Lenwell Property Services     Head Office 8 Wellington Street Luton Bedfordshire, LU1 2QH Luton           Tel. 01582 616263 Fax. 0870 0941773 Dunstable     Tel. 01582 543680 Fax. 0870 0941774 Northampton Tel. 0845 1303635 Fax. 0870 0941775 Bedford        Tel. 01234 272662 Fax. 0870 1623902 www.lenwell.com  Which Lenwell Office   Luton Dunstable Northampton Bedford 1. PROPERTY DETAILS This section should be completed by the TENANT Date Address of property applied for   Post code   Total rent for this property: per month          Total rent for this applicant: per month   Is the property shared? Yes No                   If yes, number of sharers in the property: Tenancy term:  months         Tenancy start date:  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec   2008 2009 2. TENANT DETAILS This section should be completed by the TENANT Title: First name: Initials:   Surname: Other name(s):   Date Of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 Marrital Status Married Single Separated Divorced Widowed Living together Email:                 3. CURRENT ADDRESS OF THE PROSPECTIVE TENANT This section should be completed by the TENANT Current Address   Post code   Period at address: years months     Telephone: Mobile:   Property owner Council tenant Private tenant Living with parents/relatives Housing Association   Have you any County Court Judgments, court decrees, bankruptcy or administration orders?    Yes No 4. PREVIOUS ADDRESSES OF THE PROSPECTIVE TENANT This section should be completed by the TENANT If you have been living at your present address for less than 3 years please provide details of previous addressses. Living abroad Yes No Address 2 Post code Period at address: years   months Address 3 Post code Period at address: years   months 5. CURRENT ESTATE AGENT/SOLICITOR/MANAGING AGENT/LANDLORD This section should be completed by the TENANT Name of estate agent solicitor managing agent landlord Name:   Address   Post code   Tel (day):   Fax: Email:   Next