Stage 1 Application Form

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 *

Day Month Year
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 *

Day Month Year
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 Permanent Employed - Full Time Permanent Employed - Part Time Temporary Employed - Full Time Temporary Employed - Part Time Zero Hour Contract Employed - Full Time Zero Hour Contract Unemployed Self Employed 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

Day Month Year
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 *

Day Month Year
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

Cancel of
Proof of Address i.e. Utility Bill

Browse Files

Cancel of
Should be Empty: