Tenancy Application Form Declaration


As prospective tenant/guarantor, I/we agree that:

  1. The information given on this Tenancy Application Form is correct.
  2. I/we have provided original forms of identification (see Guidelines for Tenants document for acceptable forms of identification) to Clarke and Simpson and a current utility bill to prove my/our identity and address at the time of submitting this application.
  3. For the purpose of the Council Tax, the property will be used throughout the tenancy as my/our sole or main residence.
  4. Rental Payment: I/we understand that interest penalties may be payable as set out in the tenancy agreement for late payments. I/we understand that a charge will be payable to Clarke & Simpson by me/us if written reminders are sent.
  5. I/we have no objection to this information in this application form being verified by whatever means deemed necessary.
  6. I/we understand that it is not the responsibility of Clarke & Simpson or any other agencies employed by them to follow up the referees supplied by me/us in order to obtain references. I/we agree that upon being informed by Clarke & Simpson or other agencies that references are outstanding, I /we will ensure that such references will be responded to without delay. I/we further confirm that I/we will not hold Clarke & Simpson responsible in any way if references are not forthcoming in time to prepare the necessary documentation to allow me/us to move into my/our chosen property on the preferred date.
  7. I/we have seen Clarke & Simpson’s Guidelines for Tenants and understand and agree to the contents contained and outlined within it.
  8. I/we have been provided with information regarding the Tenancy Deposit Scheme (see Guidelines for Tenants) and acknowledge receipt of these. The first applicant as detailed on Page 1 of this Application will be the lead tenant for the purposes of the Tenancy Deposit Scheme.
  9. I/we are aware of my rights to take independent legal and other professional advice, if required, upon the documentation (including the tenancy agreement) before it is signed and I/we have had the opportunity to do so.


Your reference will be completed by Rentshield Direct on behalf of your letting agent. Rentshield Direct is part of the Barbon Insurance Group Limited. For the purposes of this application, Barbon is the Data Controller as defined in the General Data Protection Regulation (‘GDPR’). In order to complete your application, Rentshield Direct will consult with a number of sources to verify the information, Including a licensed credit reference agency. As a result of the information received:

  • Rentshield Direct may pass on any information supplied to your landlord and/or letting agent, including the results of any linked verification checks.
  • By consulting with a credit reference agency, Rentshield Direct 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 Rentshield Direct use and you may also apply for a copy of the information they provided to Rentshield Direct.
  • If you default on your rental payments, Rentshield Direct may record this on a centrally held database of defaulting tenants, and that such a default could affect any future application or tenancies, credit, and/or insurance.
  • Rentshield Direct may use debt collection agencies or tracing agents to trace your whereabouts and recover any monies owed to Rentshield Direct.
  • The personal information we have collected from you will be shared with fraud prevention agencies who will use it to prevent fraud and money laundering and to verify your identity. If fraud is detected, you could be refused certain services, finance, or employment. Further details of how your information will be used by us and these fraud prevention agencies, and your data protection rights, can be found on our website: rentshielddirect.co.uk

Details of addresses, including past, current and prospective, may be provided to specified third parties which would be used for preventing unnecessary marketing communications only. This processing is carried out for the legitimate interests of both you, the data subject, and the third-party companies. 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 cannot be guaranteed to be secure.

The provisions of Section 8, Ground 17 of the Housing Act 1988 will apply to this application. If any information within this application is found to be untrue it may be grounds to terminate the tenancy agreement.