Colin Chapman



70 Heeley Rd.  B29 6EZ

Given interest in property,  we are asking those interested to complete a form to allow us to select tenant :


Please  complete the following information and send my email  

colin@payless.me.uk    ( can cut and paste  questions from http://www.payless.me.uk/1.htm 


or phone me  07970 413173

Application to rent:  70 Heeley Rd , Selly Oak Birmingham B29 6EZ




Current address




Gender:                                                                       Age:

Nationality (if international student)

Employment status   / occupation.

Current housing status

How many occupiers  in total:

Smokers ?                                                    Pets

Term of tenancy preferred:                             Preferred start date


Do you claim/ will need to claim housing benefit

Can you pay 1 months deposit  ( protected)  and 1 month in advance ?

Will you be able to  supply a reference.

unfurnished   or  Furnished  ( if furnished any special requests)



Any other info..