Mid-Market Rent Application

Section 1: Personal Details

First Applicant

Title *
First Name *
Surname *
Current Address *
Postcode *
Email Address *
Phone number
Mobile *
Date of Birth *

Joint Applicant

Title
First Name
Surname
Current Address
Postcode
Email Address
Phone number
Mobile
Date of Birth
Please provide the names and details of anyone else who will be living in the property with you.
How many bedrooms do you need? *
Do you need a property on the ground floor due to health reasons? *
Are you a member of the armed forces or a veteran who has left the forces in the last year or widow / widower or partner of service personnel killed in action in the last year? *
Does your current home have any adaptations? For example, a stairlift or grabrails. *
If yes please provide details
Section 2: Employment and Financial Details

First Applicant

Are you currently in employment? *
What is your job title? *
Start date of employment *
Employer and address *
Post code
Telephone number
Email address
Current net monthly salary (after tax)
Bonuses or commission
Sickness benefit
Bank interest
Superannuation or pension from previous employment
Working Families Tax Credit
Child Benefit
Child Maintenance Payments
Widow’s pension
Shareholder’s profits
Other (please specify):
Total monthly incomings
What is your annual salary
If you do not have a regular income, do you have access to capital funds?
Please upload pay slips for the last three months. Or bank statements showing these payments going into your account.
Maximum file size: 128 MB

Joint Applicant

Are you currently in employment?
What is your job title?
Start date of employment
Employer and address
Post code
Telephone number
Email address
Current net monthly salary (after tax)
Bonuses or commission
Sickness benefit
Bank interest
Superannuation or pension from previous employment
Working Families Tax Credit
Child Benefit
Child Maintenance Payments
Widow’s pension
Shareholder’s profits
Other (please specify):
Total monthly incomings
What is your annual salary
If you do not have a regular income, do you have access to capital funds?
Please upload pay slips for the last three months. Or bank statements showing these payments going into your account.
Maximum file size: 128 MB
Section 3: Housing
If you have lived at your current address for less than three years, please tell us every address you have lived at during the last three years. Do not include your current address.

First applicant

What kind of property do you live in now? *
Other (please state)
Was the property furnished when you moved in? *
Date you moved in *
Why are you thinking of moving *
Please provide us with the name, address and phone number of your current landlord *
If you are an owner do you intend to sell your property? *
If not please advise why

Joint applicant

What kind of property do you live in now?
Other (please state)
Was the property furnished when you moved in?
Date you moved in
Why are you thinking of moving
Please provide us with the name, address and phone number of your current landlord
If you are an owner do you intend to sell your property?
If not please advise why
If you have lived at your current address for less than three years, please tell us every address you have lived at during the last three years. Do not include your current address.

First applicant

Previous tenancy address
Tenancy Dates
From
To
Landlord name and address
Previous tenancy address
Tenancy Dates
From
To
Landlord name and address

Joint applicant

Previous tenancy address
Tenancy Dates
From
To
Landlord name and address
Previous tenancy address
Tenancy Dates
From
To
Landlord name and address

First applicant

Are you currently on a register to apply for social housing? *
If so please provide details of the area you have applied for, application number and date of registration?
Have you, or anyone to be housed with you, been evicted for antisocial behaviour, or been the subject of an Antisocial Behaviour Order (ASBO) or Criminal Antisocial Behaviour Order (CRASBO)? *
Have you ever been evicted from a rented property? *
If yes, please provide details:
Are you eligible to work in the UK? *
Are you or anyone of your household a member or related to a member of staff or committee of Pentland Community Enterprises or Cairn Housing Association? *
If yes, please provide details:
Have you ever received CCJs or been declared bankrupt? *

Joint applicant

Are you currently on a register to apply for social housing?
If so please provide details of the area you have applied for, application number and date of registration?
Have you, or anyone to be housed with you, been evicted for antisocial behaviour, or been the subject of an Antisocial Behaviour Order (ASBO) or Criminal Antisocial Behaviour Order (CRASBO)?
Have you ever been evicted from a rented property?
If yes, please provide details:
Are you eligible to work in the UK?
Are you or anyone of your household a member or related to a member of staff or committee of Pentland Community Enterprises or Cairn Housing Association?
If yes, please provide details:
Have you ever received CCJs or been declared bankrupt?
Declaration
I/we declare that the information supplied by me/us in this application is correct.
I/we understand that supplying false or misleading information or deliberately withholding relevant information may result in the cancellation of my/our application.
I/we hereby give permission for my / our current employer to be approached and my/our bank for confirmation of income details. The organisation or a third party may approach your present or former landlord(s) to enquire if your tenancy has been satisfactorily conducted. Your permission is requested so that information about your tenancy may be disclosed to the organisation to comply with the Data Protection Act.
providing affordable garages and mid-market rental properties
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Cairn Housing Association
Bellevue House
22 Hopetoun Street
Edinburgh, EH7 4GH
Company number SC309344
Private Landlord Registration Number - 346142/270/03531
Property Factor Registration Number PF000715