Stage 1 Application Form

Rented Property Address *

Street Address

Street Address Line 2

City

Postcode

Monthly Rent *

Deposit Amount *

Holding Deposit *

Proposed Move In Date *

Date

Applicant Full Name *

Title First & Middle Names Last Name

Applicant Current Address *

Street Address

Street Address Line 2

City

Postcode

National Insurance Number *

Date of Birth *

Date

Time at Current Address in Years & Months *

Applicants Best Contact Number *

Applicants Email Address *

example@example.com

Previous address if the above was for less than 3 years

Street Address

Street Address Line 2

City

Postcode

Time at Previous Address in Years & Months

Next of Kin Details *

Title First & Middle Names Last Name

Next of Kin Property Address *

Street Address

Street Address Line 2

City

Postcode

Relationship To You *

Next of Kin E-mail Address *

example@example.com

Next of Kin Contact Number *

Applicant Current Employment Status *

Employed - Part Time Employed - Full Time Self Employed Unemployed Retired

Job Title

Employment Details

Employment Company Name

Employment Company Address

City County

Postcode

Employer Contact Number

Basic Income Per Month *

Please breakdown income in the notes section

Employer E-mail Address

example@example.com

Time In This Employment

Years & Months

If you have changed job in the past 2 years, please fill out the details below for your previous employer.

Previous Employment Details

Employment Company Name

Employment Company Address

City County

Postcode

Time In This Employment

Years & months

Previous Employer Contact Number

Basic Salary Per Annum

£

Self Employment Details

Employment Company Name

Employment Company Address

City County

Postcode

Basic Salary Per Annum

£

Time In This Employment

Years & months

Accountant's Name

First Name Last Name

Accountants E-mail Address

example@example.com

Accountant Details

Company Name

Company Address

City County

Postcode

Accountant Contact Number

If Retired

Monthly Pension Income

Monthly Pension Source

Savings Amount Savings Source (ISA etc)

Are you currently:

A Home Owner In Rented Accommodation Living With Parent(s) Living With Friends

Current Landlord or Agent If In Rented Accommodation

Landlord or Agent Company Name

Street Address & Number

City County

Postcode

Current Landlord or Agent Phone Number

Current Landlord or Agent E-Mail Address

example@example.com

Marital Status *

Single Married Living with Partner Separating from Partner Moving in with Partner to this property

Including your wife or partner, how many people, including children will be living with you? *

Please state your children's ages

Do you have any pets? *

Yes No

If yes, please list all the pets:

Are you, or anybody who will be living with you, a smoker? *

Yes No

Please note: All our rental properties are strictly no smoking indoors

Do you have any county court judgements, pending or current against you? *

Yes No

Have you been made bankrupt or been subject to any insolvency arrangements/agreements? *

Yes No

Have you ever been evicted from rented accommodation for any reason? *

Yes No

Have you previously had any rent arrears in the last 3 years or are you currently in rent arrears - if so please provide full details in the extra info section below *

Yes No

Will you be claiming Universal Credit or any other government benefits? *

Yes No

If you answered yes to any of the above 4 questions, please provide detailed documentary evidence of this to our office.

Guarantor

Should your references or credit score not meet the requirements, we would ask you to supply a guarantor. We would normally also need a guarantor if you are claiming any form of benefits. Guarantors stand surety or in other words guarantee rent payments and other tenancy obligations in both residential and commercial property lettings. The guarantor must be present at the time of signing the contracts as they also need to sign the Tenancy Agreement.

Are you able to provide a guarantor if required? *

Yes No

If Yes, Please Provide The Guarantor's Details Below

Title First & Middle Names Last Name

Guarantor's Address

Street Address

Street Address Line 2

City

Postcode

Guarantor's Date of Birth

Guarantor's E-Mail Address

example@example.com

Guarantor's Contact Number

Mobile Number Preferred

Any extra info that may be relevant to your application

Declaration

I declare that the information I have provided on this form is true and
correct and hereby authorise you to share this form with the Landlord(s) of the property in question.

I also verify the details given can be used to seek references if required and also a credit check via a third party company.

I agree to you disclosing the reference replies (if any are applied for) to the landlord/s of the property for which I am applying.

I understand that this does not represent any offer or contract of any nature and further forms and declarations will be required to be filled out, should the LL proceed with my application further.

Name of Signatory *

Title First & Middle Names Last Name

Date Signed *

Today's Date

Signature *

Clear

YOU WILL NEED TO PROVIDE TO COOPER & CUTT

TWO ORIGINAL FORMS OF IDENTIFICATION

AND COPIES WILL BE TAKEN FOR OUR FILE

(these can be uploaded below)

Acceptable proof would be driving licence, passport or identity card plus utility bill or credit card statement. This must be provided with this Pre-Tenancy Application Form, together with payment of the holding deposit. The matter cannot proceed without this identification and the holding deposit in full. The holding deposit is a maximum of 1 weeks rent.

Passport / Driving Licence / Photo ID *

Browse Files

Proof of Address i.e. Utility Bill

Browse Files