Landlord Property Assesment Form
Title
Please Select
Mr
Mrs
Miss
Ms
First Name
Surname
Your Address
Postcode
Home Tel No
Work Tel No
Mobile Tel No
Property Address
Postcode
Property Type
Please Select
House
Bungalow
Flat
No of Bedrooms
Please Select
1
2
3
4
5
5+
Garden
Please Select
Yes
No
No of Reception Rooms
Please Select
1
2
3
4
5
5+
Garage
Please Select
Yes
No
No of Bathrooms
Please Select
1
2
3
4
5
5+
Shower
Please Select
Yes
No
Central Heating
Please Select
Yes
No
Smoke Alarms
Please Select
Yes
No
Gas Safety Cert
Please Select
Yes
No
Alarmed
Please Select
Yes
No
5 lever locks
Please Select
Yes
No
GSC Supplied
Please Select
Yes
No
Is the property
Please Select
Furnished
Part Furnished
Unfurnished
Preferred rental term (min 6 months)
Property Available from
Approx Rent required per week
(If known)
Will the property be insured?
Please Select
Yes
No
If yes, who is the insurer?
For quote sum assured
Any claims in the last 3 years
Please Select
Yes
No
If yes amount £
Lender
Who Supplies the Gas
Who Supplies the electric?
Please scroll down to complete