SIMPSON PROPERTIES - Pre-Reference Check Form (Feb 2022)
SIMPSON PROPERTIES - Pre-Reference Check Form (Feb 2022)
For enquiries about the rental property, please contact Martin or Amy Simpson at:
Rental property
Date of Availability:
1. Current address: The Spires Apartment, 531 Great Western Road, Aberdeen
How long have you been residing at this address? Two months
Reason (s) for leaving this property: Aberdeen Royal Infirmary paid for three months
accommodation for me. The three months would expire soon.
Landlord’s name_______________________________________________________________
Employment Status
1. Current Employer
Employment Status: Full time
Current Employer: Aberdeen Royal Infirmary
Supervisor’s name: Fiona Carnegie
Phone: 01224550549
Email: [email protected]
Job Title: Staff Nurse
Date started: 2nd May
Monthly income: £2500 (before tax)
2. Previous Employment
Employment Status: [ ] Full time [ ] Part -time [ ] Student [ ] Unemployed [ ] Retired
Current Employer: Crown Hospital, Nkpor Anambra State
Supervisor’s name: Onwudi Cyril
Phone: 07031256176
Email: [email protected]
Job Title: Chief Nurse
Date started: JUNE 2020
Monthly income: N100,000
Proof of Income
The applicant is required to attach proof of their income to this rental application form.
Acceptable documentation includes wage slips, employer’s letter / certificate, bank
statements or copies of previous years tax return.
Additional Information
1. Pets
The landlord does not allow pets in the rental property
2. Smoking
The landlord does not allow smoking in the property
3. Waterbeds
The landlord does not allow the use of waterbeds on the premises
I declare that the information I have provided is true and correct and contains no
misrepresentations. If misrepresentations are found after a residential lease agreement is entered
into between the Landlord and Applicant, the Landlord shall have the option to terminate the
residential lease agreement and seek all available remedies.
The applicant authorizes the Landlord to verify all references and facts, including but not limited to
current and previous landlords, employers, and personal references. The Applicant understands that
incomplete or incorrect information provided in the application may cause a delay in processing or
may result in the denial of application.
If you are unable to provide Suitable references / Employment history / credit check
information for the UK, please confirm if are willing to pay rent up front. If so, how
many months’ rents can you pay up front _____________