Application Form for Renting Commercial Pre

HARINGEY COUNCIL

PROPERTY SERVICES

APPLICATION FORM FOR RENTING COMMERCIAL PREMISES

Please complete as appropriate in BLOCK CAPITALS an return to:

Commercial Section, Property Services, 10 Station Road Wood Green N22 7TR

PROPERTY APPLIED FOR :
BUSINESS NAME:
ADDRESS:
TEL NO:
SOLE PRINCIPAL/
PARTNER 1/DIRECTOR 1 / PARTNER 2/DIRECTOR 2
NAME:
HOME ADDRESS
TEL. NO:
DATE OF BIRTH :
SIGN HERE:
SOLICITOR / ACCOUNTANT
NAME:
ADDRESS:
TEL. NO:
LANDLORD OF PRESENT BUSINESS PREMISES
NAME:
ADDRESS:
TEL. NO:
CREDIT REFERENCES
Please note that we may take up a credit reference
on all sole principals, partners and directors
BANK DETAILS : If you bank with a Building Society, please supply us with the last six months statements of account
Will you please complete an applicants consent form ( attached ) for each bank account
BUSINESS ACCOUNT
(SOLE PRINCIPAL/COMPANY):
NAME OF BANK:
ADDRESS:
ACCOUNT NO: / SORT CODE
PARTNER 1/DIRECTOR 1 / PARTNER 2/DIRECTOR 2
NAME OF BANK:
ADDRESS:
ACCOUNT NO:
Please state briefly how long you/the partnership has been in business and how this proposed venture is to be funded i.e via bank loan, etc. Please supply a set of trading accounts for the past two or three years:
ARE YOU CURRENTLY OR HAVE YOU PREVIOUSLY BEEN A TENANT OF ANY PROPERTY OWNED BY THE COUNCIL? IF SO, PLEASE STATE THE ADDRESS:
NB: Reference will be sought from the Rates Department if you occupy business/residential accommodation within Haringey
PROPOSED USE OF PREMISES:
RENTAL OFFERED: £ PER ANNUM (PAYABLE QUARTERLY IN ADVANCE) LENGTH OF LEASE REQUIRED: YEARS

In order to assist the Council with monitoring the effectiveness of its Equal Opportunities Policies it would be appreciated if you could complete the attached Questionnaire . Please complete one form for each Director/Partner. The information you provide will be treated in strict confidence and will be used only for statistical monitoring.

Signed / Signed
Partner 1/Director 1 / Partner 2/Director 2
Dated: / Dated:
APPLICANT'S CONSENT :
*I/We: / consent to
Bank providing a reference to the
London Borough of Haringey (Property Services).
Signed / Dated
I should be grateful if you would deduct the relevant charge from my Bank Account.
* delete as appropriate.
APPLICANT'S CONSENT :
*I/We: / consent to
Bank providing a reference to the
London Borough of Haringey (Property Services).
Signed / Dated
I should be grateful if you would deduct the relevant charge from my Bank Account.
* delete as appropriate.
APPLICANT'S CONSENT :
*I/We: / consent to
Bank providing a reference to the
London Borough of Haringey (Property Services).
Signed / Dated
I should be grateful if you would deduct the relevant charge from my Bank Account.
* delete as appropriate.

Questionnaire

Are you Male/Female / Are you registered disabled Yes/No
I would describe my ethnic origin as ( please tick one box ).

White

British
Irish
Greek Cypriot
Turkish Cypriot
Kurdish
Turkish
Any other white, please write in
......

Mixed

Mixed white and black Caribbean
Mixed white and black African
Mixed white and Asian
Any other mixed background, please write in
......

Asian or Asian British

Indian
Pakistani
Bangladeshi
East African Asian
Any other Asian background, please write in
......

Black or black British

Caribbean
African
Any other black background, please write in
......
Chinese or other ethnic group
Chinese
Any other ethnic group, please write in
......