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City Property 9 Shipquay Street Derry
City Property 028 7126 1819
Estate Agents in Derry / Londonderry

Application For Rental Accommodation

Private and Confidential - This document will only be shared with the Landlord for the purpose of Tenant selection

Please check you have entered all details correctly:

Accommodation Information
Number of Occupants

Personal Information of 1st Applicant

Personal Information of Co-Applicants
Co-Applicant 1
Co-Applicant 2

Employment Information of 1st Applicant
Consent to Credit and Criminal Background Check

Employment Information of Co-Applicant(s)
Co-Applicant 1
Consent to Credit and Criminal Background Check

Co-Applicant 2
Consent to Credit and Criminal Background Check

Rental History

  1. Applicants are advised that until form is completed in full along with application fee, copy of ID and 2 written references it will not be considered by the Landlord for the premises.
  2. Application fee is non- refundable.
  3. All Statements that I have made in this application are true and correct. By signing this application ALL personal information is consensually given for use by us or our appointed agents in respect of your application and subsequent tenancy.