Tenancy period

Tenancy start date

Number of applicants

Total rent

Rent for this applicant

MrMsMrsMissDrOther

Date of birth:

Country: –– Please select ––AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanTheBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonTheGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

Time at address:

Status: –– Please select ––MarriedSingleCommon lawPartnerCivil partnershipSeparatedDivorcedWidowedOther

UK resident:

Address status: Owned/mortgagedRented(Family/friends)

Names of additional tenants taking occupancy

Age (if under 18)

Relationship to tenant

Are you or any of the above named a smoker?
YesNo

Do you have any pets?
YesNo

Have you had any CCJ’s, rent arrears or entered into bankruptcy (IVA) in the past 6 years? YesNo

Patricia Shepherd Letting & Management charge structured Tenants Fees. A copy of these fees can be found here. These fees are to cover the costs of processing your tenancy, the fees once paid are non-refundable. Each individual tenant must complete an ‘Application for Tenancy’. A status enquiry may be requested from each tenant’s bank and there may be a minimal fee charged by the bank directly to the tenant’s account. An inventory ‘check out’ fee is charged to the tenant on vacation of the property.

A holding deposit of £500.00 will be required to secure the property whilst your application is processed. Once accepted for tenancy, the balance of deposit (equal to 1.5 months’ rent) plus first months’ rent in advance and balance of any additional fees must be paid in full in cleared funds before commencement of tenancy. Please note, if paying by Credit Card, a transaction fee of 3% will be added to the total. The deposit will not be returned until your tenancy is ended and only then provided your rent is paid in full and on the proviso the property is returned satisfactory and the inventory has been checked. NB: Before the deposit is refunded we will also have to consult with the landlord.

All negotiations are subject to contract and the tenancy start date cannot be relied upon until satisfactory references have been received.

Will this be the account that the rent is payable from? YesNo