Tenant Information Form Page 3

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ADDITIO AL I FORMATIO SHEET:
DECLARATION
I hereby confirm that the information provided by me is to the best of my knowledge true. I consent to this
information being verified by contacting the third parties detailed in this form. I understand that the results of the
findings will be forwarded to the appointed letting agent and/or landlord and may be assessed again should I
default on my rental payment or apply for a new tenancy agreement in the future.
I agree that £IPS Ltd or their approved agent may search the files of a Credit Reference Agency which will keep a
record of that search. I understand that I may request the name and address of the Credit Reference Agency to
whom I may then apply for a copy of the information provided. I also understand that in the event of my
defaulting on the rental payments that any such default may be recorded with the Credit Referencing Agency, who
may supply the information to other credit companies or insurers in the quest for the responsible granting of
tenancies, insurance and credit.
I understand that in the event of any default by me in respect of the covenants in my tenancy agreement with my
landlord, the information contained herein may be disclosed to £IPS Ltd and/or one or more tracing companies
and/or debt collection agencies in order to recover any monies due or trace my whereabouts.
The information provided in this form by me is information as described in Ground 17 of the Housing Act 1996 and
I understand that if any information within this application is found to be untrue, it is grounds for termination of
the tenancy. I also understand that any default in the payment of rent will affect any future applications for
tenancies, credit or insurance.
I hereby authorise the above named bank or building society to respond to status enquiries made in respect of this
application.
Applicant 1 ________________________________
Date _____________
Applicant 2 ______ _________________________
Date ______________
OFFICE USE O LY:
Date form received:_______________
Property address: ____________________________________ Landlord:___________________
EREFREQ:
_______________
LREFREQ: _________________
EREFREC:
_______________
LREFREC: _________________
AST Agreed
_______________
AST Signed_________________
TAF1
Libra Investment Property Group
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