Application Form To Rent A Dwelling

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APPLICATION FORM TO RENT A DWELLING
APPLICANT DETAILS
Applicant No 1
Applicant No 2
Full name :
Full name :
Marital Status: Single/married/separated* Age
Marital Status: Single/married/separated* Age
* Delete as appropriate
* Delete as appropriate
No & Age of Children/Dependants:
No & Age of Children/Dependants:
Telephone No’s:
Telephone No’s:
Email:
Email:
CURRENT RESIDENCE
RE-HOUSING DETAILS
Present Address:
Please indicate your preferred property details:-
Location: Village
Rural
No of Bedrooms:
Is the property rented
or owned
?
Garden
Garage
No of Cars:
£
Present Rent (if applicable)
per month
Details of any Pets
Length of time at present address
Years
Affordable Rent Range
£
- £
Reason for wanting to move
Address of Specific Property:
EMPLOYMENT DETAILS
Employers Name:
Employers Name:
Address:
Address:
Telephone Number:
Telephone Number:
Nature of Employment:
Nature of Employment:
Position Held:
No of years
Position Held:
No of years
National Insurance No:
National Insurance No:
REFERENCES
Personal Referee (Non Family Members Only)
Present/Previous Landlord
Name:
Name:
Address:
Address:
I (we) the above named applicant(s) authorise Fitzwilliam Wentworth Estates to approach the persons listed above for the purpose of
obtaining a reference.
Signed:
Date:
Signed:
Date:
Please provide any other supporting/background information on the reverse side of this form and send to:
Fitzwilliam Wentworth Estate, Estate Office, Wentworth, Rotherham S62 7TD
Tel: (01226) 742041 E-mail: office@wentworthestate.co.uk

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