Application for Experian Credit Status Search
and Tenancy through
Priority Management Services Ltd.

 APPLICANT DETAILS

1. Title:
Mr/Mrs/Ms/Dr/Other    
2. Name:
(Forename then Surname)
3. Former Names:
(if any)
4. Date & place of birth:

5. Contact telephone numbers:

6. Email address:
 
7. Are you a smoker ?
Yes/No

CURRENT ADDRESS

8. What is your current address ? (please include postcode)

9. How long have you lived there ?
years/months

If less than five years, please give previous addresses, including postcodes

13. Is current property owned or rented ? 
(Owned/Rented/Living with Family/Other - specify details)


LANDLORD / AGENT DETAILS

14. If rented, what is the name of your current Landlord or Agent ? (Enter details of the one to whom you are paying the rent)

15. What is your Landlord/Agent's address ?
16. What is your Landlord/Agent's telephone / fax numbers ?

17. What is your Landlord/Agent's email address ?

18. Why are you leaving ?

 

NEXT OF KIN

19. What is the name and relationship of your next of kin ?

20. What is their address ?

21. What is their telephone number ?

 

PROPERTY SOUGHT

22. What is the address of the property would you like to rent ?

23. What monthly rental has been agreed ?

24. When would you like to move in ?
eg. ASAP


25. If any other person is likely to be staying at the property, please give their names and ages

26. If you have any pets that will be staying at or visiting the property, please give full details
(Put none if appropriate)


EMPLOYER DETAILS

27. What is the name your current employer ?

28. What is your employer's address ?

29. Whom should we contact for confirmation of your employment status ?

30. What is your employer's telephone number ?

31. What is your employer's fax number ?

32. What is your employer's email address ?

EMPLOYMENT DETAILS

33. What is your gross monthly income ?
(MONTHLY Salary BEFORE tax)
34. What is your position ?

35. How long have you worked for your current employer ?
Years / Months
36. Is your employment permanent ?
(Permanent / Temporary)
37. Do you work full time ?
(Full time / Part time /Agency)
38. What is your National Insurance Number ?

 

If self employed, please give details of your accountant

ACCOUNTANT DETAILS

39. Accountant's Name:

40. Accountant's Address:

41. Accountant's Tel.
 
42. Accountant's Fax:

43. Accountant's Email:

Application and Declaration
  
I hereby apply for an Experian Credit Status Report and Tenancy as per the above details and declare that,
      to the best of my knowledge and belief, all of the information provided by me is true.

      I hereby authorise Priority Management Services Ltd to obtain relevant information,
including salary details and employment terms to support this application.

      I confirm there have been no County Court Judgements, bankruptcy orders or similar against me
during the past five years and understand my holding deposit will be forfeit
(a) should I withdraw my application for any reason,
(b) if a change in my circumstances forces the landlord to withdraw
(c) or any of the information provided by me is in any way misleading or inaccurate.

      I understand that by submitting this form I am bound by the above-mentioned terms. 

 
Full name of applicant



Application Date