REFERENCE CHECK APPLICATION FORM PMP Property Management Ltd 44 Green Park Road, rthfield, Birmingham, B31 5BD p: 0121 286 2222 lettings@pmpproperty.co.uk 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 Please supply your full legal name, nationality and date of birth. Title: (e.g. Mr, Mrs, Ms etc.) Bank Account Details Please supply details of your UK bank account from which payments will be made: Name of Bank or Building Society: Branch Address: Maiden Name (where applicable): Date of Birth: Nationality: 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. Daytime Evening Account Name: Sort Code: Account Number: Contact Number: Mobile Proof of Identity We are required to verify your identity - to speed up the process please supply the following: Passport Number: National Insurance 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? If YES please supply details below: CCJ Bankruptcy Voluntary Arrangement Date Details (amount, if discharged, for example)
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 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 this is less than three years ago, you will need to complete the next section marked Additional Address History. House Name or Number Previous Addresses 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? From: To: House Name or Number Street Street Town/City Town/City Postcode Postcode If Tenanted, please complete the below: If Tenanted, please complete the below: My tenancy was administered via: Landlord/Agent Name Contact Address (inc postcode) a Landlord an Estate Agent Landlord/Agent Name Contact Address (inc postcode) Telephone Number Fax Number Telephone Number Email Address Fax Number Email Address
Employment Details Employment Status Student Details (if applicable) Which best describes your occupation: Your attendance: Full Time Part Time Employed (please complete Employment Details below) Course Title: Self-Employed (please complete Proof of Income below) Independent Means (please complete Proof of Income below) Retired (please complete Proof of Income below) Student (please complete Proof of Income below) Student Reference Number: Course Start Date: YY Finish Date: YY Unemployed Housewife/husband Employment Details College/University Details (if applicable) Name of Institute: Hours of Work: Full Time Part Time Company Address: Contract Type: Permanent Temporary Fixed Length Your Job Title: Your Gross Income: Contact Name: Payroll Number: Start Date: DD / MM / YYYY Finish Date: DD / MM / YYYY (leave blank if still working for this company) Fax Number: Proof of Income / Employer Details 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: Fax Number:
Tenancy Details and Consent Tenancy Details Do you smoke? Do you have any pets? If YES please give details: Declaration & Consent 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. Next of Kin Title: (e.g. Mr, Mrs, Ms etc.) 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. Relationship to you: (father, mother, sister, brother etc.) Postal Address: 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. Name: I Agree (please tick) Signature: Under 18 s Will there be any Under 18 s living at the property? If YES please give details (use additional sheet if required) Date: YY 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. Date of Birth: YY 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.