Property Owner Details

Name:

Email:

Day telephone:

Evening telephone:

Mobile telephone:

Fax:

Address inc postcode:

If you have a letting agent
please complete:

Agent's name:

Agent's address:

Agent's telephone:

Rented Property Details

Address inc postcode:

Tenant's Name:

Additional tenants (if applicable):

What type of agreement do you have?

Agreement start date:

Agreement end date:

Rent per calendar month:

How much are you owed to date?

How much deposit do you have?

Any previous agreement - if so how many?

Any other relevant information?: