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🏠

What property is the application for?

Enter the full address of the rental property

Property Address *

💷

Rent and tenancy details

Monthly rent amount and proposed start date

Monthly Rent *

Proposed Tenancy Start Date *

Landlord/Agent Name *

👤

Applicant personal details

Full legal name and date of birth

Full Legal Name *

Date of Birth *

National Insurance Number

Nationality

📱

Contact details

How can the landlord/agent reach the applicant?

Email Address *

Mobile Number *

📍

Current address

Where does the applicant currently live?

Current Address *

Time at Current Address *

Current Rent (if applicable)

🏘️

Current landlord details

Contact information for reference purposes

Landlord/Agent Name

Landlord/Agent Phone

Landlord/Agent Email

Reason for Leaving

🏠

Previous address

Address history for the last 3 years

Previous Address

Time at Previous Address

Previous Landlord Name

Previous Landlord Contact

💡 Previous landlord references are often more reliable than current landlord references.

💼

What is the applicant's employment status?

Select the current employment situation

👔

Employed

🏢

Self-Employed

🎉

Retired

📚

Student

📋

Other

🏢

Employment details

Information about the applicant's employer

Employer Name *

Employer Address

Job Title *

Annual Salary (Gross) *

Length of Employment

Employment Type

📞

HR/Manager contact details

For employment reference verification

HR/Manager Name

HR/Manager Phone or Email

💷 Annual income should typically be at least 30x the monthly rent.

🤝

Is a guarantor required?

A guarantor may be required for students, new employees, or applicants with limited credit history

❌

No Guarantor

✅

Yes, Guarantor Required

👥

Guarantor details

Personal and contact information for the guarantor

Guarantor Full Name *

Relationship to Applicant *

Guarantor Address *

Guarantor Phone *

Guarantor Email *

Guarantor Occupation *

Guarantor Annual Income *

💳

Financial declarations

Please answer honestly - this will be verified by credit check

Any County Court Judgments (CCJs)?

Any Bankruptcy or IVA History?

Any Previous Evictions?

Any Outstanding Debts over £1,000?

If yes to any of the above, please provide details:

🏠

Lifestyle declarations

Information about smoking, pets and occupants

Is the applicant a smoker?

Does the applicant have pets?

Pet Details (type, breed, number)

Number of Occupants *

Occupant Details (names and ages of all occupants)

🆘

Emergency contact / Next of kin

Someone to contact in case of emergency

Emergency Contact Name *

Relationship *

Phone Number *

Email Address

🏦

Bank details for rent payments

Account details for setting up standing order

Bank Name *

Account Holder Name *

Sort Code

Account Number

Bank details are optional at this stage and can be provided later. They will be used to set up a standing order for rent payments.

✅

Consent Declarations

Please confirm your consent to the following

I consent to the landlord/agent contacting my employer to verify my employment and income details.

I consent to the landlord/agent contacting my current and previous landlords to obtain references.

I consent to a credit check being conducted by an authorised credit reference agency.

I understand that my personal data will be processed in accordance with UK GDPR for the purpose of tenant referencing. My data will be stored securely and retained for the duration of any tenancy plus 6 years, or deleted within 6 months if my application is unsuccessful. Data is processed on the basis of consent and legitimate interests for tenancy assessment.

I understand that bank details provided will only be used for rent payments if my application is approved.

I declare that all information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in my application being rejected or the tenancy being terminated in accordance with applicable law.

⚠️ Important: You must tick all consent boxes and sign the form for the references and credit check to be valid under GDPR.

Your Reference Form is Ready

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Export to Word for additional customization or manual editing beyond the standard template.

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