Stage 1 Application Form

Stage 1 Application Form
Rented Property Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Monthly Rent*
Deposit Amount*
Holding Deposit*
If your partner/friend/family viewed for you, please confirm the viewing name so we can match your applications together*
Please add "myself" if the viewing was in your name
Proposed Move In Date*

DayMonthYear
Date
Applicant Full Name*

TitleFirst & Middle NamesLast Name
Applicant Current Address*

Street Address

Street Address Line 2

CityState / Province

Postcode
National Insurance Number*
Time at Current Address in Years & Months*
Date of Birth*

DayMonthYear
Date
Nationality*
Right to Rent – For non British or Irish passport holders, you need to provide confirmation of your Right to Rent, if needed please register at www.gov.uk/prove-right-to-rent , so you can provide a share code to us so we can check your status at www.gov.uk/view-right-to-rent
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

CityState / Province

Postcode
Time at Previous Address in Years & Months
Next of Kin Details*

TitleFirst & Middle NamesLast Name
Next of Kin Property Address*

Street Address

Street Address Line 2

CityCounty

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 PermanentEmployed - Full Time PermanentEmployed - Part Time TemporaryEmployed - Full Time TemporaryEmployed - Part Time Zero Hour ContractEmployed - Full Time Zero Hour ContractUnemployedSelf EmployedRetiredOther
Job Title
Employment Details

Employment Company Name

Employment Company Address

CityCounty

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

CityCounty

Postcode
Time In This Employment
Years & months
Previous Employer Contact Number
Basic Salary Per Annum
£
Self Employment Details

Employment Company Name

Employment Company Address

CityCounty

Postcode
Basic Salary Per Annum
£
Time In This Employment
Years & months
Accountant's Name

First NameLast Name
Accountants E-mail Address
example@example.com
Accountant Details

Company Name

Company Address

CityCounty

Postcode
Accountant Contact Number
If Retired

Monthly Pension Income

Monthly Pension Source

Savings AmountSavings Source (ISA etc)
Are you currently:

A Home OwnerIn Rented AccommodationLiving With Parent(s)Living With Friends
Current Landlord or Agent If In Rented Accommodation

Landlord or Agent Company Name

Street Address & Number

CityCounty

Postcode
Current Landlord or Agent Phone Number
Current Landlord or Agent E-Mail Address
example@example.com
Marital Status*

SingleMarriedLiving with PartnerSeparating from PartnerMoving 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?*

YesNo
If yes, please list all the pets:
Are you, or anybody who will be living with you, a smoker?*

YesNo
Please note: All our rental properties are strictly no smoking indoors
Do you have any county court judgements, pending or current against you?*

YesNo
Have you been made bankrupt or been subject to any insolvency arrangements/agreements or IVA's etc?*

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

YesNo
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*

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

YesNo
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?*

YesNo
If Yes, Please Provide The Guarantor's Details Below

TitleFirst & Middle NamesLast Name
Guarantor's Address

Street Address

Street Address Line 2

CityState / Province

Postcode
Guarantor's Date of Birth

DayMonthYear
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*

TitleFirst & Middle NamesLast Name
Date Signed*

DayMonthYear
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 that is dated within the last 3 months. This must be provided with this Pre-Tenancy Application Form (Stage 1). The matter cannot proceed without this identification. The original photo ID will need to be seen at our office for us to complete relevant checks and this will need to be done when proceeding to full application.

Once the client has chosen their preferred applicant, we will request the second part of the application form (Stage 2) together with payment of the holding deposit. The holding deposit is a maximum of 1 weeks rent and needs to be paid in full when requested, to start the application process.
Passport / Driving Licence / Photo ID*

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Proof of Address i.e. Utility Bill (dated within the last 3 months)

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