Referencing Property



*If a guarantor, please also provide the applicant(s) they are acting for

Individual Details

Where you have been leaving during the last three years?

If less than three years at the current address, please provide previous addresses and dates of occupation;

Have you any current, historic or pending adverse credit? If yes, please supply the details

Estate/Letting Agent, Solicitor or Landlord regarding where you are now living

Current Income Details

Previous Employment Details

Where have you been working during the past three years? Please provide details of previous employers, along with commencement and departure dates, attaching a separate sheet if necessary

Accountant / Auditor details if self employed / retired

Please authorise your accountant/auditor to provide a reference

Personal Reference

Next of Kin excluding spouse

Additional occupants & general occupants & general information


Once the application form has been fully completed, please submit to your agent

I confirm that the supplied information is to the best of my knowledge and belief, true, and may be verified. I understand that should the information provided by me on this form prove to be untrue, it is grounds for termination of the tenancy as described in Ground 17 of the Housing Act 1996. DATA PROTECTION ACT: information provided by you on this form may be verified and held by Bloomingdale Residential in its computer records. I confirm that the progress of this application may be made available to agents, landlords and co-applicants. I also hereby authorise the above named Bank or Building Society to respond to status enquiries made in respect of this application. Bloomingdale Residential may search the file of a credit reference agency. Any information obtained or compiled by Bloomingdale Residential may be passed on to Agents and Landlords.