Bolton Town Residential Application Form

Your Personal Information

Title Mr/Mrs/Ms

Full Name

Maiden Name

Aliases

Your Date of Birth

National Insurance

Your Email

Your Mobile Phone Number

Your Home Phone Number

Property Applying For

Your Previous Residential Details

Current Address

Tenancy Start Date

Tenancy End Date

Landlord's Name

Landlord's Address

Landlord's Phone Number

Landlord's Email Address

Further Information

Have you ever been evicted or had action taken against you for rent arrears?

Yes No

Please give us details

Do you currently have any rent arrears with any former landlord or owe debts that you are aware of?

Yes No

Please give us details

Have you ever had any action taken against you for harassment?

Yes No

Please give us details

Do you have a criminal record?

Yes No

Please give us details

Do you have a County Court Judgement (CCJ)?

Yes No

Please give us details

Employment Details

Company Name

Start Date

Contact Number

Salary

Confirmation

Completion of this form confirms your agreement to a credit check on yourself and your guarantor if necessary, please click Yes to confirm your agreement.

You confirm all details are correct and any administration fees you have paid are non-refundable. You authorise Mistoria to perform a credit check and any other searches that may be required to complete the application process. Any information given may be shared with the landlord of the property. Mistoria reserve the right to refuse any applicant if any of the information given above is incorrect.

Yes No

Date

Please note

Bolton Town Residential Application Form

Your Personal Information

Your Previous Residential Details

Further Information

Employment Details

Confirmation

Branches

Subscribe to our
Newsletter

Subscribe to our Newsletter