Tenant Application Form

Rental Address
Applicants who will be living at the property

Address Number of Applicants over the age of 18

Number of Applicants under the age of 18

Number of Applicants who smoke?

(Smoking is not permitted inside the property)

Do you intend to have any pets living at the Yes No

Postcode address? If yes, please describe, e.g. age, breed.

Proposed move in date

Are any Applicants aware of any Yes No
Proposed initial terms of tenancy (months) adverse credit history?

Monthly Rent £ Do any of the applicants have any CCJ’s Yes No

(County Court Judgements) or Court Decrees?
If yes, please give details.

Have any Applicants been declared bankrupt Yes No

or have any IVA’s etc? If yes, please give details.

Applicant 1
We will treat Applicant 1 as the Primary Applicant for the purposes of communication.

Employment Status
Title
Employed Self Employed
Full Name
Student Retired Unemployed
Email
If self employed, for how many years?
Mobile No.
Do you have an accountant? Yes No
Date of Birth

Marital Status Contract Type

Current Address Permanent Temporary Zero hours

Full time Part time Agency work Other

Postcode
Company
Time at current address
Position

Are you currently? Employment start date

Renting Homeowner Living with friends or family Gross annual salary £

If renting, has the rent always been paid on time? Yes No Household income required to rent this property:
Have you lived in a rented property in the Yes No Monthly rent x 30 (per annum)
last 6 months?

Dwell Estate & Letting Agents / 0113 246 4860 / applications@dwell­leeds.com / www.dwell­leeds.com
Tenant Application Form

Rental
Applicant
Address
2
Applicants who will be living at the property
Employment Status
Title
Address Number of Applicants over the age of 18
Employed Self Employed
Full Name Number of Applicants under the age of 18
Student Retired Unemployed
Email Number of Applicants who smoke?
(Smoking is not permitted
If self employed, insideyears?
for how many the property)
Mobile No.

Date of Birth Do you have

intend antoaccountant?
have any pets living at the Yes No
Postcode address? If yes, please describe, e.g. age, breed.
Marital Status Contract Type

Current Address Permanent Temporary Zero hours

Proposed move in date
Full time
Are any ApplicantsPart time
aware of any Agency work Yes Other
No
Proposed initial terms of tenancy (months) adverse credit history?
Postcode Do any of the applicants have any CCJ’s
Monthly Rent £ Company Yes No
(County Court Judgements) or Court Decrees?
Time at current address
If Position
yes, please give details.

Are you currently? Employment start date

Renting Homeowner Living with friends or family Gross annual salary £

Have any Applicants been declared bankrupt Yes No
If renting, has the rent always been paid on time? Yes No Household
or have anyincome required
IVA’s etc? If yes, to rent give
please this property:
details.
Have you lived in a rented property in the Yes No Monthly rent x 30 (per annum)
last 6 months?

Guarantor
Applicant
If required. 1
We will treat Applicant 1 as the Primary Applicant for the purposes of communication.
Relationship to Tenant
Employment
Employment Status
Status
Title
Title
Employed
Employed Self Employed
Self Employed
Full Name
Full Name
Student
Student Retired
Retired Unemployed
Unemployed
Email
Email
If
If self
self employed,
employed, for
for how
how many
many years?
years?
Mobile No.
Mobile No.
Do
Do you
you have
have an
an accountant?
accountant? Yes
Yes No
No
Date of
Date of Birth
Birth

Marital Status
Status Contract
Marital Contract Type
Type
Current Address
Current Address Permanent
Permanent Temporary
Temporary Zero
Zero hours
hours
Full
Full time
time Part
Part time
time Agency
Agency work
work Other
Other

Postcode
Postcode Company
Company
Time at
Time at current
current address
address
Position
Position

Are Employment
Employment start
start date
Are you
you currently?
currently? date

Renting
Renting Homeowner
Homeowner Living with
Living with friends
friends or
or family
family Gross
Gross annual
annual salary
salary £
£
If
If renting,
renting, has
has the
the rent
rent always
always been
been paid
paid on
on time?
time? Yes
Yes No
No Household income required
required to
to be
renta this property:
Household income Guarantor
Have Monthly
is rent x 30
36 x monthly (per
rent annum)
(per annum)
Have you
you lived
rentedinaaproperty
rented property in the
in the last 6 months? Yes
Yes No
No
last 6 months?

