Rushbrook & Rathbone | At the Heart of Property Management

select("*","tbllandformsdetails","id='$sentid' AND status='sent'"); //echo $sentid; //print_r($sel_status);die;DepartureDatep if($sel_status=='no'){ echo ""; } $select_details = $obj->select("*","tbllandlord","linksent_id='$sentid'"); $landlordformid = $select_details[0][0]; $select_details2 = $obj->select("*","tbllandlord2","landlordformid='$landlordformid'"); //echo "
";
//print_r($select_details);die;
if($select_details!='no' && $select_details2!='no'){
$eGuaranteevalue=$select_details2[0][129];
$eManualvalue=$select_details2[0][111];
$Extractorage=$select_details2[0][93];
$Extractor=$select_details2[0][75];

$shGuaranteevalue=$select_details2[0][128];
$shManualvalue=$select_details2[0][110];
$StorageHeatersage=$select_details2[0][92];
$StorageHeaters=$select_details2[0][74];

$whGuaranteevalue=$select_details2[0][127];
$whManualvalue=$select_details2[0][109];
$Heatersage=$select_details2[0][91];
$Heaters=$select_details2[0][73];

$sManualvalue=$select_details2[0][108];
$sGuaranteevalue=$select_details2[0][126];
$Sanifloage=$select_details2[0][90];
$Saniflo=$select_details2[0][72];

$wpGuaranteevalue=$select_details2[0][125];
$wpManualvalue=$select_details2[0][107];
$pumpage=$select_details2[0][89];
$pump=$select_details2[0][71];

$wsGuaranteevalue=$select_details2[0][124];
$wsManualvalue=$select_details2[0][106];
$Softenerage=$select_details2[0][88];
$Softener=$select_details2[0][70];

$wddGuaranteevalue=$select_details2[0][123];
$wddManualvalue=$select_details2[0][105];
$Disposalage=$select_details2[0][87];
$Disposal=$select_details2[0][69];

$Freezer1=$select_details2[0][140];
$frGuaranteevalue=$select_details2[0][122];
$frManualvalue=$select_details2[0][104];
$Freezerage=$select_details2[0][86];
$Freezer=$select_details2[0][68];

$Refrigderator1=$select_details2[0][139];
$rGuaranteevalue=$select_details2[0][121];
$rManualvalue=$select_details2[0][103];
$Refrigderatorage=$select_details2[0][85];
$Refrigderator=$select_details2[0][67];

$Fridge1=$select_details2[0][138];
$ffGuaranteevalue=$select_details2[0][120];
$ffManualvalue=$select_details2[0][102];
$Fridgeage=$select_details2[0][84];
$Fridge=$select_details2[0][66];

$MicroWave1=$select_details2[0][137];
$mGuaranteevalue=$select_details2[0][119];
$mManualvalue=$select_details2[0][101];
$MicroWaveage=$select_details2[0][83];
$MicroWave=$select_details2[0][65];

$Hob1=$select_details2[0][136];
$hGuaranteevalue=$select_details2[0][118];
$hManualvalue=$select_details2[0][100];
$Hobage=$select_details2[0][82];
$Hob=$select_details2[0][64];

$Oven1=$select_details2[0][135];
$oGuaranteevalue=$select_details2[0][117];
$oManualvalue=$select_details2[0][99];
$Ovenage=$select_details2[0][81];
$Oven=$select_details2[0][63];

$Cooker1=$select_details2[0][134];
$cGuaranteevalue=$select_details2[0][116];
$cManualvalue=$select_details2[0][98];
$Cookerage=$select_details2[0][80];
$Cooker=$select_details2[0][62];

$Dish1=$select_details2[0][133];
$dwGuaranteevalue=$select_details2[0][115];
$dwManualvalue=$select_details2[0][97];
$Dishage=$select_details2[0][79];
$Dish=$select_details2[0][61];

$Washer1=$select_details2[0][132];
$wdGuaranteevalue=$select_details2[0][114];
$wdManualvalue=$select_details2[0][96];
$Washerage=$select_details2[0][78];
$Washer=$select_details2[0][60];

$Dryer1=$select_details2[0][131];
$dGuaranteevalue=$select_details2[0][113];
$dManualvalue=$select_details2[0][95];
$Dryerage=$select_details2[0][77];
$Dryer=$select_details2[0][59];

