NATALIE CLARKE RESIDENTIAL LETTING CHECKLIST

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Issue Date: / / Application fee paid: NATALIE CLARKE RESIDENTIAL LETTING CHECKLIST APPLICATION FORMS NEED TO BE COMPLETED AND RETURNED WITHIN 5 WORKING DAYS AFTER ISSUE.THE TENANCY AGREEMENTS MUST BE SIGNED BY ALL PARTIES 14 DAYS AFTER ISSUE OF APPLICATION FORM. FAILURE TO DO SO WILL RESULT IN TENANTS LOSING THE HOLDING FEE AND PROPERTY BEING RE-ADVERTISED TO LET. We require the following from a potential tenant: Terms & Conditions: 1. Application form completed in full. Your application will not be accepted unless it is completed in full (no exceptions). 2. Signed Guarantor form & copy of their identification) Passport/ Driving License). These forms can only be signed by a Northern Ireland based homeowner. Alternatively a double deposit would be acceptable. 3. Copy of photographic I.D. e.g. drivers license or passport. 4. Copy of Student Card (if applicable). 5. Proof of Address (e.g. bank statement) 7. Proof of employment (e.g. current payslip) 8. A * Holding Fee of one month s rent (Please ensure that you and all your co-tenants are happy with the property before you pay this fee as it is non-refundable, even if no application form has been submitted). Upon written acceptance of your application form, this holding fee will become your security deposit and will automatically be lodged with the Tenancy Deposit Scheme (TDS) within 14 days as per legislation. *The only condition a Holding Fee is refundable is if you are declined as applicants for the property. 9. One month s rent in advance due the day you sign your contract. 10. 50.00 Application Fee per tenant which must be paid on application but will be refunded if you are unsuccessful. I have read and understood the above: Applicants signiture: Print: Date: Page 1 of 7

APPLICATION FOR PRIVATE TENANCY Please print clearly as ineligible forms cannot be considered. (A) PROPERTY DETAILS: Property Address: Proposed Rent (p.m): Preferred Move in date: Furnishing Arrangement: Furnished / Unfurnished / Other: If your application is successful the property is let as seen, however if you have specific requirements please note them below as the landlord may not agree to any changes once your application has been approved. (B) APPLICANT INFORMATION: TITLE (Mr. / Mrs. / Ms): Middle Name: Date of Birth (dd/mm/yy) National Insurance No: Sex: Phone no (Home): Phone no. (Work / Daytime) First Name: Surname: Marital Status: Maiden Name: No. of Dependents Mobile: Email: How many children will be sharing with you: (C) Lead Tenant: Please nominate a * lead tenant TITLE (Mr. / Mrs. / Ms): Surname: First Name: Email: *If the Tenant comprises more than one person, the landlord or their agent shall nominate one of the tenants to be the Lead Tenant for the purposes of dealing with the landlord/agent in respect of any of the issues that arise during the Tenancy, including, but not limited to, the Deposit. The Lead tenants is responsible for starting or agreeing the repayment of the deposit process at the end of the tenancy, and all tenants should familiarize themselves with the guidance document How TDS Northern Irelands deals with tenancies involving more than one tenant or landlord available from www.tdsnorthernireland.com Page 2 of 7

(D) Further information: Do you or any intended occupiers smoke: Do you have any pets? If Yes, what; Number of Children that are living with you? Yes / No Yes / No Please give full names, date of birth and occupation of all person including yourself and any children who will occupy the premises: (E) EMPLOYMENT INFORMATION: Status (Circle One); Employed Self Employed On Contract Retired Student Unemployed Length of employment: Type of Employment: Employer name & Address: Full Time Permanent / Part Time Permanent Job role / Title: Salary or Weekly pay ( ) Payment date: Contract hours per week: Is your employment to change in the near future: If Yes, please specify. If you have additional income please specify how much: PREVIOUS EMPLOYMENT DETAILS (If employed in current job for less than 3 years) Company Name & Address: Address Commencement Date Departure Date: (F) ACCOUNTANT/AUDITORS details if self employed Practice Name: Address: Telephone: (G) NIHE Housing Executive Applicants Are you currently receiving Housing Benefit Yes / No How much do you receive every 4 weeks? Is the payment currently paid to you or your landlord? You / Landlord If Yes, how much Are you current seeking Job seekers Allowance? How much do you receive every 2 weeks? Do you receive a career s allowance? If so, how much per week? Page 3 of 7

