PROPERTY: .....................................................................................................................................

1.  Full Name ....................................................................................................................................

Current Address ..............................................................................................................................

...........................................................................................................................................................

Postcode .......................................... Time at this address ..........................................................

Tel: Home .................................... Work ................................... Mobile ........................................

2.  Full Name ....................................................................................................................................

Current Address ..............................................................................................................................

...........................................................................................................................................................

Postcode .......................................... Time at this address ..........................................................

Tel: Home .................................... Work ................................... Mobile ........................................

Pets .................................................................................................................................................

No of children and ages ................................................................................................................

Current landlord or agent ..............................................................................................................

Address ..........................................................................................................................................

Postcode ................................................. Tel No .........................................................................

If less than two years at current address:-

Previous address ..........................................................................................................................

Postcode ........................................... Time at this address .......................................................

Employment:  EVERY applicant must give details of current employment including the length of employment.

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...........................................................................................................................................................

...........................................................................................................................................................

Referees' Names and Address:-

1. .......................................................................................................................................................

2. .......................................................................................................................................................

3. .......................................................................................................................................................

Confirmation of Consent

I/We .............................................................................................................................hereby declare

the above information to be correct and consent that Antony Richards Property Services may undertake all credit checks considered necessary following my/our application for the tenancy of a property.

Signed ............................................................................................... Dated .....................................