TENANT APPLICATION

Personal Information

Title:
Mr Mrs Miss Ms Dr

First name(s):

Surname:

Date of Birth: (YYYY-MM-DD)

Address:

Telephone:


Work Telephone:

Mobile:

Email:

National Insurance Number:

Alternative Address:

Alternative Telephone:

Alternative Mobile:

Alternative email:

Next of Kin:

Next of Kin Telephone:

Property Occupants

1.

Occupant Name:

Relationship to you:

Date of Birth: (YYYY-MM-DD)

2.

Occupant Name:

Relationship to you:

Date of Birth: (YYYY-MM-DD)

3.

Occupant Name:

Relationship to you:

Date of Birth: (YYYY-MM-DD)

Please give the make, model and registration of your vehicle:

Previous Addresses

Please provide full details of WHERE YOU HAVE LIVED

Residency

Living with Parents: - Yes No

Private Rent: - Yes No

Council Property: - Yes No

Mortgage Property: - Yes No

If you own your own home, please provide the address:

1.

Date of Previous Tenancy: (FROM - TO)

Name, Address and Telephone Number of Landlord:

2.

Date of Previous Tenancy: (FROM - TO)

Name, Address and Telephone Number of Landlord:

Reason for Leaving Current Tenancy:

Employment Details

Occupation:

Length of Service:

Name and Address of Employer:

Employer Telephone:

or

Length of Unemployment:

Income and Expenditure

Monthly Income:

Basic Earning:

Housing Benefits:

Child Benefit:

Child Tax and Working Tax Credits:

Disability Allowance:

Pension and Pension Credit:

Other:

Monthly Expenditure:

Rent / Mortgage:

Utility Bills:

Phone Contracts:

Hire Purchase:

Loans:

Car Costs and Insurance:

TV and Broadband:

Other:

Guarantor Information

Please provide the name, address and telephone number of a person who can be used as a guarantor should one be required:

Property Requirements

Please state the address of the property you are interested AND the area, (if you are not selected for your first). Also use this space, if there is anything further you would like to tell us, that will help us make a decision:

Declaration

I certify that the information and particulars on this form are correct and that if false information is supplied to Property Plus Wales Ltd then we have the right to cancel the application or any tenancy agreement at any time in the future.

I understand that as a private tenant, I am solely responsible for paying rent on the due date.

Do you agree with this declaration?: ... I AGREE I DISAGREE

Your Name:

Notes

1. It is important that you enclose all the items listed on page one, failure to provide any information or complete the form correctly will result in your application being
   automatically rejected.
   
   
2. A bond is payable once a property is allocated, If no bond is in place a property can be reallocated at any time.
   
   
3. In accordance with the data protection act, if you do not wish your personal details to be passed to an outside agency, then please tick the box below

Allow personal details to be passed to any outside agency: YES NO