Proof Of Rent Certificate

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Proof of rent certificate
AB
(For private and housing association tenants)
Your landlord, or your landlord’s agent, should fill in this form if you do not have a written tenancy
agreement that is dated within the last 12 months (Please complete ALL sections of the form)
Tenant’s or lodger’s full name and
Name:
address including postcode
Address:
Landlord’s name, address (including
Name:
postcode), and phone number
Address:
Phone:
Full name, address (including postcode) and
Name:
phone number of your agent (if appropriate)
Address:
Phone:
From what date did the tenant start renting this property?
/
/
How much rent do you charge for
£
every
this property?
When did you start charging this amount of rent?
/
/
Does the tenant share the rent with any other people?
No
Yes
If ‘Yes’, please list the names of the other people
who share the rent with this tenant:
Do you provide your tenant with meals?
No
Yes
If ‘Yes’, which meals?
Breakfast
Midday
Evening
Other
meal
meal
Please continue over the page.
Does the rent that you charge include money for the following.

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