APPLICATION FOR TENANCY (All occupiers over the age of 18 must complete the following form)

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1 APPLICATION FOR TENANCY (All occupiers over the age of 18 must complete the following form) Before setting up a tenancy, we will take up references It is essential that all the information requested, including POSTCODES, is supplied and the form fully completed and legible Missing information will delay your application. In addition to the application form overleaf, please complete the following: Property address: Tenancy period: Tenancy start date: No. of applicants: Total rent pcm: Rent for this applicant: months / / Passport supplied (compulsory) Residency proof supplied: (i.e. utility bill) Yes I do not have a passport How long have you been living at your current address? Did you OWN or RENT at this address? (please circle accordingly) Why are you moving from your current address? Do you have any children who will be living at the property both full or part time? YES / NO If yes state ages: Do you have any pets? YES NO If YES state what :... Dogs? State breed(s):... Do you plan on renting for longer than six months? YES NO Do you have income support/housing benefit to assist you with the monthly rent? YES NO Do you have any CCJ s (active or satisfied) on your credit history YES NO Do you have a debt payment plan? YES NO Do you or anyone else due to be residing in the property have a criminal record? YES NO Have you provided us with photo ID and proof of UK residency? YES NO Have you seen a copy of the Energy Performance Certificate for this property? YES NO address/s for correspondence: NEXT PROCESS Upon receipt of the attached completed form and tenancy administration fee your application form will be processed and discussed with the Landlord. Once it has been verbally accepted your references and (if applicable) guarantor s will be applied for. This normally takes 7/10 days, however, as we endeavour to process your application as soon as possible, it is important you complete all relevant sections of the application form otherwise it will delay the process. Upon your application and references being successful we will confirm the proposed tenancy commencement date (TCD) and draw up the tenancy agreements posting these out to you approx 10 days working before TCD. Initial Payment - is usually first month s rent in advance and a tenancy deposit of a month s rent plus 100. Additional pet deposit is requested on a landlord/property individual basis. PAYMENT of Initial funds - is to be made as cleared funds prior to the tenancy commencement date. We would recommend payments to be via Bankers Draft /Bank transfer/debit Card or Credit Card (3% surcharge for Credit Cards). UNDER FINANCIAL FRAUD REGULATIONS WE DO NOT ACCEPT CASH OR CHEQUE PAYMENTS PLEASE NOTE: When letting property we are instructed by and are acting on behalf of the Landlord. We advise that we do not manage all properties being let and some properties are let without our management service. If, this property is not managed by Royston & Lund we are instructed by the Landlord to locate a suitable tenant, apply for references and supply a Tenancy Agreement. Upon the agreement being signed by you on a nonmanaged property, you will deal directly with the Landlord in all matters. Royston & Lund will no longer be acting for the landlord in any instances, unless instructed by them to do so. If you wish only to rent property that is managed by us, please do not hesitate to contact us.

