Residential Tenancy Application Form Victoria Pinkerton Estate Agents Northern Ireland

Property details

Address of property you are applying for*

Is this a joint application? *

If yes, who with?

Preferred move-in date *

Preferred tenancy length *

Property rent (per month) *

What is the maximum rent you can afford per month? *

How did you find out about the property? *

If other, please specify:

Applicant details

Title *

First name *

Last name *

Previous name(s)

Date of birth *

Contact number *

Email address *

Please give details about anyone else who will be living in the property, including their date of birth and relationship to you:

Are you? *

If other, please specify:

Current address *

Postcode *

How long have you lived at this address? *

If under 3 years, please provide previous address(es):

Why are you leaving this property? *

Do you or anyone who will be living in the property...

Smoke? *

Have Pets? *

If you have pets, please provide details and indicate where they will be kept:

Bank details

These details will not be used, until the referencing stage.

Name of bank

Branch name

Account name

Sort code

Account number

Employment information

Please give details of your current employer; if you are self-employed, please provide details of your accountant.

Employment status *

Type of employment

Employer's name

Employer's address

Contact name

Contact's position

Contact email address

Contact phone

Your job title

Length of time with company

Salary

Do you receive any bonuses or have any other income?

If yes, please provide details:

Tenancy history

We would like to verify your tenant history, if currently renting, or you have rented within the last 3 years, please provide your landlords details. If you provide us with your landlords details and they decide to use our services, you will receive a £100 Amazon Voucher. If your property was managed by an agency, please provide the agency's details instead. If you have not notified your landlord you are moving out yet please still provide your landlords details but select the correct option from the drop down accordingly

Name of landlord/agent

Have you notified your landlord you are moving?

Contact number

Email address

Address of property

Date tenancy began

Length of tenancy

Rental amount (per month)

Have you ever had any late or missed rental payments?

If yes, please provide details of dates and reasons:

Applicants in receipt of housing benefit or univeral credit only

Are you currently receiving housing benefit or the housing element of universal credit?

How much are you receiving every four weeks?

(A copy of your current award notice must be provided)

Is your payment made to you or the landlord?

Do you have to pay a shortfall?

If yes, how much?

Adverse credit

Do you have any adverse credit or county court judgements (CCJs)? *

If yes, please provide details including amounts and dates:

Supporting documentation

Upload Proof of ID Document

(Current signed passport, Valid UK driving licence, or an EEA member state identity card)
supported file types (.pdf, .docx, .jpg, .png)

Upload Proof of Address Document

(Valid UK driving licence (if not used for identity), Bank Statement, Mortgage Statement, Rates Bill, Government-issued correspondence or Electoral Roll Certificate)
supported file types (.pdf, .docx, .jpg, .png)

Costs to the applicant

There is no cost to submit this application to our offices. However, once you have been accepted for a tenancy you will be required to pay a holding fee equal to one month's rent*. This will secure the property and allow the referencing process to continue - this will prevent any further marketing of the property.

You will have 7 days from the moment you are notified that your application is being processed to complete our referencing process. Failure to meet the timeframe will result in the property being remarketed at your cost.

Should any of the following circumstances occur, you agree to the related costs being charged to you:

1. If you decide not to proceed with the tenancy, once you have been accepted, you will be charged for loss of rent** and/or the cost of remarketing***

2. If any information given on your application form is false or incorrect you will fail the referencing process and will be charged for loss of rent** and/or the cost of remarketing***

3. If you fail to meet the deadlines, you will be charged for loss of rent** and/or cost of remarketing***

*Once the tenancy agreement has been signed and accepted, the holding fee will be deducted from the first months' rent.
**Loss of rent: if the landlord loses 2 weeks' marketing this will be calculated as losing 2 weeks' rent.
***Remarketing costs will be charged at £150 plus VAT.

By ticking this box you agree to the above declaration

Declaration and consent

I understand my reference will be completed by a third party on behalf of Victoria Pinkerton through an online portal

I confirm that the information supplied to Victoria Pinkerton is, to the best of my knowledge and belief, true

I have read, understand and accept the Victoria Pinkerton application process

Please enter your full name below to sign the form * Signed by

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