Guarantor

Referencing Application Form

IAL
A N Estates [email protected]

Scheme No. 1508529 Telephone 02088687722

To avoid any unnecessary delays, please complete in full, in BLACK INK using BLOCK CAPITAL LETTERS. Incomplete forms will be returned.
Once completed, you can enter this application online via connect.homelet.co.uk for an instant acknowledgement.

1 TENANT DETAILS [To be completed by the Letting Agent]

Please let us know who the Guarantor is standing for

NT
Applicant 1
Reference Applicant’s

Number Surname

Date, of birth / /

Applicant 2
IDE
Reference Applicant’s

Number Surname

Date, of birth / / Please complete Section 2

2 PROPERTY TO LET [To be completed by the Letting Agent]
Property Address

Postcode Total rent per calendar month

How much will the Guarantor Cover?

NF

Applicant 1 share of rent PCM Applicant 2 share of rent PCM

Included in
How is Rent Guarantee offered to your landlord? Free of charge Separate charge
Management Fee N/A

Property Let Type Let Only Managed Rent Collect

No. of bedrooms

Property type Detached Semi detached Flat Terraced Bungalow

CO

When was the property built?

(eg 1984)

Tenancy term (months) Tenancy start date / /

Is the tenant paying the full rent in advance? Yes No If yes, do you require HomeLet to obtain financial references? Yes No

Please complete Section 3

Confidentiality note: The information contained within this application is being transmitted and is intended only for HomeLet. If the reader of this message is not the intended recipient, you are hereby advised
that any dissemination, distribution or copying of this application is strictly prohibited. If you receive this application in error please notify us immediately by calling 0330 333 7073.
 Guarantor
Referencing Application Form

IAL
Scheme No. 1508529 Telephone 02088687722

3 YOUR PERSONAL DETAILS [To be completed by the Guarantor]

Title: Mr Mrs Miss Other

First name Middle name

Last name

Email

NT
Other / Maiden / Previous Name(s) Date of birth / /
Your Your
Telephone Mobile

Employment status Employed Self-employed Retired Independent means On contract

Matital status Single Married Divorced / Widowed Other

Total gross annual income

Bank / building society details: please provide the details of your current account
IDE
Account holder(s) Bank name

Bank Account no. Sort code

IMPORTANT - ADVERSE CREDIT HISTORY

Do you have any County Court Judgements, Court Decrees, Bankruptcy, Administration Orders,
NO YES
Individual Voluntary Arrangements, or any other adverse credit history whether settled or not?
If YES, please detail on a separate sheet. Please note that failure to disclose information relating to adverse credit history may result in your application being declined.

4 YOUR ADDRESS [To be completed by the Guarantor]

NF

Current
Address

Postcode

Period at Address Years Months

We require three years worth of your address history. If you have lived at this address for more than three years,
please move to section 6. If you have been there for less than three years, please provide your previous address below.
Previous
Address
CO

Postcode

Period at Address Years Months

Address

Postcode

Period at Address Years Months Please complete section 5

Confidentiality note: The information contained within this application is being transmitted and is intended only for HomeLet. If the reader of this message is not the intended recipient, you are hereby advised
that any dissemination, distribution or copying of this application is strictly prohibited. If you receive this application in error please notify us immediately by calling 0330 333 7073.
 Guarantor
Referencing Application Form

IAL
Scheme No. 1508529 Telephone 02088687722

5 YOUR FINANCIAL INFORMATION [To be completed by the Guarantor]

Please tell us about your earnings and provide the details of a financial referee below (please tick one). Failure to provide your gross annual
income will prevent us from contacting your referee and will delay your application.
Current Employer Pension Administrator Accountant Self employed (SA302 / SA100)
Company
Name

Address

Postcode

NT
Contact Contact
Name Position

Telephone Fax

Mobile
Providing an email address or fax number could result in a QUICKER RESPONSE
Email from your referee.