$Washing1=$select_details2[0][130];
$wmGuaranteevalue=$select_details2[0][112];
$wmManualvalue=$select_details2[0][94];
$Washingage=$select_details2[0][76];
$WashingMachine=$select_details2[0][58];
$provider2=$select_details2[0][57];
$telno_no2=$select_details2[0][56];
$account_no2=$select_details2[0][55];
$provider1=$select_details2[0][54];
$telno_no1=$select_details2[0][53];
$account_no1=$select_details2[0][52];
$saniflo_location=$select_details2[0][51];
$installation_property=$select_details2[0][50];
$drainage=$select_details2[0][49];
$refuse_collected=$select_details2[0][48];
$sewage=$select_details2[0][47];
$council_tax=$select_details2[0][46];
$water_supplier=$select_details2[0][45];
$gas_supplier=$select_details2[0][44];
$electricity_supplier=$select_details2[0][43];
$contractors_text=$select_details2[0][42];
$contractors_radio=$select_details2[0][41];
$email8=$select_details2[0][40];
$mobile8=$select_details2[0][39];
$tel8=$select_details2[0][38];
$company8=$select_details2[0][37];
$other=$select_details2[0][36];
$email7=$select_details2[0][35];
$mobile7=$select_details2[0][34];
$tel7=$select_details2[0][33];
$company7=$select_details2[0][32];
$Gardener=$select_details2[0][31];
$email6=$select_details2[0][30];
$mobile6=$select_details2[0][29];
$tel6=$select_details2[0][28];
$company6=$select_details2[0][27];
$Handyman=$select_details2[0][26];
$email5=$select_details2[0][25];
$mobile5=$select_details2[0][24];
$tel5=$select_details2[0][23];
$company5=$select_details2[0][22];
$Decorator=$select_details2[0][21];
$email4=$select_details2[0][20];
$mobile4=$select_details2[0][19];
$tel4=$select_details2[0][18];
$company4=$select_details2[0][17];
$Carpenter=$select_details2[0][16];
$email3=$select_details2[0][15];
$mobile3=$select_details2[0][14];
$tel3=$select_details2[0][13];
$company3=$select_details2[0][12];
$Electrician=$select_details2[0][11];
$email2=$select_details2[0][10];
$mobile2=$select_details2[0][9];
$tel2=$select_details2[0][8];
$company2=$select_details2[0][7];
$Heating_engineer=$select_details2[0][6];
$email11=$select_details2[0][5];
$mobile11=$select_details2[0][4];
$tel11=$select_details2[0][3];
$company1=$select_details2[0][2];
$plumber1=$select_details2[0][1];


$interviewradiostep56=$select_details[0][104];
$interviewradiostep55=$select_details[0][103];
$interviewradiostep54=$select_details[0][102];
$interviewradiostep53=$select_details[0][101];
$Periodicstep51=$select_details[0][100];
$testingstep51=$select_details[0][99];
$inspectionsstep51=$select_details[0][98];
$Installationsstep51=$select_details[0][97];
$Homecarestep52=$select_details[0][96];
$Homecarestep51=$select_details[0][95];
$Datestep51=$select_details[0][94];
$Servicestep52=$select_details[0][93];
$Annualstep51=$select_details[0][92];
$Locationstep55=$select_details[0][91];
$interviewradiostep52=$select_details[0][90];
$Locationstep54=$select_details[0][89];
$Locationstep53=$select_details[0][88];