Do you receive Child Benefit, if so how much per week? If you have any additional income please state how much? (H) University Information Name of University Name of Course Faculty: What year are you going into? (I) Your current address We require 5 years previous address history. Please use additional paper if necessary House No: Street Name: City / Town: Status (Circle One) County: Postcode Owner / Rented / Living with Parents / Council tenant / Other: How long have you lived at that address: Reason for leaving that property: If rented state the date the tenancy began and ended & month rent: Name of Landlord / Managing Agent Began: / / Ended: Address: E-mail: Previous address to above: House No: Street Name: City / Town: Status (Circle One) County: Postcode Owner / Rented / Living with Parents / Council tenant / Other: How long have you lived at that address: Reason for leaving that property: If rented stated the date the tenancy began and ended & month rent: Name of Landlord / Managing Agent Began: / / Ended: Address: E-mail: Page 4 of 7

(J) Guarantor Details (One approved Guarantor per tenant who is a UK homeowner. Alternatively a larger deposit may be requested which is usually three month s rent in lieu of a Guarantor) Name of Guarantor: Guarantor s Address: Guarantor s Telephone No: Relationship to applicant: Occupation: Employer: / Mobile: E-mail Address Homeowner: Yes: No: How long has guarantor lived at present address: (K) Referee s Details Preferably a previous landlord or current or former employer. Name of Referee: Referee s Address: Occupation: How long has the referee known the applicant: THIS APPLICATION IS STRICTLY PRIVATE AND CONFIDENTIAL BETWEEN THE PARTIES INVOLVED. SATISFACTORY REFERENCES MAY NOT NECESSARILY GUARANTEE THE APPLICANT THE TENANCY. ALL TENANCIES ARE FOR A 12 MONTH PERIOD UNLESS OTHERWISE STATED. PLEASE NOTE THAT ALL DEPOSITS ARE GIVEN TO THE LANDLORD AND NOT HELD BY NATALIE CLARKE RESIDENTIAL. I confirm that all information supplied is true and will be the basis of any contract between Natalie Clarke Residential and myself and does not represent any offer between Natalie Clarke Residential and the prospective Tenant. I acknowledge and agree to Natalie Clarke Residential consulting with guarantors, references and employers as part of this application process. I understand that Natalie Clarke Residential may seek a bank or employers reference and may keep a reference and may keep a record of that reference on their files. The results of their findings will be passed to the Landlord / Managing Agent and if application is refused, for whatever reason, no explanation will be given. Please note that if accepted for the property and the property is managed by Natalie Clarke Residential there is a 50.00 check out fee. I understand that any administration charges levied are strictly non-refundable in any event that I do not precede with the tenancy. Strict confidence will be observed in the processing with this tenancy. Applicants Signature: Print: Date: / / Page 5 of 7

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GUARANTOR In consideration of the acceptance by the within named Landlord at my request of the within named Tenant as tenant I HEREBY GUARANTEE the punctual payment of the rent reserved by the within written Tenancy Agreement or for the time being payable by the said Tenant in respect of the said premises (whether such rent be greater or less than that reserved by the said Agreement) and the due performance of the agreements by the Tenant and terms therein contained or the time being applicable to the Tenant s tenancy of the said premises. I HEREBY UNDERTAKE to be responsible to the Landlord and to the Landlord s successors in title as surety for the said tenant for the payment by him of the sums of money, costs, damages or expenses that may become due to the Landlord or to his successors in title by reason of the Tenant having become or being a tenant of the said premises or by reason of any default by the Tenant in carrying out any of his obligations as such tenant. I also guarantee any subsequent term in relation to this particular tenant in this particular property. This guarantee shall not be revocable by notice and shall not be revoked by my death or by any forbearance or giving of time by the Landlord or his successors and shall continue to be applicable so long as the Tenant shall be Tenant of the said premises notwithstanding any change or changes in the nature or terms of his tenancy and shall extend to the obligations of the Tenant under any new or varied tenancy of the said premises in like manner as if such obligations had been contained in the within written Agreement. Address of Property to be Rented-.. Dated this day of 201_ Signed in the presence of- Name of Guarantor-.. Address of Guarantor-....... Mobile No. of Guarantor-.. Home No. of Guarantor-. Signed Guarantor- FOR OFFICIAL USE ONLY CHECKED GUARANTOR: CHECKED REFERENCE: APPLICATION FEE PAID DATE: DATE: DATE: (Subject to Contract / Subject to Lease) Page 7 of 7