Tenant Assessment Application Form
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5Tenant Assessment Application Form
All sections should be completed by each applicant intending to reside in the property. In the event of more than one
applicant, each person is to fill out a separate form.
Please complete this Application Form in BLACK INK using BLOCK CAPITAL LETTERS.
Level of check required
:
Standard
Comprehensive
(please tick)
Detail of property to be rented:
House Number/Name
Flat Number/Name
Street
Town
County
Postcode
£
Monthly Rent:
Tenancy Commencement Date:
/
/
Initial Period:
months
Please give the names of all the adult tenants intending to live in the property in the table below
First Name
Middle Name
Surname
Share of Rent
Tenant 1:
£
Tenant 2:
£
Tenant 3:
£
Tenant 4:
£
How do you propose to pay the rent? Own means
Housing Benefit
Personal Details:
Mr/Mrs/Miss/Ms
Other (please specify)
Surname
First Name
Middle Name
Date of Birth
Nationality
Sex
Male / Female
(please circle)
Marital Status
Maiden Name
Daytime Telephone
Evening Telephone
Mobile Telephone
Email Address
The information contained within this application is being transmitted to and is intended only for the use of Let Insurance Services. If the reader is not the intended
recipient, you are hereby advised any dissemination, distribution or copy of this application is strictly prohibited. If you have received this application in error, please
immediately notify us by calling 0844 478 1600
LIS Tenant Assessment Application Fax Form – April 2011
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Parent category: Business