Jillings Estate Agents

Title:

Forename(s):

Surname(s):

Date of Birth:

Landline Tel:

Mobile Tel:

Fax:

PLEASE NOTE: Permanent address should be a place at which we can send any correspondence before, during and after your tenancy agreement.

Email Address:

Please indicate the property you wish to apply for:

How did you find this property?

Please indicate the rent you have agreed to pay:

Please indicate when you wish your tenancy to start:

Please indicate how you expect the property to be furnished:

Does anyone who would be residing at the property smoke?

Please detail any pets that will be living with you:

Please detail any other tenants/adult occupants who will be living with you:

Tenant 1 Name

Permanent Address

Phone Number

Date of Birth

Email Address

Tenant 2 Name

Permanent Address

Phone Number

Date of Birth

Email Address

Tenant 3 Name

Permanent Address

Phone Number

Date of Birth

Email Address

Tenant 4 Name

Permanent Address

Phone Number

Date of Birth

Email Address

Please detail any dependants who will be living with you:

Dependant 1 Name

Sex

Age

Date of Birth

Relationship

Dependant 2 Name

Sex

Age

Date of Birth

Relationship

Dependant 3 Name

Sex

Age

Date of Birth

Relationship

Name of contact at work/accountant:

Company or organisation Name

Phone Number

Email Address

Name of referee:

Phone Number

Email Address

Position

How knows applicant

Please Note: Professional Referees should have known you for at least 6 months, cannot be a relative and should not be your Employment Referee or your Landlord Referee

Type of Landlord:

Name of Organisation:

Name of Contact:

Phone Number

Email Address

Address of Landlord:

1st line of Address of Rented Property with this landlord

Tenant Application Form