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Section 1: Contact Information - Please complete all sections
Company Trading Name Full Trading Address (inc Postcode) Address Line 2 Address Line 3 Website Contact Name Contact Position Contact's Email Address Contact's Phone Number Referencing Email Address Accounts Contact Name Accounts Contact Email Accounts Phone Number
Section 2: Business Information - Only complete the section relevant to your organisation
Limited Company
Company Name (as it appears on Companies House) Company Registration Number Registered Address Line 1 Registered Address Line 2 Registered Address Line 3
Sole Trader
Full Name Date of Birth Residential Address Line 1 Residential Address Line 2 Residential Address Line 3
LLP
Company Name (as it appears on Companies House) Company Registration Number Names of Members
Partnership - Please complete details for all partners. For additional partners please use Section 5
Partner 1 Full Name Date of Birth Residential Address Line 1 Residential Address Line 2 Residential Address Line 3
Partner 2 Full Name Date of Birth Residential Address Line 1 Residential Address Line 2 Residential Address Line 3
Section 3: Additional Information
ICO Registration Number Estimated Number of References per Month Letting Software Used
Section 4: Agreement
Name Position Date
Section 5: Additional Notes