Fox & Tanner Pre Viewing Questionnaire For applicants receiving benefits If you are NOT claiming DSS Benefits, please use this form. Your Details Name * Email * Phone * Address * City * Postcode * Country Occupation Age * Moving Details Area of Interest * Select City Colwyn Bay Deeside Llandudno Swinton Wrexham Reason for Moving Desired Moving in Date Questionaire Q1: Gender * Male Female Q2: How many dependants are living with you, please include age(s) * Q3: Relationship of persons living with you (son/daughter, cousin, mother etc) * Q4: What benefits do you receive * Q5: Criminal record * Yes No Q6: Do you have the right to work in the UK? * Yes No Confirmation I have checked the above and confirm that the information provided is accurate * Yes No What is 3+2? * Submit