$interviewradiostep51=$select_details[0][87];
$Hotstep51=$select_details[0][86];
$Locationstep52=$select_details[0][85];
$Boilerstep52=$select_details[0][84];
$Boilerstep51=$select_details[0][83];
$Heatingstep5=$select_details[0][82];
$Locationstep51=$select_details[0][81];
$Meterstep53=$select_details[0][80];
$Meterstep52=$select_details[0][79];
$Meterstep51=$select_details[0][78];
$Waterstep5=$select_details[0][77];
$Electricstep5=$select_details[0][76];
$Gasstep5=$select_details[0][75];
$interviewradiostep410=$select_details[0][74];
$interviewradiostep49=$select_details[0][73];
$Amountstep41=$select_details[0][72];
$Currentstep41=$select_details[0][71];
$Agestep41=$select_details[0][70];
$Sumstep42=$select_details[0][69];
$Sumstep41=$select_details[0][68];
$interviewradiostep48=$select_details[0][67];
$interviewradiostep47=$select_details[0][66];
$claimsstep42=$select_details[0][65];
$claimsstep41=$select_details[0][64];
$interviewradiostep46=$select_details[0][63];
$interviewradiostep45=$select_details[0][62];
$interviewradiostep44=$select_details[0][61];
$interviewradiostep43=$select_details[0][60];
$interviewradiostep42=$select_details[0][59];
$interviewradiostep41=$select_details[0][58];
$emailstep2=$select_details[0][57];
$emailstep1=$select_details[0][56];
$phonestep42=$select_details[0][55];
$phonestep41=$select_details[0][54];
$postcodestep42=$select_details[0][53];
$postcodestep41=$select_details[0][52];
$addresstep42=$select_details[0][51];
$addresstep41=$select_details[0][50];
$namestep42=$select_details[0][49];
$namestep41=$select_details[0][48];
$interviewradio5=$select_details[0][47];
$Property_Landline_No2=$select_details[0][46];
$Property_Landline_No1=$select_details[0][45];
$Service_Contractor=$select_details[0][44];
$location_control=$select_details[0][43];
$Masterpass=$select_details[0][42];
$Code2=$select_details[0][41];
$Code1=$select_details[0][40];
$interviewradio4=$select_details[0][39];
$interviewradio3=$select_details[0][38];
$Contract_No=$select_details[0][37];
$Alarm_Details=$select_details[0][36];
$interviewradioalarm=$select_details[0][109];
$authorised_keyholder=$select_details[0][35];
$interviewradio=$select_details[0][34];
$How_Many=$select_details[0][33];
$interviewradio2=$select_details[0][32];
$Media_provider=$select_details[0][31];
$Property1=$select_details[0][106];
$Property=$select_details[0][30];
$Landline_No=$select_details[0][29];
$Example2=$select_details[0][28];
$Example1=$select_details[0][27];
$Example=$select_details[0][26];
$Property_Landline_No=$select_details[0][25];
$PostCode=$select_details[0][24];
$address2=$select_details[0][23];
$interviewradioh=$select_details[0][22];
$namesonAccount=$select_details[0][21];
$accountno77=$select_details[0][20];
$sortcode=$select_details[0][19];
$bank=$select_details[0][18];
$email1=$select_details[0][17];
$mobile1=$select_details[0][16];
$tel1=$select_details[0][15];
$newpincode2=$select_details[0][108];
$address1=$select_details[0][14];
//$DepartureDates=$select_details[0][13];
if($select_details[0][13]!='0000-00-00' ){
$DepartureDates= date('d-m-Y',strtotime($select_details[0][13]));	
}else{
$DepartureDates='0000-00-00';
}
$surname1=$select_details[0][12];
$forenames1=$select_details[0][11];
$title1=$select_details[0][10];
$email=$select_details[0][9];
$mobile=$select_details[0][8];
$Tel=$select_details[0][7];
$newpincode1=$select_details[0][107];
$address=$select_details[0][6];

if($select_details[0][5]!='0000-00-00' ){

$DepartureDatep= date('d-m-Y',strtotime($select_details[0][5]));	
}else{
$DepartureDatep='0000-00-00';
}
//print_r($DepartureDatep);die;
$surname=$select_details[0][4];
$forenames=$select_details[0][3];
$title=$select_details[0][2];
}
else{
	$eGuaranteevalue='';
$eManualvalue='';
$Extractorage='';
$Extractor='';

$shGuaranteevalue='';
$shManualvalue='';
$StorageHeatersage='';
$StorageHeaters='';

$whGuaranteevalue='';
$whManualvalue='';
$Heatersage='';
$Heaters='';

$sManualvalue='';
$sGuaranteevalue='';
$Sanifloage='';
$Saniflo='';

$wpGuaranteevalue='';
$wpManualvalue='';
$pumpage='';
$pump='';

$wsGuaranteevalue='';
$wsManualvalue='';
$Softenerage='';
$Softener='';

$wddGuaranteevalue='';
$wddManualvalue='';
$Disposalage='';
$Disposal='';

$Freezer1='';
$frGuaranteevalue='';
$frManualvalue='';
$Freezerage='';
$Freezer='';

$Refrigderator1='';
$rGuaranteevalue='';
$rManualvalue='';
$Refrigderatorage='';
$Refrigderator='';

$Fridge1='';
$ffGuaranteevalue='';
$ffManualvalue='';
$Fridgeage='';
$Fridge='';

$MicroWave1='';
$mGuaranteevalue='';
$mManualvalue='';
$MicroWaveage='';
$MicroWave='';

