LEGALHOUSE SOLICITORS

RENTAL QUESTIONNAIRE

SECTION A (YOURSELF)
Full Name_______________________________Current Home Address___________________________
Nationality____________________ If Nigerian (Tribe)_________Phone
Nos_______________________
Occupation______________Office Address/Email____________________________________________
Name and Address of Employer__________________________________________Date
Employed_____
Name of Direct Supervisor/HR Head___________________________Phone Nos___________________

SECTION B (PLEASE GIVE RESIDENTIAL HISTORY)

Current Residential Address__________________________Reasons for
leaving_____________________
Name of Owner_________________________________
Address________________________________
Phone
Number(s)_______________________________________________________________________

Previous Address (last 3 years)_________________________Reasons for

leaving_____________________
Name of Landlord_________________________ Address________________________________
Phone
Number(s)_______________________________________________________________________

SECTION C (PLEASE DESCRIBE YOUR CREDIT HISTORY)

Have you been declared insolvent in the past Yes______________No_____________
Have you ever been evicted from a rental residence Yes______________No_____________
Have you had late rental payments in the past two years
Yes______________No_____________

SECTION D (REFERENCES)
Please provide us with two referees that we can contact. Referees can be a friend, co-worker, your
employer or someone who knows you well and should be able to provide a reference about your credit
worthiness.
Referee Name 1:__________________________ Referee Name
2__________________________
Address_________________________________ Address________________________________
Phone/Email_____________________________ Phone/Email____________________________

SIGNATURE
I, WE ________________________________________________ whose signature appear hereunder
hereby confirm that the information given above is true and accept that Legalhouse Solicitors and or any
of its agents/solicitors may undertake a credit check on me/us with any organisation and also contact
my/our employer, former employer, landlord or former landlord to ascertain the correctness of any
information herein. I/We also accept that any misrepresentation of the information supplied shall be a
ground for ejection from the property at any time such misrepresentation is later discovered.
Please provide us with a passport photograph and a means of identification (Data page of International
passport, driver’s licence etc) of yourself, Office Identity Card, and Complimentary Card).

Signature______________________________________Date________________________________