Pre – Application Information and Declaration

TO APPLY FOR A PROPERTY, YOU MUST COMPLETE ALL SECTIONS OF THIS FORM IN FULL & RETURN THIS BY EMAIL.
YOU MUST PROVIDE ID & PAY THE HOLDING DEPOSIT OF £85 ONCE REVIEWED (ONLINE TRANSFER) THE PROPERTY
REMAINS FULLY AVAILABLE UNTIL THE HOLDING DEPOSIT IS PAID. IF YOU HAVE ANY QUESTIONS, PLEASE CALL US
ON 01472 806900.

Property Address

Deposit
Rent without pet Rent with pet
(5 weeks rent)
Have you rented
Holding Deposit
Date Taken with Galaxy letts
(1 Weeks rent)
before?
Proposed tenancy start How many
date/notice period tenants

Tenant 1
Full Name plus Title National Insurance
Number
Email address Mobile Number

Address

Employer Name, Salary

Address & contact
details
Contract type (Agency Please note if you are unemployed, your employment contact is agency, zero hour or temporary or most part
time employments you will require a working/Homeowner guarantor.
etc)

Full time/part time

Benefits Claimed Please list all benefits claimed, amounts and payment frequency

Renting private or
agent
Current
Landlord/Agent
details
Full address/email
and contact no.
 Smoker YES/ NO D.O.B-

Tenant 2
Full Name plus title National Insurance
Number
Email address Mobile Number

Address

Employer Name, Salary

Address & contact
details
Contract type (Agency
etc)

Full time/part time

Benefits Claimed Please list all benefits claimed, amounts and payment frequency

Renting private or
agent

Landlord/Agent details
Full address/email and
contact no.
Smoker YES/ NO D.O.B-

Guarantor Information (If required) (Must be Permanently employed)- please also see Guarantor annual
income amount required. ** Must be a homeowner**

Full Name National Insurance

Number
Email address Mobile Number

Full Address
Employer Name, Salary (Annual):
Address & contact
details

& Contract type-

Any further income: Please list all:
(savings/ pension)
 Any adverse credit Employment over 6 months and Full time contract: YES/NO
history: YES/NO

Permitted Occupier Information

Please give details of any adults living at the property who will not undergo credit referencing (EG, adult children)

Name Relationship Right to Rent Check

Permission to contact Landlord / Employer

Reference #_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _:

Authority to contact my employer and landlord (MUST BE COMPLETED BY ALL ADULTS)

I, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , provide you with authorisation to contact my employer and/or accountant

for the purposes of obtaining an income reference. I also provide authorisation to contact my landlord for the purposes
of obtaining a tenancy reference. I can confirm my date of birth is ...................................................................... and my
National Insurance number is ....................................................

Yours sincerely, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Declarations
Please declare any adverse credit, county court judgements, bankruptcy orders or IVAS

I / We have no adverse credit, CCJs or bankruptcy orders, My credit score is good.

I / We do have adverse credit, CCJs or bankruptcy. Details of this are:

_____________________________________________________________
Please note a Guarantor MUST be provided if you have any adverse credit to still be considered for the property.

Do you have any pets? Please be aware that pets are allowed at your landlords discretion and subject to a rent increase of £5 per
week more than the advertised rent.

No Pets Yes, I / We have the following pets _________________________________________________

Have you ever missed a rent payment, had late rent payments or had any issues with a previous landlord that may lead to them
providing a negative reference?

I / We have no missed rent or late rent payments or landlord issues.

I / we have previously missed rent payments, or paid late, or have issues providing a landlord reference. Details of this are:

__________________________________________________________
I /we understand that all adults over the age of 18 must prove their right to rent a property in the UK, and we have the necessary
documents to do this. We agree to provide these documents when requested.

ONE document from this list TWO documents from this list
UK or EU Passport Birth certificate
EU Identity Card Driving License
Visa document endorsed with unlimited leave P60 / P45 / other DWP document or benefits letters showing NI
number.
UK immigration documents Armed Forces identity card
Certificate of naturalization or registration as British citizen A letter from your current employer or education institute, HM Prison
Service on headed paper
Full current CRB check

I / we declare that I will not provide false or misleading information, which may affect the decision to let the property to
me. I / we have provided the correct Right to Rent documents as listed above and understand that if I/ we withdraw
from the proposed agreement I/ we will surrender the holding deposit. This includes if I/ we change my/ our mind, fail
on any part of the report on information not declared or falsely provided, find an alternative property or I/ we am
unable to provide the right documents to the credit reference agency, or take reasonable steps to complete my
application in the requires timeframe. I / we understand that I/ we have 15 days to complete my application from the
date of my holding deposit being paid unless otherwise agreed in writing. I /we agree to provide accurate information
for my employer and current landlord and will assist the credit reference agency wherever possible to secure my
references in the given timescale. I/ we agree to prompt my employer and current landlord to expect the reference
request. I /we understand that I /we may need to provide 6 months of bank statements, payslips or current benefits
award letters. If I/ we am unable to provide these documents, I /we understand that this constitutes my inability to take
reasonable steps to enter into the agreement and I/ we will surrender the holding deposit. I understand that this also
applies to any guarantor that I /we provide, and that they can be present upon signing the tenancy agreement and that I
have obtained their consent to use them as my guarantor for this tenancy. I /we understand that the holding deposit will
be deducted from my first weeks’ rent.

PLEASE NOTE- IF YOUR APPLICATION IS WITHDRAWN (AS ABOVE) AND WE CANNOT PROCEED, DUE TO THE ABOVE-
YOUR HOLDING DEPOSIT PAID BECOMES NON REFUNDABLE.

Signed __________________________________ Print __________________________ Date _______________________

Signed __________________________________ Print __________________________ Date _______________________

You must complete this form, provide ID for all applicants and guarantors, and pay the £85
holding deposit (Online transfer) to secure the property. If you do not have all 3 of these
things, the application will not be accepted and you may lose the property.
 **Please note, if the landlord reference fails on arrears or condition of your current
property, this is at the landlords discretion to take this application any further with a
guarantor or not**