$Hob1='';
$hGuaranteevalue='';
$hManualvalue='';
$Hobage='';
$Hob='';

$Oven1='';
$oGuaranteevalue='';
$oManualvalue='';
$Ovenage='';
$Oven='';

$Cooker1='';
$cGuaranteevalue='';
$cManualvalue='';
$Cookerage='';
$Cooker='';

$Dish1='';
$dwGuaranteevalue='';
$dwManualvalue='';
$Dishage='';
$Dish='';

$Washer1='';
$wdGuaranteevalue='';
$wdManualvalue='';
$Washerage='';
$Washer='';

$Dryer1='';
$dGuaranteevalue='';
$dManualvalue='';
$Dryerage='';
$Dryer='';

$Washing1='';
$wmGuaranteevalue='';
$wmManualvalue='';
$Washingage='';
$WashingMachine='';

$provider2='';
$telno_no2='';
$account_no2='';
$provider1='';
$telno_no1='';
$account_no1='';
$saniflo_location='';
$installation_property='';
$drainage='';
$refuse_collected='';
$sewage='';
$council_tax='';
$water_supplier='';
$gas_supplier='';
$electricity_supplier='';
$contractors_text='';
$contractors_radio='';
$email8='';
$mobile8='';
$tel8='';
$company8='';
$other='';
$email7='';
$mobile7='';
$tel7='';
$company7='';
$Gardener='';
$email6='';
$mobile6='';
$tel6='';
$company6='';
$Handyman='';
$email5='';
$mobile5='';
$tel5='';
$company5='';
$Decorator='';
$email4='';
$mobile4='';
$tel4='';
$company4='';
$Carpenter='';
$email3='';
$mobile3='';
$tel3='';
$company3='';
$Electrician='';
$email2='';
$mobile2='';
$tel2='';
$company2='';
$Heating_engineer='';
$email11='';
$mobile11='';
$tel11='';
$company1='';
$plumber1='';
$interviewradiostep56='';
$interviewradiostep55='';
$interviewradiostep54='';
$interviewradiostep53='';
$Periodicstep51='';
$testingstep51='';
$inspectionsstep51='';
$Installationsstep51='';
$Homecarestep52='';
$Homecarestep51='';
$Datestep51='';
$Servicestep52='';
$Annualstep51='';
$Locationstep55='';
$interviewradiostep52='';
$Locationstep54='';
$Locationstep53='';
$interviewradiostep51='';
$interviewradiostep51='';
$Hotstep51='';
$Locationstep52='';
$Boilerstep52='';
$Boilerstep51='';
$Heatingstep5='';
$Locationstep51='';
$Meterstep53='';
$Meterstep52='';
$Meterstep51='';
$Waterstep5='';
$Electricstep5='';
$Gasstep5='';
$interviewradiostep410='';
$interviewradiostep49='';
$Amountstep41='';
$Currentstep41='';
$Agestep41='';
$Sumstep42='';
$Sumstep41='';
$interviewradiostep48='';
$interviewradiostep47='';
$claimsstep42='';
$claimsstep41='';
$interviewradiostep46='';
$interviewradiostep45='';
$interviewradiostep44='';
$interviewradiostep43='';
$interviewradiostep42='';
$interviewradiostep41='';
$emailstep2='';
$emailstep1='';
$phonestep42='';
$phonestep41='';
$postcodestep42='';
$postcodestep41='';
$addresstep42='';
$addresstep41='';
$namestep42='';
$namestep41='';
$interviewradio5='';
$Property_Landline_No2='';
$Property_Landline_No1='';
$Service_Contractor='';
$location_control='';
$Masterpass='';
$Code2='';
$Code1='';
$interviewradio4='';
$interviewradio3='';
$Contract_No='';
$Alarm_Details='';
$interviewradioalarm='';
$authorised_keyholder='';
$interviewradio='';
$How_Many='';
$interviewradio2='';
$Media_provider='';
$Property1='';
$Property='';
$Landline_No='';
$Example2='';
$Example1='';
$Example='';
$Property_Landline_No='';
$PostCode='';
$address2='';
$interviewradioh='';
$namesonAccount='';
$accountno77='';
$sortcode='';
$bank='';
$email1='';
$mobile1='';
$tel1='';
$newpincode2='';
$address1='';
$DepartureDates='';
$surname1='';
$forenames1='';
$title1='';
$email='';
$mobile='';
$Tel='';
$newpincode1='';
$address='';
$DepartureDatep='';
$surname='';
$forenames='';
$title='';

}
//print_r($DepartureDates);die;

?>



  
    
    
    
    
    Rushbrook & Rathbone | At the Heart of Property Management

    
    

	
	
	
	
	
	
	
   
   
   
   
   
	
  
  
    
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	Home
	Property Management Questionnaire
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	Property Management Questionnaire
	
	Please complete this questionnaire  as fully  as you  are able, the information  you 

	provide will become the reference database  for the duration of management services
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
    
        
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  Primary Landlord
  

    
				
					Title *
					
						
						Please Enter  title.
					
