Bullock & Company
Property Management and Lettings

The Lettings Office
North Rode
Congleton
Cheshire
CW12 2PH

tel. (01260) 223773 ext. 2
email. lettings@bullocksproperty.co.uk

TO BE COMPLETED BY THE LETTING AGENT
Credit Check only   Financial Profile   Full Reference      
Premier Xpress   Premier   Premier Plus      
For a Credit Check ONLY complete boxes, 1, 2 and 3
 
Address of Property to be Let
Address          
      Post Code    
Total rent for this property per month Total rent for this applicant per month
Is this property shared Yes No Is this a student property Yes No
If yes, number of sharers in the property (if 'Yes' use Student Guarantee Application)
Tenancy Term   Years   Months Tenancy Start Date    

 

1. TO BE COMPLETED BY THE PROSPECTIVE TENANT
Title First Names Surname Date of Birth
       

 

2. CURRENT ADDRESS OF THE PROSPECTIVE TENANT
Address  
  Post Code  

Period at Address
   Years   Months Tel. No: (inc. code)  
Email
   Mobile  
Owner
   Council Tenant   Private Tenant   Living with Parents / Relatives  
Have you any County Court Judgements, Court Decree, Bankruptcy or Administration Orders   Yes   No "Very important to tell the truth."
(If Yes, please detail on a separate sheet)  

 

3. PREVIOUS ADDRESS(ES) Where have you been living during the last 3 years?
Please provide previous address(es) and dates of residency, (over 3 months), using separate sheet if necessary
Address (2)  
 
Post Code   Period at address   Years   Months
Address (3)  
 
Post Code   Period at address   Years   Months

 

4. ESTATE AGENT/SOLICITOR/MANAGING AGENT/LANDLORD for the property you currently occupy
(Delete as appropriate)

Name   Address  
  Post Code  
Tel No: (Day)   Fax No:  
Tel No: (Eve)   Email  

 

5. EMPLOYMENT STATUS
Employed
   Self Employed   On Contract    
Unemployed
   Student   Retired   Independent Means
(Proof Required)		  
Please give details of current Employer / Pensions Administrator / Accountant / Auditor / Solicitor
(Delete as appropriate)
Company Name
Contact Name/
their position		  
Address  
    Post Code  
Tel. No   Fax   Email  
Gross salary/pension/drawings (specify)
Per year Position Held  
Payroll/Service/Pension Number   Starting date in this position  
Is this position permanent   Yes   No
Will your employment change before the proposed Tenancy starts   Yes   No If Yes, please provide details  

 

6. PREVIOUS EMPLOYMENT / OCCUPATION
If you have not been in your current position for a least 18 months, please provide details of where you have previously worked, including dates of commencing and leaving employment (attaching a separate sheet if necessary)
Company Name  
Address  
    Post Code  
Tel   Fax   Start Date   Leaving Date  

 

7. BANK / BUILDING SOCIETY DETAILS - Current account only
Bank / Building Society
Name		  
Address  
    Tel:   Post Code  
A/c name   A/c no   Sort Code  

 

8. PERSONAL REFERENCE (NOT a relative or anyone else named on this application)
Name  
Address  
    Post Code  
Tel:   Relationship  

9. NEXT OF KIN (excluding spouse)
Name  
Address  
    Post Code  
Tel:   Relationship  


10. DECLARATION

I hereby confirm that the information provided by me is to the best of my knowledge true. I consent to this information being verified by contacting the third parties detailed in this form. I understand that the results of the findings will be forwarded to the appointed letting agent and/or landlord and may accessed again should I default on my rental payment or apply for a new tenancy agreement in the future. I agree that Bullock & Company or their approved agent may search the files of a Credit Reference Agency and IDS Ltd, the insurance industry's data collection agency, which will keep a record of that search.

I also understand that in the event of my defaulting on the rental payment, that any such default may be recorded with the Credit Reference Agency and IDS Ltd, who may supply the information to other credit companies or insurers in the quest for the responsible granting of tenancies, insurance and credit.

I understand that in the event of any default by me in respect of the covenants in my tenancy agreement with my landlord, the information contained herein may be disclosed to one or more tracing companies and/or debt collection agencies in order to recover any monies due or to trace my whereabouts.

The information provided in this form by me is information as described in Ground 17 of the Housing Act 1996 and I understand that if any information within this application is found to be untrue, it is grounds for termination of the tenancy. I also understand that any default in the payment of rent will affect any future application for tenancies, credit or insurance.

Signed

   Name   Date