(Fields marked as * are required)
Property Address:
*
Name of Tenant(s):
*
For multiple tenants put each tenant name on a seperate line.
Permitted Occupier(s):
*
For multiple occupiers put each occupier on a seperate line.
Rent per week: £
*
Moving in date:
*
Format: DD/MM/YYYY
/
/
Length of tenancy:
*
-- PLEASE SELECT --
12 months
18 months
24 months
Break clause required:
*
A break clause permits you to leave before the tenancy period ends without incurring a financial penalty.
Yes
No
If you answered "yes" to the above, please specify the break clause(s) required:
Special Conditions:
e.g. Furniture to be added/removed, property to be cleaned, etc
CONTACT DETAILS
Current Address:
*
Postcode:
*
Home Tel:
*
Work Tel:
Mobile:
Email:
*
EMPLOYMENT DETAILS
Company Name:
*
Address:
*
Postcode:
*
Occupation:
*
Job Title:
*
Contact:
*
Length of service:
*
years
months
Tel No:
*
Extension:
Fax No.:
Email:
FURTHER INFORMATION
Do you have any pets?:
*
Yes
No
Will anyone under the age of 18 be residing at the property?:
*
Yes
No
If you answered "yes" to the above, please provide details:
If there is any other information the landlord should be aware of please include here:
Download Tenants Information Sheet
I confirm that the above information is fully accurate, that I have read the 'tenants information sheet' and that should my offer be accepted, I authorise Madley Property Services to take a non-refundable holding deposit equal to two weeks rent plus 50% of their admin fees from the card details that I have provided them with:
*
Full Name:
*