				
				
				
					Forenames*
					
						
						Please Enter  Forenames.
					
				
				
				
					Surname*
					
					
					Please Enter  surname.
					
				
	
				
				Overseas landlord only UK Departure Date
				
					
					Please Enter  ukdeparturedate.
				
				
				 
					Address*
					
					  <?php  echo $address; ?>
					Please Enter Address.
					
				
				
				
 
					Postcode*
					
					  
					  Please Enter  Postcode.
					
				

				 
					Tel*
					
					  
					  Please Enter  either mobile number or telephone number.
					
				
				 
					Mobile
					
					  
					  Please Enter  mobile.
					
				
				 
					Email
					
					  
					   Please Enter  email.
					
				
				
				

				
				 
					
					  
					 
					
					
				
				
				
				
	
				
				


 
 
 
 2nd Landlord/Owner
 
 
  
				
					Title

					
						
						 Please Enter  title.
					
					
				
				
				
				Forenames
					

						
						Please Enter  forenames.
					
						
				
				
				
					Surname

					
						
						Please Enter  surname.
					
					
				
	
				
				UK Departure Date

				
			
							Please Enter  ukdeparturedate.
				
				
				
				
				
				
					Address

					
					  <?php echo $address1;  ?>
				Please Enter To Address.
					
					
				
				
				


				 
					Postcode

					
					  
					  Please Enter  tel.
					
					
				




				 
					Tel
			


					  
					  Please Enter  tel.
					
					
				
				 
					Mobile

					
					  
					  Please Enter  mobile.
					
					
				
				 
					Email

					
					  
					  Please Enter  email.
					
					
				
				
				 

				
				 
					
					  
					 
					
					
				
				
				
				
	
				
				



	

	
	

	
	
	
	
	
	
	
	
	Bank Detail to Receive Rent-UK or Channel Islands only
	
	
	
	
	

	
   
	
  
   
    
     Bank:*
      
	  Please Enter bank.
    
    
      Sort Code:*
      
	  Please Enter sortcode.
    
     
      Account No:*
      
	   Please Enter accountno.
    
   
  
  
  
  


	
	
	
	
	
	
	
	
	
 
    Name(s) on Account:*
    
      
	 Please Enter names on Account. 
    
  
  
  
  
  
  
	
	
	
	
	
	
	
	
	Overseas landlords must apply to HMRC to receive gross rent.If this applies to you (and any joint owner of the property,if applicable) please go to
	

	https://www.gov.uk/government/publications/non-residentlord-application-to-receive-
	uk-rental-income-without-deduction-of-uk-tax-individuals-nrl1i 
to apply
	
	
	
	
	
	
	
	
	
	you will need to insert R & R's agency details which are NA010218
	
	
	
	
	
	
				
                                        
					HMRC approval *
					
						
						
						>
						Yes
			
						
						
						
						>
						No

			
						
						 Please select one. 
						
					

				
				
	
	
	
	
	
	
	
	

	
	
	
 


	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
	
	
	
	

	
    
        
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	 Address of Property To Let*
	 
    <?php echo $address2;   ?>
	 Please Enter address.
	
	
	
	
	
	
	
	
	
	  Postcode*
    
	 Please Enter Postcode.
	
	
	
	
	  Property Landline No
    
	
	
	
	
	
	
	
	 
    Bedrooms*
    
	
				  Please Enter Bedroom.
	
	
  
	
	
	 
    Bathrooms*
    
	
			 Please Enter Bathrooms.	  
	
  
	
	
	 
    Reception Rooms
    
	
				  
	
  
	
	
	
	
	
	
	
	
	  Parking
    
	
	
	
	
    Furnishing
    

  
  



	
    Property Type
    

  
  

  	
	
	  Media provider
    
	
	
	
	
	
	
	
     Are you providing any swipe cards or electronic fobs?

