39 Southend Road
Grays, Essex, RM17 5NH
T: 01375 393118
F: 01375 409825
E:
regentestates@aol.com
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Regent Estates - Tenant Application Form
Tenant Application Form
Contact Details
Forename:
Surname:
House Name / Number:
Street Name:
Town:
County:
Postcode:
Telephone Number:
Mobile Number:
Email:
Requirements
Maximum rent affordable (£ PCM):
Bedrooms:
Select number of bedrooms
1
2
3
4
5
Other
If you selected 'other', please specify:
Property Type:
Select property type
Flat/Apartment
House
Bungalow
Other
If you selected 'other', please specify:
Location:
Select location
Grays/North Grays
Purfleet
East Tilbury
Tilbury
Stanford Le Hope
Corringham/Fobbing
South Ockendon
Other
If you selected 'other', please specify:
Furnishing:
Select furnishing
Unfurnished
Part Furnished
Fully Furnished
Do you require a garden?
Yes
No
Do you require parking?
Yes
No
When would you need to move into a property?
Select move date
ASAP
2 Weeks
3 Weeks
1 Month
Other
If you selected 'other', please specify:
Do you have a deposit up-front?
Yes
No
Additional Information
Nationality:
Have you been a resident of the UK for more than 6 months?
Do you have any children? If so, how many?
Do you have any pets? If so, how many and what type?
Are you a working Tenant? Or will you be claiming benefit?
If you are a working Tenant, what is your occupation?
If you are a housing benefit tenant, do you have a working guarantor?
Yes
No
Are you a smoker or non-smoker?
How many adults will be occupying this property?
Do you have adverse credit history? (For example County Court Judgements CCJ's, Bankruptcies, Court Decrees or Individual Voluntary Arrangements)
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.