CLIENT RENTAL ENQUIRY FORM

Kelly & Co Maghera

Thank you for your enquiry. We hope to be able to assist you in your new home. We ask the you provide details so that we can contact you, should a suitable property become available. All information we remain private and confidential.

Please check you have entered all details correctly:

What Property Are You Applying For?

Client Information

Firstname

Surname

Status

Date of Birth

Address

Town

County

Postcode

Phone No.

Email Address

Are You Currently Renting Yes No

Lease Expiry Date (if no please put N/A)

Are You A Smoker? Yes No

Do You Have Any Pets? Yes No

If Yes, Please Give Details Of Your Pets (if no please put N/A)

Term Of Lease Preferred?

Type Of Property Preferred?

How Many People Will Reside At The Property?

How Many Adults Will Reside At The Property?

How Many Children Will Reside At The Property?

Current Landlord Details

Name

Address

Please provide reason for move?

How long have you lived at this property?

Town

Postcode

Phone No.

References

Please list two professional references.

Reference 1

Full Name

Relationship

Company

Phone No.

Address

Reference 2

Full Name

Relationship

Company

Phone No.

Address

Previous Employment

Company

Phone No

Job Title

Address

Criminal Offences

Have you or anyone residing in the property, ever been convicted, cautioned or charged with any criminal offence?

If yes, please detail below

Disclaimer

I certify that my answer are true and complete to the best of my knowledge.