    
    
      	  
	   >Yes
    
    
      
      >No
    
    
    
	

  
  

 
 
    How Many
    
	
	
  
 
	
	
	
	
	
	
     Do you have registered security keys/locks? EG Banham, Ingersoll?
    
	
    
      >Yes
    
    
      >No
    
	

  
  
  
  
  
	
	
	
	
	
	
	
	 Name & contact details of any authorised key-holder
	 
    <?php  echo $authorised_keyholder;  ?>
	
	
	
	
	
	
	
     Does the property have alarm system?
    
	
    
      >Yes
    
    
      >No
    
	

  
  
  
	
	
	
	
	
	  Alarm Details
    
	 Please Enter Alarm Details.
	
	
	
	
	  Contract No
    
	
	
	
	
	
	
	  NACOSS Approved

    
	
    
      >Yes
    
       
      >No
    
	
	
	
	
	
	
	
	
	
	
	
	
	  Monitored

     
	
    
      >Yes
    
    
     
      >No
    
	
	 
	
	
	
	
	
	  Code to Arm
    
	 Please Enter  Code to Arm.
	
	
	
	
	  Code to Disarm
    
	 Please Enter  Code to Disarm.
	
	
		
	
	
	
	
	 
    Master Password
    
	 Please Enter  Master Password.
  
	
	
	 
    Location of control panel
    
  
	
	
	
	
	
	
	
	 Service Contractor details
       Name, Phone and Email
	 
    <?php echo $Service_Contractor;   ?>
	 Please Enter  Service Contractor details
       Name, Phone and Email.
	
	
	
	
	
	
	
	
	
	 Mortgage Provider In the event of joint ownership please provide full names of all parties
	
	
	 
	
	  Mortgage Provider
    
	
	
	
	
	  Mortgagees
    
	
	
	
	
	
	
	
	
	
	
	
	
     Please confirm you have approval to let the property stated.?
      
    
      >Yes
    
     
      >No
    
	

  
  
	
	
	
	
	Gas Safety Certificate
   If your property has gas fired installations or appliances, an annual Gas Safe inspection and certification is required by law
	
	
	
	

	
  
Please confirm you are providing the management team with a current certificate. Your property cannot be let without one.
  

	
	
	
	
	
	
	
	
		
	
	
	
	
    


	
	
	
	
	

	

	

	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
    
        
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	Freeholder/Insurance
	
	
	
	
	
   Freeholder
	
	
	
	
   Block Manager
	
	
    
	
	
	
	
	
	 
    Name
    
  
	
	
	 
    Name
    
  
	
	
	
	
	
	 
    Address
    <?php echo $addresstep41;  ?>
  
	
	
	 
    Address
   <?php echo $addresstep42;   ?>
  
	
	
	
	
	
	 
    Postcode
    
  
	
	
	 
    Postcode
    
  
	
	
	 
    Phone
    
  
	
	
	 
    Phone
    
  
	
	
	 
    Email
    
  
	
	
	 
    Email
    
  
	
	
	
	
	
	
	
	
     Please confirm you have written approval to sub-let your property
     
    
      >Yes
    
        
      >No
    
	

  
  
  
  
  
  
	
     Do you have your buildings insurers approval to let
         
    
      >Yes
    
      
      >No
    
    
	

  
  
  
  
  
  
	
     Do you have your contents insurers approval to let
         
    
      >Yes
    
     
      >No
    
	

  
  
  
  
  
	
     
     Would you like to consider cover under our Block Policy if yes please complete details below
     
    
	     
    
      >Yes
    
     
      >No
    
	

  
  
  
  
  
	
	
	
	
	
	
	
	
	
   BUILDINGS
	
	
	
	
   CONTENTS
	
	
    
	
	
	
	
	
	
     Buildings Previous Claims
    

	     
    
      >Yes
    
     
      >No
    
	

  
  
  
	
     Previous Claims
          
    
      >Yes
    
     
      >No

    
	
	
  
  
  
	
	
	
	
	
	
	 
    Give details of claims in last 5 years
   <?php echo $claimsstep41;  ?>
  
	
	
	 
    Give details of claims in last 5 years
   <?php echo $claimsstep42;  ?>
  
	
	
	
	
	
	
	
	
     History of subsidence or flood plain
    
         
    
      >Yes
    
     
      >No
    
	
	
  

  
 
  
	
     History of subsidence or flood plain
        
    
      >Yes
    
     
      >No
    
	

 
  
  
	
	
	
	
	
