Tenancy Reference Form
Tenancy Reference Form
HOUSEHOLD
Name Date of Birth Relationship to tenant
Wilhelmina Swindell 14-12-1955 friend
Does the tenant or a member of their household have a history of anti-social /No
behaviour / neighbour nuisance or drug or alcohol problems?
If Yes, please give details below (including if any ASBO’s or Notices have been served)
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RENT ACCOUNT & OTHER DEBTS
Are there any rent arrears on the current tenancy – if so how much? /No
How long has the account been in arrears?
Has an arrangement been made to clear the arrears?
If Yes, please give details of the arrangement and if payments have been maintained
Is the tenant or a member of their household on the Sex Offenders register? /No
If Yes, please give details below
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Are you aware of any risks in relation to this tenant and/or his household /No
that we should be made aware of?
If Yes, please give details below
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REFERENCE COMPLETED BY
Name: WILHELMINA SWINDELL
Position/Job Title: carer/therapist
Organisation/Landlord: Landlord
Signed: Willie gosselink swindell
Date: 05-12-2019
Please reply to: South Devon Rural Housing
South Devon House
Babbage Road
Totnes
Devon
TQ9 5JA
Tel: 01803 863550