Nightingale House, 1-3 Brighton Road
Monday-Friday (Saturday 10am to 4pm)
8.30am – 5pm
0203 9032000 (8 lines) Fax: 0203 9031996
Full name of landlord or Agent
Telephone numbers (s)
Full Address of Landlord with full postcode
Full Address of let property & Postcode
Names of ALL tenants on the tenancy agreement (dont include persons not on the agreement)
Name & Address of Guarantor (Only if you have one)
Is rent paid each month, weekly or 14 days?
1st Tenancy start date
Has tenancy Expired
Further information on the rent arrears, If possible provide the amount due for each rent period
Please state any other breaches (other than rent arrears)
Did you take a deposit (bond)?
If you took a deposit did you protect the deposit?
You took a deposit but this was returned or set off?
Are you a member of the BLA - British Landlords Association? If yes then enter name or membership No.
Is the Let property required to be Licensed by the local authority? - select from drop box
Choose oneThe Let property does not require a licenseIt Does and is LicensedIt does but is not Licensed
I / We agree