Your position

Is this position: Permanent Contract Contract Terms Months Hours per week
IDE
Payroll/Service/Pension number:

If self employed please indicate your

Gross Salary/Pension/Drawings per annum: average earnings from the last year

Basic salary Commission / Overtime

Start Date End Date (if applicable)

Details of savings / benefits:

Do you have a second job, or additional pension? IF YES, please enter the details in section 6
Will your employment change before the proposed tenancy starts? IF YES, please go to section 6
IF NO, please go to section 7

6 ADDITIONAL FINANCIAL INFORMATION [To be completed by the Guarantor]

NF

If you are changing to new employment, have a second job or another source of income, please provide details in this section.
Future employer Second employer Pension administrator Accountant Benefit/other

Company
Name
Contact
Address

Postcode

Contact Contact
Name Position
CO

Telephone Fax

Providing an email address or fax number could result in a QUICKER RESPONSE

Email
from your referee.

Your Position

Is this position: Permanent Contract Contract Terms Months Hours per week

Payroll/Service/Pension number:

Gross Salary/Pension/Drawings per annum: If self-employed please include your

average earnings in the last 2 years

Start Date End Date (if applicable)

Confidentiality note: The information contained within this application is being transmitted and is intended only for HomeLet. If the reader of this message is not the intended recipient, you are hereby advised
that any dissemination, distribution or copying of this application is strictly prohibited. If you receive this application in error please notify us immediately by calling 0330 333 7073.
 Guarantor
Referencing Application Form

Scheme No. 1508529 Telephone 02088687722

7 ABOUT YOUR REFERENCE [To be completed by the Guarantor]

By completing this form, you have agreed to act as Guarantor for the tenant named within this form. The tenant’s reference will be completed by
HomeLet on behalf of their letting agent. HomeLet is part of the Barbon Insurance Group Limited and for the purposes of this application, Barbon is the
Data Controller as defined in the Data Protection Act 1998 (the “Act”).
In order to complete this application, HomeLet will consult with a number of sources to verify the information, including a licensed credit reference
agency. As a result of the information received:
n HomeLet may pass on any information supplied to the landlord and/or letting agent, including the results of any linked verification checks.
n By consulting with a credit reference agency, HomeLet will share your information with them and the agency may record the results of this search.
This search may show how you conduct payments with other organisations. From time to time, this information may also be used for debt tracing
and fraud prevention. You may request the name and address of the Credit Reference agency HomeLet use and you may also apply for a copy of the
information they provided to HomeLet.
n If you default in respect of any covenants you have given as guarantor (including the payment of rent on behalf of the tenant when the tenant has
failed to pay their rent), HomeLet may record this on a centrally held database of defaulting debtors, and such a default could affect any future
application for tenancies, credit, and/or insurance.
n HomeLet may use debt collection agencies or tracing agents to trace your whereabouts and recover any monies owed to HomeLet.
n If false or inaccurate information is provided and fraud is identifi ed, details will be passed to fraud prevention agencies to prevent fraud and money
laundering.
Information may be sent to you and your nominated referees by email. This information will only be sufficient enough to identify you and it won’t be
excessive; however you should be aware that information sent via electronic means can’t be guaranteed to be secure.
PLEASE READ AND COMPLETE THE FOLLOWING STATEMENTS CAREFULLY – IT’S IMPORTANT THAT YOU PROVIDE YOUR CONSENT FOR THE
CHECKS BY MARKING THE BOXES NEXT TO THE TEXT AND THEN SIGNING AND DATING BELOW.

I confirm that the information provided in this application form is true to the best of my knowledge, and I’m happy with the checks which
YES
HomeLet will complete as detailed above. These results may be accessed again if I apply to act as a guarantor in the future.

I’m happy for HomeLet to contact my referees (including those outside the EEA), with personal information which has been provided
YES
in this form to allow them to verify the information about my earnings, dates of employment and previous tenancy term.

Please note, if you’d like to find out more about any of the information sources we access to complete your application,
please visit homelet.co.uk/ref-info.

Signed

Full name Date

Additional Information - To be completed by the Guarantor

HL4518 0816

HomeLet is a trading name of Barbon Insurance Group Limited which is authorised and regulated by the Financial Conduct Authority for insurance mediation. Registered in England number 3135797. Registered office
address: Hestia House, Edgewest Road, Lincoln, LN6 7EL

Confidentiality note: The information contained within this application is being transmitted and is intended only for HomeLet. If the reader of this message is not the intended recipient, you are hereby advised
that any dissemination, distribution or copying of this application is strictly prohibited. If you receive this application in error please notify us immediately by calling 0330 333 7073.