Landlord Application Form | Regent Estate Agents

Regent Estates - Landlord Application Form

Landlord Application Form

Contact Details

Forename: Surname:

House Name / Number:

Street Name:

Town:

County:

Postcode:

Telephone Number: Mobile Number:

Email:

Rental Address

House Name / Number:

Street Name:

Town:

County:

Postcode:

Property Type:
If you selected 'other', please specify:

Bedrooms:
If you selected 'other', please specify:

Furnishing:

General Condition:

Is the property vacant? Yes No

Does the property have parking? Garage Driveway Allocated spaces No parking

Would you accept......?

Pets: Yes No

Children: Yes No

DHSS: Yes No

Smokers: Yes No

Does the property have a garden? Yes No

If yes, approx size:

What type of heating does the property have? Gas Electric

Who is your utility supplier?

Would you require an electrical safety cerfiticate? Yes No

Would you require a gas safety certificate? Yes No

Would you require an energy performance certificate? Yes No

Please enter the security code exactly as written in the image above for security verification:

Thank you for taking the time to complete the form, please click the send button and our lettings team will contact you as soon as possible.