2 TENANCY FEES Tenancy administration fee standard fee of ( plus VAT) per property is required upon submitting your application form. should there be more than two prospective tenants applying for the property, an additional per applicant will be charged. Company administration fee ( plus VAT). Overseas administration fee Should any applicant have resided outside of the UK within the last six years you will be subject to our overseas referencing rate. Overseas referencing fee is ( plus VAT) per property. Should you require a Landlord s reference after or during your tenancy an administration fee of (15.00 plus VAT) is applicable. Payments can be cheque, cash, bank transfer or debit/credit card (3% surcharge for Credit Cards). THESE FEE S ARE NON REFUNDABLE SHOULD YOU NOT DISCLOSE CORRECT INFORMATION OR YOU DECIDE NOT TO PROCEED. *** We will require a larger amount of money (usually equivalent to one month s rent) where a property is to be held for five weeks or more or the agreed tenancy is subject to a sale completing with an Exchange date confirmed.*** DATA PROTECTION I confirm that the details I have provided are correct and true. I authorise Royston & Lund Lettings to make enquiries relating to my application and any subsequent tenancy or lease. I authorise Royston & Lund to search the files of licensed credit reference agencies and to check my details with fraud prevention agencies. I authorise Royston & Lund Lettings to use and process my details and information as set out below. Details of any search Royston & Lund Lettings carries out with licensed credit reference and fraud prevention agencies will be added to their records and will be shared with other organisations that make searches and used by them and Royston & Lund Lettings to: 1) Check my identity 2) Help make decisions about prospective tenancies 3) Trace debtors, recover debts, prevent fraud and to manage any tenancy agreement I understand that Royston & Lund Lettings will also add to my record with licensed credit reference and fraud prevention agencies information relating to any default or failure by me to keep to the terms of any subsequent tenancy agreement. The information I provide and which Royston & Lund Lettings obtains from external organisations will be stored on computer or in any other way and will be used by them together with any other information it holds about me for general business purposes and as otherwise permitted by law. Royston & Lund Lettings may at any time give my information to the landlord or to an organisation that provides a service to it relating to my application or tenancy, on the basis it is kept confidential; and debt collection agencies, legal advisors or other organisations who may assist it following any default or failure by me to keep to the terms of my lease. I am entitled, on payment of a fee, to a copy of the details and information Royston & Lund Lettings holds about me if I apply in writing. I may obtain details of the credit reference and fraud prevention agencies from whom Royston & Lund Lettings obtains information from and to whom it passes my information. Signature; Date CONSENT TO USE PERSONAL INFORMATION FOR RESIDENCY CHECKS In order to proceed with your application, we re required to obtain from you sensitive information, including but not limited to: Passport Visa Driving License Utility bills Live photographs Information obtained will be for the purpose of conducting residency checks in accordance with the Immigration Act Information provided to us will be sent to our selected third party for verification. No data will be sent outside of the EEA and any transmission of information will be done so through secure means at all times. For details on the third party used for this verification please contact us. Yes I consent to the collection, verification and retention of my sensitive information in accordance with the immigration Act 2014 and the Data Protection Protection Act 1998 Signature; Date PLEASE RETURN YOUR APPLICATION FORM FULLY COMPLETED AS SOON AS POSSIBLE Should you have any queries please contact us on: Phone: ROYSTON & LUND LETTINGS - 3 Fountain Court - Gordon Road - West Bridgford - Nottingham - NG2 5LN

3 Letsure Tenant Assessment Application Form This Form can be used by letting agents or landlords who are vetting applicants prior to the letting of a property. Part A should be completed by the agent / landlord. The other sections should be completed by the tenant applicant or guarantor, according to the type of assessment required. Please complete this Application Form in BLACK INK using BLOCK letters. Once fully completed please fax it to Letsure on Part A: To be completed by the agent or landlord. Mandatory field for assessments. Agent Name Letsure Agency Number Contact Name Contact Telephone Number To assist us to complete the assessment process, there might be a requirement to contact the applicant/guarantor by telephone. Please tick the box opposite if this is not acceptable Type of assessment required (see definitions on final page). If a guarantor applicant is required, please supply the Applicants Reference ID in box provided. LS Complete Parts: (please tick to highlight which parts you are completing). Tenant Comprehensive Plus Tenant Comprehensive Tenant Standard A, B, C, D & E A, B, C, D & E A, B, C & E Property Details: House Number / Name Flat Number / Name Street Town Total Rent Tenancy Commencement Date Postcode Per week / month (delete as appropriate) Period LETSURE Letsure is a trading name of Barbon Insurance Group Limited which is authorised and regulated by the Financial Conduct Authority for insurance mediation. Registered in England number Registered office address Hestia House, Edgewest Road, Lincoln LN6 7EL. Calls are recorded for training and monitoring purposes. Faxes will cost 10 pence per minute, plus your phone company s access charge.

4 Part B: To be completed by the applicant Mandatory for all assessments. If more than one applicant, all remaining sections must be completed as appropriate for each. How do you propose to pay the rent? Own means Housing benefit Please give the names of all adult tenants moving into the property: Tenant 1 First Name Middle Name Surname Share of Rent Tenant 2 Tenant 3 Tenant 4 Tenant 5 Tenant 6 Part C: To be completed by the applicant * Mandatory fields Please complete ALL boxes. If more than one applicant, parts C to I inclusive must be completed as appropriate for each. Personal Details: Mr/Mrs/Miss/Ms* Other (please specify) Surname * First Name * Date of Birth * Sex Male Female Middle Name Nationality Marital Status Maiden Name Daytime Telephone Number * Evening Telephone Number Mobile Telephone Number Address Do you have any pets Yes No Are you a smoker? Yes No Are you aware of any CCJ/CD/IVA/Bankruptcy orders, current or pending? If yes give details: Yes No Names of children living in the property and their dates of birth: Name Date of Birth