Dwell Estate & Letting Agents / 0113 246 4860 / applications@dwell­leeds.com / www.dwell­leeds.com
Tenant Application Form

Rental Address
Additional Information 8. The Applicant understands that should any of these references
be found
Applicants to will
who be adverse
be livingthis
at application
the propertyis likely to be refused.
Dwell Leeds Ltd will be referred to herein as the Agent.
In these circumstances the Holding Deposit will be charged
The Applicant(s) are the parties making this application to rent a and is non­refundable.
Number of Applicants over the age of 18
Address
property with the Agent.
9. The Applicant understands that should they not provide all of
As per the Tenant Fees Act 2019, a refundable Holding Deposit Number of Applicants
the relevant under
information the agefor
required of the
18 Agent or the Agent’s
of 1 week’s rent must be paid to reserve the property under Referencing suppliers to establish a full set of references
this application. The Holding Payment will be requested once Number
within of
72Applicants who smoke?
hours of information being requested by the agent
the Agent has conrmed the Applicant’s suitability to rent the (Smoking is not
before the permitted
Deadline inside the
Agreement property)
Date, being no more than
property, using the information provided in this application 15 calendar days from the Holding Deposit Payment Date,
by the Applicant. The Applicant understands that a tenancy will this intend
Do you application is likely
to have to beliving
any pets refused. In these circumstances
at the Yes No
not be granted until the Applicant’sPostcode
references are later veried the Holding
address? Deposit
If yes, please will be e.g.
describe, charged
age, and is non­refundable.
breed.
and approved by the Agent.
10. The Applicant understands that referees often take several
Please Note: The Holding Deposit will be withheld if any relevant days to respond to reference requests, therefore the Applicant
person (including any guarantor(s)) withdraw from the tenancy, will endeavour to complete their full Application Form providing
failProposed move incheck,
a Right­to­Rent date provide materially signicant false full referee details as soon as is reasonably possible since the
or misleading information, or fail to sign their tenancy agreement Are any Applicants
Deadline aware Date
Agreement of anyis 15 calendar days from
Yes the Holding
No
Proposed
(and initial
/ or Deed of terms of tenancy
Guarantee) within(months)
15 calendar days (or other adverse credit
Deposit history?Date.
Payment
Deadline for Agreement as mutually agreed in writing).
Monthly Rent £ Do any
11. Theof the applicants
Agent may use the have any CCJ’s
Holding Deposit towardsYeseither rent
No
The Applicant conrms they understand the following. (County Court Judgements)
or deposit or Court Decrees?
at their discretion.
1. Holding Deposit Amount (per tenancy). If yes, please give details.
12. Where the Applicant cannot supply referee details promptly
This will be calculated as 1 week’s rent. to support this application, the Applicant will advise the Agent
In order to calculate this you must multiply the in writing as soon as possible. The Applicant may request an
monthly deposit by 12 and then divide by 52. extension to the Deadline Agreement Date where there is a
Monthly Rent x (12/52) = Holding Deposit Amount. valid reason to do so. This must be done so in writing (email).
Have any Applicants been declared bankrupt Yes No
2. Holding Deposit Payment Date. The Holding Deposit 13.
or haveper
As anythe GDPR,
IVA’s etc? Ifwhere the Applicant
yes, please supplies their own
give details.
must be paid within 24 hours of acceptance in order for the references to the Agent, the Applicant gives their consent
Agent to reserve the property for the Applicant. The applicant for the Agent to contact the Applicant’s referencing supplier
understands that the Agent cannot reserve the property to establish their validity including details of their income,
until the Holding Deposit has been received by the Agent. credit report, and Landlord reference, where applicable.
3. Deadline Agreement Date. The tenancy agreement 14. Where requested by the Applicant, the Agent may refer the
(usually AST) must be signed no later than the deadline Applicant to a third party referencing supplier so that the
of 15 calendar days from the date the Holding Deposit has Applicant may produce their own references. The Agent may
Applicant
been paid1to the Agent. This deadline may be extended receive commissions from the supplier for this introduction to
by either party where this reasonable grounds to do so, the Applicant. The Agent will not insist that the Applicant
We will treat Applicant 1 as the Primary Applicant for the purposes of communication.
and where this is done in writing (including email). choose any specic referencing supplier and the Applicant
4. Start Date Of Tenancy. This will be agreed by all parties understands they have a choice. The Agent will however need
Employment Status
to establish that the supplier is a legitimate and appropriate
as part of this application. This date is not the same date
Title
as the Deadline Agreement Date. referencing company.
Employed Self Employed
5.FullName
NameOf Parties. This application is made between the 15. Where the Applicant supplies their own references,
Applicant (named on page 1 of this application), and the Student
the Applicant Retired
will supply them to the Unemployed
Agent signed and
Email
Agent being Dwell Leeds (trading as Dwell), representing on the letterhead paper of the referencing company.
the Landlord of the property. 16. At least
If self the rst
employed, formonth’s rentyears?
how many and the balance of the deposit
Mobile No.
6. The Agent will seek to establish the suitability of the must be paid prior to the start of the tenancy.
Applicant Do you have an accountant? Yes No
Date of Birthas a Tenant by verifying the Tenant’s income, 17. We will treat Applicant 1 as the Primary Applicant for
credit status and credit score, ID, proof of address, Right To our communications with you unless otherwise stated.
Rent Status
Marital Check (showing right to remain in the UK), and, where The Primary
Contract Type Applicant will usually but not always become
applicable, a suitable current Landlord reference. Income our rst point of contact.
for theAddress
Current household must be at least 30 x the monthly rent Permanent Temporary Zero hours
18. Please note all Applicants over the age of 18 must be
on an annual basis, as veried by referencing. For example
referenced andPart
Full time willtime
appear on theAgency
tenancy agreement.Other
work
for a rent of £600pcm, the total household income would
We are unable to accept applicants under the age of
need to be veried at least £18,000 per annum.
18 as tenants.
7. The Agent will seek to establish Postcode
the suitability of any Company
19. Ubundle acts for the Agent on behalf to offer energy and
Guarantor that may be required by verifying the Guarantor’s
Time at current media deals to their Applicants. The Applicant consents
income, creditaddress
status and credit score, and homeownership. Position
for Ubundle to contact the Applicant with details of their
The Guarantor’s income must be at least 36 x the monthly
best rates available although this is entirely optional.
rent currently?
Are you on an annual basis, as veried by referencing. For Employment start date
example for a rent of £600pcm, the Guarantor’s income
would needHomeowner
Renting to be veried at least £21,600
Living per annum.
with friends or family Gross annual salary £
If renting, has the rent always been paid on time? Yes No Household income required to rent this property:
Have you lived in a rented property in the Yes No Monthly rent x 30 (per annum)
last 6 months?

