Full Name (including title)      

Current address:

House name/number:          

Street name:                     

Town:                               

Post code:                         

Home telephone number:  

mobile telephone number:  

work telephone number:    

email address:                   

Property locations

Torrington     Bideford    Barnstaple    Newton Tracy

Umberligh    Dolton    shebbear    Woolsery    North Devon

Rural  

Type of Property

Terraced    Detached    Bungalow    Flat    Rural    Town

Costal

Bedrooms Required

1 bed    2 bed    3bed    4 bed plus

Is it Essential you have a garden

Garden    Garage    Sheds/Outbuildings

Does anyone in household smoke     Yes     No

Are you claiming housing benefit    

    Yes     No

    Partial Yes     No

Do You have Children     Yes     No

If yes please specify age and gender

Do you have pets

If yes please specify

please select the age range that best suits you

16-17    18-25    26-35    36-50    51-60    Over 60

could you provide the following references

present/past landlords     Yes     No    Employers     Yes     No

bank (current not savings account)    Yes     No  

Professional Character    Yes     No

Other

If you will be sharing the property with anyone else over the age of 18 please supply there full names

Any additional information that may be useful