Online Rental Application

Estate Agent in Strabane

Please check you have entered all details correctly:

Basic Details

Fields with * are required

Applicant Name(s)

Which Properties Advertised Interest You?

Occupants

Number of Adults

Pets?

Number of Children

Licenced?

Details about Pets - if applicable

Property Requirements

Which Property Requirements Suit You Best?

Property Type

Bedrooms

Type of Lease

Special Requirements

Other Requirements

Applicant 1 Information

Full Name

Email Address

Smoker

Date Of Birth

Telephone

Marital Status

Current Address

Applicant 1 Income Source

Current Employment

Occupation

Current Status

Income per month

Employer & Location

NI Housing Executive

Child Tax Credit

Other Income

Applicant 2 Information

Full Name

Email Address

Smoker

Date Of Birth

Telephone

Marital Status

Current Address

Applicant 2 Income Source

Current Employment

Occupation

Current Status

Income per month

Employer & Location

NI Housing Executive

Child Tax Credit

Other Income

Applicant 3 Information

Full Name

Email Address

Smoker

Date Of Birth

Telephone

Marital Status

Current Address

Applicant 3 Income Source

Current Employment

Occupation

Current Status

Income per month

Employer & Location

NI Housing Executive

Child Tax Credit

Other Income

Rental History

Current Address

City

Reason for Leaving

Owner/Manager Name

Will Your Landlord Give you a Reference?

Postcode

Monthly Rent

Phone Number

Have you been served a late rental notice in last 2 years?

Previous Address(es)

If less than 3 years, please complete information for previous addresses

References

Confidentiality - We will not contact your references without your permission.

Reference 1

Name

Phone Number

Relationship

Reference 2

Name

Phone Number

Relationship

Declaration by Applicant

I/We agree to you processing an application and agree that all the information supplied is both correct and true.


Applicant 1*

Applicant 2

Applicant 3