Dwell Estate & Letting Agents / 0113 246 4860 / applications@dwell­leeds.com / www.dwell­leeds.com
Tenant Application Form

Rental
20. Addressunderstands that they can request the
The Applicant Payment Details
details of any credit reference agencies used so that the Applicants whoroom
will be
To reserve the youliving at required
will be the property
to pay the holding
Applicant can verify with them the information provided.
deposit of one week’s rent. As soon as we have agreed
The information provided in this form by the Applicant is
Address Number of Applicants over thewhen
age of 18should make
your application we will conrm you
information as described in Ground 17 of the Housing
this payment.
Act 1996 and I understand that if any information within Number of Applicants under the age of 18
this application is found to be untrue, it is grounds for Please see Clause 1 for details of how to calculate this.
termination of the tenancy. The property
Number can only bewho
of Applicants reserved
smoke? for you once this payment
has been made.
(Smoking is notThis should inside
permitted be paidthe
to property)
the following account.
21. The Applicant understands that any default in the payment
of rent will affect any future application may affect for Bank Name: HSBC
tenancies, credit or insurance. Account Name:toDwell
Do you intend have Leeds
any pets living at the Yes No
Postcode Sort Code: 40­24­32
address? If yes, please describe, e.g. age, breed.
22. The Applicant conrms that the information provided within
Account Number: 23663442
this application is accurate to the best of their knowledge.
Reference: First line of the rental address
23. The Applicant agrees that the Agent, or it’s associated
referencing
Proposed movecompanies,
in date may search the les of a credit
referencing agency, and will keep a record of the search.
Are any Applicants aware of any Yes No
Proposed
24. initial terms
The Applicant of tenancy
understands that(months)
the Agent or it’s associated adverse credit history?
referencing companies will contact the Applicants referees to
Monthly Do any of the applicants have any CCJ’s Yes No
obtain Rent
references based on the information£supplied.
(County Court Judgements) or Court Decrees?
25. The Applicant understands that the data supplied as part of If yes, please give details.
their application may be shared with the Landlord.
26. The Applicant understands that personal information within
this form may be released to companies associated with
the Agent for the purposes of providing related services such
as insurance, utilities and media. The Applicant may opt out Have any Applicants been declared bankrupt Yes No
by writing to the Agent at their registered address. or have any IVA’s etc? If yes, please give details.
27. The Applicant understands that the Agent may receive
commissions derived from introducing the Applicant to their
third party suppliers such as utilities or insurance providers.
28. The Agent is fully compliant with the Data Protection Act 1998
and the General Data Protection Regulations (2018)
29. The Agent is a registered member of the Information
Applicant 1
Commissioners Office with registration number Z3099029.
We will treat Applicant 1 as the Primary Applicant for the purposes of communication.

Employment Status
Title
Employed Self Employed
Full Name
Student Retired Unemployed
Email
If self employed, for how many years?
Mobile No.
Do you have an accountant? Yes No
Dateparty
Each of Birth
has read and agrees to be bound by the above terms.

Marital Status Contract Type

Signed Applicant 1 Signed Guarantor
Current Address Permanent Temporary Zero hours

Full time Part time Agency work Other

Signed Applicant 2 Postcode Date

Company
Time at current address
Position

Are you currently? Employment start date

Please complete, sign and return by email to applications@dwell­leeds.com,
or if email is notHomeowner
Renting possible, to our postal address:
Living with friends or family Gross annual salary £
5/6 St Chad’s Parade, Otley Road, Far Headingley, Leeds. LS16 5JH
If renting,
For has
further the rent always
information been246
call 0113 paid4860
on time? Yes No Household income required to rent this property:
Have you lived in a rented property in the Yes No Monthly rent x 30 (per annum)
last 6 months?

Dwell Estate & Letting Agents / 0113 246 4860 / applications@dwell­leeds.com / www.dwell­leeds.com
March 2021