name and address: National Insurance No: Email contact for employer reference: Telephone Number for employer reference: Contact name and position: Time in job: Years

Self-employed Part time

Not employed Casual

Retired Temporary

Payroll No: Fax number for employer reference: Your work telephone number: Gross monthly salary:

Months

If less than 3 years, please supply previous employer details, including commencement and leaving dates. (Please attach a separate sheet if required).
Are you aware of any matters that may cause your employment to change in the near future ? (If YES, please give details on a separate sheet)

Yes

No

If self-employed, please provide 3 years of accounts

PAST EMPLOYMENT DETAILS

Position held: Employers/Accountants name and address: Start Date: Contact Name: Telephone Number for employer reference: Email for employer reference: Leaving Date: And their position: Your work telephone number: Gross monthly salary:

DO YOU HAVE ANY ADDITIONAL SOURCE OF INCOME? - Proof must be provided

Pension: Other: Yes Investment Income: Please specify: No

Are you to guarantee the rent through your own means:

If NO, how: Are you a vehicle owner: Vehicle Registration No: Yes No

Drivers Licence No:

FINANCIAL HISTORY
Are you aware of any previous CCJs/Bankruptcy? If YES, please give details below: YES NO

BANK/BUILDING SOCIETY DETAILS (CURRENT ACCOUNT ONLY)

Name and address of bank:

Branch sort code: Account number: Account name:

Do you have a Credit Card?

Yes

No

If YES, for how long?

Please provide details of previous bank/building society of current one is for less than 3 years

PREVIOUS BANK DETAILS (IF WITH CURRENT ONE FOR LESS THAN 3 YEARS)
Name and address of bank:

Branch sort code: Account number: Account name:

SUBMISSION REQUIREMENTS
In order to process your reference efficiently we require the following: If employed: If self-employed: Letter from employer (HR Department/Payroll Section) confirming your employment Your two most recent pay slips if paid monthly (four if paid weekly)

Your last 3 years accounts OR Accountants/Auditors details

IN ALL CASES If not on the electoral roll please provide

proof of address for the past 3 years (i.e., utility bill/phone bill/ bank statement) Copy of driving licence/passport

I hereby authorise Local Lettings and Estates to make any enquiries considered necessary to substantiate information supplied on this application. I authorise Local Lettings and Estates to disclose any information about me and my account to any credit reference agency and/or any other tenancy database who may retain a record of such a search. This information is used to help me make credit, insurance, rental and property decisions and occasionally for fraud prevention or debtor tracing. I give my permission to take up all necessary references and that these may be shown to a Landlord and/or their lender. I confirm that the information supplied is, to the best of my knowledge and belief, true.
Signature of Guarantor Date

We regret that no explanation will be given should we be unable to accept you as a guarantor