REFERENCE CHECK APPLICATION FORM
PMP Property Management Ltd
44 Green Park Road,
Northfield,
Birmingham,
B31 5BD
p: 0121 286 2222
[email protected]
www.PMPproperty.co.uk
Prospective Tenant Application Form
In order for the application to be processed quickly please complete all the details below.
Personal Details
Bank Account Details
Please supply your full legal name, nationality and date of birth. Title: (e.g. Mr, Mrs, Ms etc.) First Name:
Last Name:
Maiden Name (where applicable): Date of Birth: Nationality:
DD / MM / YY
Contact Details
Please supply at least one contact number below. If you include your email address we will send you regular updates with the progress on your application.
Email Address:
Daytime Telephone Number: Evening Telephone Number: Mobile Telephone Number:
Proof of Identity
We are required to verify your identity - to speed up the process please supply the following:
Passport Number:
National Insurance Number:
Please supply details of your UK bank account from which payments will be made:
Name of Bank or Building Society: Branch Address: Account Name: Sort Code: Account Number: Contact Number:
Credit History
Please be aware that it may harm your application if you do not declare relevant information and are later found to have any Court Order, IVA (Individual Voluntary Arrangement) or Bankruptcy Orders. Have you any CCJs/Bankruptcies/Administration Orders?
Yes No
If YES please supply details below: CCJ
Bankruptcy
Voluntary Arrangement Date DD / MM / YY
Address History
We require three years’ worth of address history, and we ask you to complete the boxes below for each address that you have lived in for the past three years.
Current Address
Previous Addresses
If you have been at your current residence for less than 1 month please supply your previous address as ‘current’. Please tick to confirm your status:
Living with Relatives Tenant Home Owner When did you move into this address?
If you have lived at your current residence for less than 3 years please supply details of your previous addresses. Please tick to confirm your status:
Living with Relatives Tenant Home Owner When were you resident at this address?
DD / MM / YY From: DD / MM / YY To: DD / MM / YY
If this is less than three years ago, you will need to complete the next section marked “Additional Address History”.
House Name or Number Street
Town/City Postcode
House Name or Number Street
Town/City Postcode
If Tenanted, please complete the below:
If Tenanted, please complete the below: My tenancy was administered via:
a Landlord an Estate Agent Landlord/Agent Name
Contact Address(inc postcode)
Landlord/Agent Name Contact Address(inc postcode)
Postcode: Telephone Number
Telephone Number Fax Number Email Address
Postcode: Fax Number
Employment Details
Employment Status
Student Details
(if applicable)Which best describes your occupation:
Employed(please complete Employment Details below)
Self-Employed (please complete Proof of Income below)
Your attendance: Course Title:
Full Time Part Time
Independent Means (please complete Proof of Income below)
Retired(please complete Proof of Income below)
Student(please complete Proof of Income below)
Unemployed Housewife/husband
Student Reference Number:
Course Start Date: DD/ MM /YYYY Finish Date: DD/MM /YYYY
College/University Details
(if applicable)Employment Details
Name of Institute: Hours of Work:
Contract Type: Your Job Title: Your Gross Income: Payroll Number:
Full Time Permanent
Part Time
Temporary Fixed Length
Company Address:
Contact Name: Telephone Number:
Postcode:
Start Date: DD/ MM/
YYYY Finish Date: DDYYYY/ MM/ Fax Number: (leave blank if still working for this company)
Proof of Income / Employer Details
Email Address: Details of the organisation that we should contact to verify your income.
This will be your employer or your accountant if you’re self-employed. Company Name: Company Address: Contact Name: Telephone Number: Fax Number: Email Address: Postcode:
Tenancy Details and Consent
Tenancy Details
Declaration & Consent
Do you smoke?
Yes No
Do you have any pets?
Yes No
If YES please give details:
Next of Kin
Title: (e.g. Mr, Mrs, Ms etc.) First Name:
Last Name:
Relationship to you:(father, mother, sister, brother etc.)
Telephone Number: Email Address: Postal Address:
Please read and agree to the below declaration carefully.
1. By completing this application form I confirm that the information that I have supplied in this application is true to the best of my knowledge. Any information supplied in this application form will be used to assess my application and to retrieve any rental arrears that may occur.
2. I therefore hereby expressly consent to this information being verified by fair and lawful means, which will involve contacting referees including but not limited to previous landlords, employers and organisations declared in my application, plus third party tenant assessment agencies and/or third party credit reference agencies. Any copies of references and/or credit reports obtained by this verification will be freely forwarded between any prospective landlord, and their agents including any associated insurer if applicable. This information may also be accessed again if I apply for tenancy again in the future.
3. I also hereby expressly consent to my personal details, including any forwarding address at the determination of any tenancy, being passed to the landlord and/or to utility companies and/or to the local authority.
4. In connection with this application I consent to a search being carried out with a third party credit reference agency using the details supplied on this application form to assess my creditworthiness and electoral roll status. A footprint will be left on my credit file to show others that this search has been carried out. I also consent to the reference check and their agents using this information to assess my application for tenancy.
5. Reference Checking and their agents may carry out periodic checks on the conduct of my tenancy agreement with your landlord. This information may be shared with other organisations for the purposes of assessing tenant applications and services in the future.
Yes I Agree (please tick) Name: Signature:
Under 18’
s
Postcode: Date: DD / MM / YYYYWill there be any Under 18’s living at the property?
Yes No If YES please give details(use additional sheet if required)
First Name:
NOTE TO AGENTS
To add the application form online, please add the initial details for the tenancy and for all applicants, and submit for referencing.
Once the initial details have been added select the Personal Details tab for the Applicant, and scroll down to “Sign in as Applicant”.
Last Name: Date of Birth:
DD / MM / YYYY
The input screen for the Application Form will pop up. Please check that your Pop-Up Blocker has been turned off, otherwise you may experience difficulty at this stage.
