Present Address:

Previous Address:

Current Employer:

Accountant if self-employed:

Your Bank:

Personal referee:

General

Declaration

I declare that the information I have provided on this form is true and correct, and hereby authorize you to verify the details given and seek references as required, including a banker’s reference and a credit check. I agree to you disclosing the reference replies to the landlord/s of the property which I am applying. I understand that this does not represent any offer or contract of any nature. I further understand that if you decline to offer me a tenancy no explanation needs to be given.

Signed by Application*:

Date:

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