Tenant Pre-screen

Hi, Can we ask you to fill out the following form so we can find out a little more about you. Thx

Many thanks

Gary

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Full name *

Email *

Phone Number *

Anticipated Tenancy date –October 3October 4October 5October 6October 7October 8October 9October 10October 11October 12October 13October 14October 15

a or –

Total occupants *1234

Relationship between occupantsCouple/SpousesParent & ChildSiblingsFriends/HousematesOther

How many tenants are under 18 ?0123

Are you a DSS tenant ? (Is any or all of your income from Social services – e.g. income or rent suport)YesNoI don’t know

Is your rent going to be funded directly or in part from Dept of Social Security

Any child under 13?

• Yes
• No

Pets? *

• Yes
• No

Smoking/vaping? *

• Yes
• No

Employment Status

• Permanent
• Fixed Term
• Contract
• Self Employed
• Student
• Not Employed

First tenant employer name

How long employed

Employer reference available? *

• Yes
• No

Combined gross ANNUAL income (£) *

Landlord reference available? *

• Yes
• No

Any CCJs/IVA/bankruptcy in last 6 years? *

• Yes
• No

Brief details (if Yes)

Right to Rent: all adults can provide valid proof? *

• Yes
• No

Any other notes

Consent *

• I consent to you processing this information to assess viewing suitability.

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