Rental Application Form
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Ballymoney Office
028 2744 8444
18 Main Street,
Ballymoney, BT53 6AL
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Ballymena Office
028 2544 7444
27 Hill Street,
Ballymena, BT43 6BH
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Rental Application Form
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Rental Application Form
Property details
Property address you are applying for
*
Is this a joint application?
*
Yes
No
Preferred move-in date
*
Preferred tenancy length
*
How did you find out about the property?
*
--- Select ---
Propertynews website
PropertyPal website
AMG Property website
Office visit
Board
Mailing list
Other
If other, please specify:
Main Applicant details
Title
*
...
Mr
Mrs
Miss
Ms
Dr
Rev
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?
*
--- Select ---
A property owner
A private tenant
A housing executive tenant
Living with parents
Living with friends
Other
If other, please specify:
Current address
*
Post code
*
How long have you lived at this address?
*
--- Select ---
Less than 1 year
1-2 years
2-3 years
+ 3 years
If under 3 years, please provide previous address(es):
Why are you leaving this property?
*
Main Applicant Employment information
Please give details of your current employer; if you are self-employed, please provide details of your accountant.
Employment status
*
Employed
Self-employed
Retired
Unemployed
Student
Type of employment
Full-time
Part-time
Employer's name
Employer's address
Your job title
Length of time with company
Salary
Do you receive any bonuses or have any other income?
Yes
No
If yes, please provide details:
Joint Applicant details
Title
*
...
Mr
Mrs
Miss
Ms
Dr
Rev
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?
*
--- Select ---
A property owner
A private tenant
A housing executive tenant
Living with parents
Living with friends
Other
If other, please specify:
Current address
*
Post code
*
How long have you lived at this address?
*
--- Select ---
Less than 1 year
1-2 years
2-3 years
+ 3 years
If under 3 years, please provide previous address(es):
Why are you leaving this property?
*
Joint Applicant Employment information
Please give details of your current employer; if you are self-employed, please provide details of your accountant.
Employment status
*
Employed
Self-employed
Retired
Unemployed
Student
Type of employment
Full-time
Part-time
Employer's name
Employer's address
Your job title
Length of time with company
Salary
Do you receive any bonuses or have any other income?
Yes
No
If yes, please provide details:
Do you or anyone who will be living in the property...
Smoke?
*
--- Select ---
Yes
No
Have Pets?
*
--- Select ---
Yes
No
If you have pets, please provide details and indicate where they will be kept:
Landlord details
If currently renting, or you have rented within the last 3 years, please provide your landlord's details. If your property was managed by an agency, please provide the agency's details instead.
Name of landlord/agent
Contact number
Email address
Address of property
Date tenancy began
Length of tenancy
Rental amount (per month)
Guarantor details
Title
*
...
Mr
Mrs
Miss
Ms
Dr
Name
*
Phone Number
*
Email Address
*
Address
*
Relationship to Applicant
*
Employment Status
*
...
Employed
Self-employed
Retired
Are you a home owner
*
Yes
No
Company Name
*
Company Address
*
Position
*
Salary
*
Applicants in receipt of housing benefit or universal credit only
Are you currently receiving housing benefit or the housing element of universal credit?
-- Please select --
Yes
No
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?
-- Please Select --
Me
Landlord
Do you have to pay a shortfall?
-- Please Select --
Yes
No
If yes, how much?
Costs to the applicant
A security deposit equivalent to one month's rent must be paid when an application has been accepted. The deposit will be held and secured through a Tenancy Deposit Scheme. The deposit is held to cover damage, breakages and any other liabilities noted under your tenancy agreement and will be refunded at the end of the tenancy, providing all is in good order. Once the deposit is paid, the property is taken off the market. However, should you decide not to proceed, you are liable for the following costs:
- Loss of rent. If the landlord loses 2 weeks' rent marketing this will be calculated as losing 2 weeks' rent
- Remarketing costs will be charged at £150
By ticking this box you agree to the above declaration
Declaration and consent
Please note the property is let as seen unless the landlord has agreed to any changes prior to move-in.
The application will only be submitted to the landlord once all documentation has been received.
I confirm that the information supplied to AMG Property is, to the best of my knowledge, true
I have read, understand and accept AMG Property's application process
Please enter your full name below to sign the form
*
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