Online Application Form

   
Application for Experian Credit Status Search
and Tenancy
through

Priority Management Services Ltd.

 

      I understand that by submitting this form I am bound by the above-mentioned terms.

APPLICANT DETAILS
1. Title:
Mr/Mrs/Ms/Dr/Other
2. Name:
(Forename then Surname)
3. Former Names:
(if any)
4. Date & place of birth:
5. Contact telephone numbers:
6. Email address:
7. Are you a smoker ?
Yes/No
 
CURRENT ADDRESS
 
8. What is your current address ? (please include postcode)
9. How long have you lived there ?
years/months
 
If less than five years, please give previous addresses, including postcodes


 
13. Is current property owned or rented ?
(Owned/Rented/Living with Family/Other - specify details)
 
LANDLORD / AGENT DETAILS
 
14. If rented, what is the name of your current Landlord or Agent ? (Enter details of the one to whom you are paying the rent)
15. What is your Landlord/Agent's address ?

16. What is your Landlord/Agent's telephone / fax numbers ?

17. What is your Landlord/Agent's email address ?
18. Why are you leaving ?
 
NEXT OF KIN
 
19. What is the name and relationship of your next of kin ?
20. What is their address ?
21. What is their telephone number ?
 
PROPERTY SOUGHT
 
22. What is the address of the property would you like to rent ?
23. What monthly rental has been agreed ?
24. When would you like to move in ?
eg. ASAP
 
25. If any other person is likely to be staying at the property, please give their names and ages
26. If you have any pets that will be staying at or visiting the property, please give full details
(Put none if appropriate)
 
EMPLOYER DETAILS
 
27. What is the name your current employer ?
28. What is your employer's address ?
29. Whom should we contact for confirmation of your employment status ?
30. What is your employer's telephone number ?
31. What is your employer's fax number ?
32. What is your employer's email address ?
 
EMPLOYMENT DETAILS
 
33. What is your gross monthly income ?
(MONTHLY Salary BEFORE tax)
34. What is your position ?
35. How long have you worked for your current employer ?
Years / Months
36. Is your employment permanent ?
(Permanent / Temporary)
37. Do you work full time ?
(Full time / Part time /Agency)
38. What is your National Insurance Number ?
 
If self employed, please give details of your accountant
 
ACCOUNTANT DETAILS
 
39. Accountant's Name:
40. Accountant's Address:
41. Accountant's Tel:
42. Accountant's Fax:
43. Accountant's Email:
 

Declaration & Authorization   

I hereby apply for a tenancy as per the terms stated above, declare that all of the above information is true to the best of my knowledge and belief and authorise Priority Management Services Ltd to obtain a financial status report from Experian, relevant information, including salary details, employment terms, residential status and any other personal information covered by the Data Protection Act to support this application

      I confirm there are no current County Court Judgements (CCJs), Bankruptcy Orders or Criminal Records in my name nor have I, at any time, entered into an Individual Voluntary Arrangement (IVA)

 I hereby authorise Priority Management Services Ltd to use my holding deposit of £250.00 to offset their administration expenses in connection with my tenancy application should any undeclared County Court Judgements, Bankruptcy Orders, Criminal Records or IVAs be found in the resulting searches or should it transpire that I have provided any false or misleading information in connection with this tenancy application or should I withdraw my application for any reason.

      I understand that by submitting this form I am bound by the above-mentioned terms.

 

Full name of applicant
 

Application Date
 
 
 
 
 
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