5 Current Address: House Number / Name* Flat Number / Name* Street Town Status (tick one)* Owner Rented Living with parents Council tenant Other (please specify) Time at address Years Months Reason for leaving Previous address: Enter this information only if you have lived at your current address for less than 3 years otherwise leave blank. House Number / Name* Flat Number / Name* Street Town Status (tick one)* Owner Rented Living with parents Council tenant Other (please specify) Time at address Years Months Reason for leaving Part D: To be completed by the applicant for Comprehensive Assessments * Mandatory fields Financial Details: Financial Status Self-Employed Employed Unemployed Student Retired Payment in Advance If you are retired you will be required to provide evidence of your pensionable income in the form of award letters, pension P60 or your last 6 months continuous bank statements. If you have indicated unemployment/ student/retired/payment in advance and you are currently or have previously lived in rented accommodation, proceed to Landlords details in this part, otherwise proceed to Part E. If you are unable to provide any details a guarantor may be required. To avoid delay please arrange for the proposed guarantor to complete Parts A, B, F, G, H and I of this form. Profession Employment Start Date* Annual Income (gross) Payroll number Is your employment of a temporary, full, or contract nature? Additional Income (if applicable): Are your circumstances likely to change?* If yes give details: Yes No If you have any additional income please advise how much per annum* Source of additional income

6 Employer/Accountant Details: If you are employed or self-employed give details of your employer or accountant and authorise them to reply to the enquiries which will be made to verify this information. Please complete ALL boxes, including contact details for referee. Employer / Accountant * Office / House Name * Street Number / Name * Street * Town * Contact Name* Contact Job Title* Daytime telephone (including STD code)* Mobile telephone Fax Number (business only)* Address (business only) * Landlord Details: Complete this section if you indicated that you are or have lived in rented accommodation. Please complete ALL boxes, including individual contact details (telephone and fax number) for landlord or current managing agent. Landlord or Agent Name * Office / House Name * Street Number / Name * Street * Town * Daytime Telephone* Mobile telephone Evening Telephone Number Fax Number * Address *

7 Part E: Please read the declaration and sign and date below. I confirm that the information which I have given in my application is to the best of my knowledge true and accurate. I acknowledge and agree to Letsure carrying out searches to verify such information. I hereby authorise my employer/accountant/pension administrator (delete as appropriate) to provide details of my earnings and date of employment and hereby authorise my landlord (where applicable) to provide details relating to my tenancy to Letsure for the purposes described above via electronic, telephonic or written communication. I understand and consent to Letsure providing my personal data to my employer/accountant/pension provider (delete as appropriate) during the referencing process. These checks may include: Contacting any referee detailed in my application; (Including outside EU where applicable); Consulting with credit referencing agencies; and Consulting with the Industry sortcode Directory (ISCD) and Account Number Modulus checker in order to confirm the accuracy of my bank account details (where applicable); and Consulting with other third party tenancy database providers, such as Insurance Database Services Limited (who operate the Claims and Underwriting Exchange (CUE)); In connection with my application I acknowledge and agree that: When documentation in connection with this referencing application has been sent via electronic means there is no guarantee of privacy as can be intercepted; Letsure and any third party may keep a record of any search carried out to verify the information I have provided; Letsure may pass on any information I have supplied and the results of any linked verification checks to the letting agent and/or any appointed landlord; If I default on paying my rent the default will be recorded on Letsure s central database for defaulting tenants and that such default may affect any future application I may make for tenancies, credit and/or insurance; Letsure can use debt collection agencies or tracing agents to trace my whereabouts and recover any monies I owe to Letsure; and Letsure may otherwise release my personal data where they are required to do so by law and may pass my personal data, including any forwarding address I may provide to a utility company to ensure that any outstanding bills or credit on utility accounts are paid or received by me The provisions of Section 17 of the Housing Act 1996 will apply to this application. If any information within this application is found to be untrue it will be grounds to terminate the tenancy agreement. Letsure is a trading name of Barbon Insurance Group Limited and for the purposes of this application, Barbon will be the Data Controller as defined by the Data Protection Act Signature Date Following the completion of your references we may contact you by post or by phone to let you know about additional services we can offer that may be of interest to you. We will only use your details for up to 90 days and your details will NOT be passed to any other company outside of the Barbon Insurance Group. If you do not wish us to contact you, please tick this box. Please note that you can contact us to unsubscribe at any time by calling us on Please tick to confirm that you are happy to receive further information about Barbon s products and services by or SMS. Confidentiality Note The information contained within this application is being transmitted to and is intended only for the use of Letsure. If you are not the intended recipient, you are hereby advised any dissemination, distribution or copy of this application is strictly prohibited. If you receive this application in error, please immediately notify us by calling and delete this application from your system. If you are required to send this application with confidential information via electronic means, please ensure you do this via a secure method. LS

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