Lettings Viewer Insight Form

1. PROPERTY
Property Address:

2. PERSONAL DETAILS
Name : Date of Birth :

Will anyone else be paying a share of the rent? If so please list their name(s) here, if not simply state 'No'

Gross Monthly Salary £ : Gross Monthly Benefits : Other Monthly Income : Marital Status :

Mobile Tel Number : Email Address :

Nationality : NI Number: (or overseas equivalent)

Current Address incl post code :

Reason for leaving:

Previous Address incl post code: (if less than 3 years at current)

Time at Current Address : Status at Current Address: (please tick one)

years months owner tenant living with family living with friend

3. OTHER OCCUPIERS
Children / Dependents living at property:
Number of: Please list ages of each :

Is it your intention to have pets at the property? Yes No Are any of the occupants smokers? Yes No

5. OTHER INFORMATION

Signature
Your Insight Form will be processed by HomeLink on behalf of the landlord. HomeLink is the data controller as definaed in the Datas Protection Act 1998.
If you proceed with the property a full application will be required. Any information provided may be passed to the Landlord.