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12 - 14 Dungannon Road, Coalisland, BT71 4HP
028 8774 6664
Estate Agents in Coalisland

Tenancy Application Form


Please check you have entered all details correctly:

Property Details

Applicant Details 1
Title
Marital Status
Are you a smoker?
Status of Current Address
Previous Addresses
Previous Address (If at current address less than 3 years)

Applicant Details 2
Title
Marital Status
Are you a smoker?
Status of Current Address
Previous Addresses
Previous Address (If at current address less than 3 years)

Household
Do you have any pets?
Have you had any County Court Judgements or rent arrears in the past 6 years?

Employment / Occupation Details
Applicant 1
Employment Status
Employment / Occupation Details
Applicant 2
Employment Status

Current Landlord or Agent
Applicant 1
Are you Currently in Receipt of Housing Benefit
Current Landlord or Agent
Applicant 2
Are you Currently in Receipt of Housing Benefit

Referee

We require two people on your behalf to contact for a reference:

(These Must Not Be Family)

Referee Details - Applicant 1
Referee 1
Title
Referee 2
Title

Referee Details - Applicant 2
Referee 2
Title
Referee 2
Title
Other Information

Please Note
  1. Monies paid as a deposit are refundable provided all debts, damages, rent etc. have been cleared, all monies will be held by the Tenancy Deposit Scheme.
  2. You will be required to sign a letting agreement for 1 year lease before taking occupation. If you leave the property within the 1st year you may forfeit your right to your deposit being returned.
  3. Two approved guarantors where requested plus 1 months rent as deposit, guarantors where required will have to sign the lease agreement.
  4. All DHSS forms must be completed before taking occupation of the subject property.
  5. Proof of identity & Address must be provided on returning this application form: Driving Licences, Utility bill, Bank Statement or benefit book are acceptable.
  6. If this form is not fully completed you will not be considered for the letting of the property.