	 
    Sum Insured
    
  
	
	
	 
    Sum Insured
    
  
	
	
	
	
	 
    Age of Property
    
	
	
	
	
	
	


	
	
	
	
	 
    Current Re-Build value
    
  
	
	
	 
    Amount of contents cover required
    
  
	
	
	
	
	
	
	
	
    Do you wish to consider Legal & Rent Protection Legal and Rent Protection
    
	     
    
      >Yes
    
    
      >No
    
	

  
  
  
  
  
  
  
  
  
  
  
	
	
	
	
	
	
	
	
	
	
	
	

	
	
	
	

	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
    
        
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	About your Property
	Location of Meters
	  
	  
	
	
	 
    Gas
    
  
	
	
	 
    Electric
    
  
	
	
	 
    Water
    
  
	
	
	
	
	
	 
    Meter No
    
  
	
	
	 
    Meter No
    
  
	
	
	 
    Meter No
    
  
	
	
	
	
	 
    Location of Stopcock
    
  
	
	
	
	
	
	
	Heating Installation Details
	
	
 
    Fuel Type*
    
	 Please Select  Fuel Type.
  
 
 
	 
    Boiler Make/Model
    
  
	
	
	 
    Boiler Type
    
	
	
				  
  
	
	
	
	
	
	
	 
    Location of Boiler
    
  
	
	
	
	
	
	 
    Hot Water Tank
    
	
  
  
  
  
     Immersion
     
	    
    
      >Yes
    
     
      >No
    
	

  
	
	
	
	
	
	
	
	 
    Location of Hot Water Tank
    
  
	
	
	
	 
    Location of Heating and Hot Water Controls
    
  
	
	
	
	
	
     Confirm Heating/Hot Water instruction manuals are provided
    
    
      >Yes
    
     
      >No
    
	

  
	
	
	
	
	
	
	
	 
    Location of controls/thermostat
    
  
  
  
	
	
	
	
	Service Contracts – please provide details of any planned maintenance/breakdown policies
	
	
	
	
	
	
	
	
    Annual boiler service provider:
    
  
  
  
	
    Service contract number:
    
  
  
  
	
	
	
	
	
	
	
    Date next service due
    
  
  
  
	
	
	
	
	
	
    Homecare service provider:
    
  
  
  
	
    Homecare service contract number:
    
  
  
  
	
    Installations/appliances covered:
    
  
  
  
	
	
	
	
	Pre Tenancy and annual services – please indicate the services you require:
	
	 
	
    Gas-Safe inspections
    
	 Please Enter Gas-Safe inspections.
  
  
   
	
    PAT electrical testing
    
  
  
  
  
  
	
    Periodic electrical inspection – valid for 5 years
    
  
  
  
  
	
	
	
	
	
	
     Please confirm you have a valid EPC available
     
    
      >Yes
    
     
      >No
    
	

  
  
  
	
     Are smoke and/or heat detectors installed at the property
     
    
      >Yes
    
      
      >No
    
	

  
  
  
	
     Are carbon monoxide alarms installed at the property
      
    
      >Yes
    
     
      >No
    
	
	
  
  
  
	
     Does all furniture and/or furnishings provided for prospective tenants conform to current regulations
      
    
      >Yes
    
     
      >No
    
	

  
  
  
  
  
  
  
  
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
    
    

	
	
	
	

	
	
	

	
	
	
	
	
	
	
	
	

	
    
        
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	Preferred Contractors
	Whilst we have an extensive network of qualified contractors, you may prefer us to approach tradesmen with
whom you are already familiar. If this is the case then please provide full details below, wherever possible we
will endeavour to seek their assistance.
	Trade
	
	
	
	
	
	
    Plumber
    
  
	
	
	
    Company
    
  
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
    Heating Engineer
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
    Electrician
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
    Carpenter
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
    Decorator
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
    Handyman
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
    Gardener
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
	
    Other
    
  
	
	
	
    Company
    
  
	
	
	
	
	
	
    Tel
    
  
	
	
	
    Mobile
    
  
	
	
	
    Email
    
  
	
	
	
	
	
	
	In the event of these contractors being unavailable we will contact alternative companies at our discretion
	
	
	
	
	
	
     Do you have any further information or instructions concerning installations, appliances and maintenance of
your property that we should be aware of?
   
    
    >Yes
    
     
       >No
    
	

  
  
  
  
  
  
    <?php echo $contractors_text;  ?>
	 Please Enter further information since you have selected yes. 
  
