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TEL: 08707 461057 FAX: 08707 461058

COMPANY  ASSESSMENT

In view of the confidential nature of the information supplied and required, we regret to inform you that no explanation will be given if we are unable to provide you with the tenancy you require.

Agent                                                                          Agency No:

Tel                                                           Fax:

COMPANY  DETAILS: (Complete all sections - including  postcodes)

Full Name (and trading style if applicable

Business address

Post Code                                                     E-mail

 Tel No                                                          .Fax                

Rent Payable: £……………   per Month               Commencing Date       /            /

Property applied for 

Address

 

Post Code                                     Property Ref No:(if applicable)

DIRECTORS / PROPRIETORS OR PARTNERS (Complete all sections - including  postcodes)

Full Name  

address

Post Code                                                                                    

 E-mail

 Tel No                                                                                        

 .Fax 

Full Name  

address

Post Code                                                                                    

 E-mail

 Tel No                                                                                        

 .Fax 

Full Name  

address

Post Code                                                                                    

 E-mail

 Tel No                                                                                        

 .Fax 

ACCOUNTANTS  DETAILS: (Complete all sections - including  postcodes)

Full Name  

Business address

Post Code

 E-mail

 Tel No

 .Fax         

SOLICITORS  DETAILS: (Complete all sections - including  postcodes)

Full Name  

Business address

Post Code

 E-mail

 Tel No

 .Fax         

BANK/BUILDING SOCIETY DETAILS (CURRENT ACCOUNT ONLY)

Name:

Address:

Account Name:

Account No:                                                 Sort Code:          -             -

TRADE REF 1 (Complete all sections - including  postcodes)

Full Name (and trading style if applicable

Business address

Post Code                                                     E-mail

 Tel No                                                          .Fax                

TRADE REF 2 : (Complete all sections - including  postcodes)

Full Name (and trading style if applicable

Business address

Post Code                                                     E-mail

 Tel No                                                          .Fax                

Are you aware of any previous CCJ/CD or Bankruptcy ? YES / NO 

(IF YES PLEASE GIVE FULL DETAILS )

 

I authorise you to disclose any information about me to any credit reference agency who may retain a record of any such search and may share the information with other lenders. The information registered is used only to help make credit and insurance decisions or for fraud prevention or tracing of debtors. I declare that I have never been bankrupt or entered into any agreement with my creditors or had any judgement for debt outstanding.

I declare that the supplied information is to the best of my knowledge true. I have no objection to this information being verified by whatever means deemed necessary.

An application by more than one party to the agreement will result in a financial connection between those individuals being established at the credit reference agency.

Proposer  Signature                                                    Date                      .

FSA Regd CCL No: 513502 DPA No: X3268322

Registered in England & Wales No: 3317506 Directors: B Schoepe Managing. J Schoepe Director/sec

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Copyright © 2002 J & J HouseLet Ltd
Last modified: March 21, 2007