Fields marked with a * are required
 
DATE
Proposed Property
Address
Full Name
Email Address *
Date of Birth
Martial Status  
No. of Children Ages
Maiden Name
Car Reg State Driver Lic No. State 18+Card
     
Current Address
    A/H B/H Mob Other
    A/H B/H Mob Other
Period of Occupancy
Current Lessor/Agent
Agents Address Phone
Previous Address Phone
Period of Occupancy
Previous Lessor/Agent
Agents Address Phone
Was bond Refunded in Full
Reason For
Pet Type/s Registered
If Yes; Who Reg Details
Personal References
1. Name
Address Phone
Relationship How Long Know
2. Name
Address Phone
Relationship How Long Know
If Student
Name of College,Tafe or University
Faculty/Courses
Sudent Union No Student ID No
Occupation
Current Occupation
Current Employer
If Self-Employed Name of Business
Trading Name
Registered Business Name
ABN: ACN:
Industry
Address
Phone Period of Empoyment Weekly Salary Nett
If Employment Less Than 6 Months
Previous Employer Phone
Personal References
1. Name
Business Work Name
Address Phone
2. Name
Business Work Name
Address Phone
Other Relative Not Living With You
Name Relationship
Address Phone
Parents / Guardians
Parents / Guardians Name
Address Phone
Once your application has been approved, tenants are required to sign leases and pay 1st months rent immediately. Bond will be required on the commencement date and a Bank Cheque or Money Order will only be accepted, made payable to Residential Bond Authority (R.T.B.A). Please ensure an appointment is made in order to sign leases.
Disclaimer / Authority

I the said applicant, do solemnly and sincerely declare that the information contained in this application is true and correct and that all of the information was given of my own free will. I further consent to the lessor/agent contacting and or conducting any enquiries and or searches with regard to the information and references supplied in this application

I the said applicant do solemnly and sincerely declare that I am over 18 years of age and have read and understand the contents of this agreement and have the competence and capacity to enter into this agreement. I further confirm, agree and declare:-

1. I have inspected the property located at:

2. I have of my own accord decided that I wish to rent the aforementioned property commencing on
____ / ____ / ____ for a period of _______________________.

3. I have been informed, understand and agree that the rental for the aforesaid property is to be
$ ____________ per week and that this rental is within my means to support.

4. i. I have been informed, understand and agree that the rental for the said property is to be paid every calendar month and is to be either direct deposit, cash or cheque 5 days prior to allow for clearance.

4. ii. I have been informed, understand and agree that the lessors agent will carry out 2 inspections on the property per year and I further warrant that I will cooperate fully to allow this inspection to be carried out.

5. I have been informed, understand and agree that the bond for the aforesaid property with be $_____________ payable on the signing of the lease agreement or on the commencement date of lease and I further authorize the letting agent to attend to all details regarding the lodgment of the said rental bond with the appropriate authority.

6. I have been informed, understand and agree that the acceptance of my application is subject to a satisfactory report being obtained from information supplied on the fully completed Tenancy Application submitted by me. I further consent to the agent carrying out any enquiries necessary to process my application for tenancy.

7. I have been informed, understand and agree that should there be a requirement to commence proceedings for recovery of rent, repairs and or damage to the aforesaid property during the term or at the expiration of the tenancy agreement, all costs of recovery associated with these proceedings shall be able to be recovered from me.

8. I further consent to the agent disclosing all personal information that they may hold for the purpose of (a) listing my name with a tenancy database as a result of a tribunal order or multiple breach notices, (b) enforcing a tribunal order, (c) commencing recovery action in relation to any debt owed as a result of outstanding rent, repairs and or damage that occurred or occurs during my period of tenancy.

9. I have been informed, understand and agree that should this application for tenancy not be accepted, the agent is not required or obligated to disclose why or supply any reason for the rejection of this application unless the application is declined as a result of my name being listed with a tenancy database.

10. I confirm that I have read and understand the Privacy Policy that the lessor/agent has made available to me.

11. I have been informed, understand and consent to the agent supplying all necessary information, as may be required, to any Tenancy Database/s that they use, subject to the Tenancy Datebase/s complying with the provisions of the Privacy Act.

12. I have been informed, understand and acknowledge that the agent has the contact details required for the Tenancy Datebase/s they use and that the agent will supply these contact details should I request the contact details.

I have read and understood the Disclaimer / Authority
Yes No