  
  
  
  
	
	
	
	

	
	
	
	
	
    
    

	
	
	
	

	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
    
        
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	Transfer of Utilities
	
	
	
	
	We will arrange for final/closing accounts from the local council and utility providers – please note that whilst
notification to the council and utilities will be dealt with promptly, closing accounts may take over 4 weeks
to be presented. We are unable to arrange closing accounts for landlines and media services – you should be
sure to contact your providers prior to letting your property (landlines serving monitored alarms should be
suspended – NOT closed. This will allow tenants to take up monitoring services should they choose)
	
	
	
	
	Please supply utility providers details and your account reference
	
	
	
	
	
    Electricity Supplier
    
  
	
	
	
    Gas Supplier
    
  
	
	
	
    Water Supplier
    
  
	
	
	
    Council Tax
    
  
	
	
	
    Sewage
    
  
	
	
	
	
	
	
	
	
	 
    What day is refuse collected:
    
  
  
  
  
	 
    Is there mains drainage at the property:
    
  
  
  
	
	
	
	
	
	
     Is there a Saniflo, or similar, installation at the property
      
    
       >Yes
    
     
      >No
    
	

  
  
  
	
	
	
	
    Saniflo Location
    
  
	
	
	
	
	Property Landline details
	
	
	
    Account No Line 1
    
  
	
		
	
    Tel No Line 1
    
  
	
	
	
    Provider
    
  
	
	
	
	
	
    Account No Line 2
    
  
	
	
	
    Tel No Line 1
    
  
	
	
	
	
    Provider
    
  
	
	
	
	
	
	
	
	
	
	
	
	
	
	
    
    

	
	
	
	

	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
    
        
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	Appliances and Installations
	
	Please supply copies of guarantees and service contracts together with the following information:
	
	
	
	
    
      
        
        Type
        Age
		ManualProvided
		Guarantee or Warranty
		
      
    
    
      
        Washing Machine
         
           
		  >
         >
         
      
	   
        Dryer
         
          
		  >
         >
         
      
	   
        Washer/Dryer
         
          
		  >
         >
         
      
	   
        Dishwasher
		  
          
		  >
         >
         
      
	   
        Cooker
         
          
		  >
         >
         
      
	   
        Oven
         
          
		  > 
         >
         
      
	   
        Hob
         
          
		  >
         >
         
      
	   
        Microwave
         
          
		  >
         >
         
      
	   
        Fridge Freezer
         
          
		  >
         >
         
      
	   
        Refrigerator
         
		   
		  >
         >
         
      
	   
        Freezer
         
          
		  >
         >
         
      
	  
	  
	  
	    
        Waste Disposal
         
          
		  >
         >
        
      
	   
        Water Softener
         
          
		  >
         >
        
      
	   
        Water pump
         
          
		  >
         >
        
      
	   
        Saniflo
         
          
		  >
         >
        
      
	   
        Water Heaters
         
          
		  >
         >
        
      
	   
        Storage Heaters
         
          
		   >
         >
        
      
	   
        Extractor
         
           
		   >
          >
        
      
	   
	  
	  
      
    
  
	

	
	
	
	
	
	
	
	
	(** Garden tools should be provided in unfurnished property if tenants are expected to maintain grass and borders)
    NOTE: Should this section not be completed fully,we cannot be held responsible for any
    charges incurred for repairs that would have been covered by guarantee or warranty. Instruction manuals must be left in the property for tenants reference. 
	
	
	
	
	
	
	
	
	

      
       
    select("*","tbllandlordimages","tbllandlord_id='$sentid' ");
//echo "";print_r($sel_status_image); echo "";
?>
	
	
		
		Upload images
    	       
                  
                 			
		

		Upload Documents
    	       
                  
                 			
		


		
		
		


  
 

    
$prddoc_val)
{
			
$attachdocid = $prddoc_val[0];
$attachdoc = $prddoc_val[2];
				

?>
	ManualProvided	Guarantee or Warranty
Washing Machine	>	>
Dryer	>	>
Washer/Dryer	>	>
Dishwasher	>	>
Cooker	>	>
Oven	>	>
Hob	>	>
Microwave	>	>
Fridge Freezer	>	>
Refrigerator	>	>
Freezer	>	>
Waste Disposal	>	>
Water Softener	>	>
Water pump	>	>
Saniflo	>	>
Water Heaters	>	>
Storage Heaters	>	>
Extractor	>	>