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   COMPANY ASSESSMENT APPLICATION

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Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
Postal Code
 Phone
FAX
E-mail

Company Reg. No.  

 

Please provide the details of the property applied for

Street Address
Address (cont.)
City County
Postal Code   Property ref 

Rent Payable 

Accountants details

Contact
Title
Organization
Street Address
Address (cont.)
City
Postal Code
 Phone
FAX
E-mail

Solicitors details

Contact Name Title
Organization
Street Address
Address (cont.)
City Postal Code
 Phone FAX
E-mail

Bank Details

Name Bank plc
Street Address
Address (cont.)
City Postal Code
  Phone FAX
E-mail

Proprietors / Partners or Directors details

Name
Street Address
Address (cont.)
City
County Country
Postal Code    Home Phone     

Director 2

Full Name
Street Address
Address (cont.)
City County
Postal Code
Home Phone

Trade reference

Contact Name
Organization
Street Address
Address (cont.)
City County
Country Postal Code
Phone FAX
E-mail
Adverse credit History ?  Please supply details below

I confirm that the supplied information is to the best of my knowledge and belief, true and may be verified.

DATA PROTECTION ACT: (if applicable)

I understand and acknowledge that information provided by me on this form may be verified and held by J & J Houselet Ltd., in it's computerised records. I also authorise the above named Bank or Building Society to respond to status enquiries made in respect of this application. Any reports obtained or compiled by J & J Houselet Ltd., may be passed on to the prospective Landlord or Agent.

The submission of this form confirms that the Landlord or Agent has obtained the Tenant's permission to perform the checks stated above.

 After submitting click here to go to our secure payments page

 


Send mail to credref@houselet.co.uk with questions or comments about this web site.
Copyright 2009 J & J HouseLet Ltd
Last modified: March 03, 2009