EF015

Personal References

Please do not list relatives, another applicant or partners and provide business hours contact numbers.

..------------------------------,

Personal Representative

i.e. preferred person(s) to be contacted in the event of an emergency.

Representative 1

Representative 2

Supporting Documents

Identification

Relationship

Relationship

Phone/Mobile

Relationship

Phone

Relationship

Phone

You are required to meet a 100 point identification criterion upon submission of your application. Ensure all documents are photocopied and submitted with the application form. Note: Front & back of drivers licenses must be included. Please tick the identifying documents you have provided with your application.

70 Points

D Passport

40 Points

IMPORTANl: At least one form of Photo Identification MUST be provided.

D Full birth certificate D Citizenship certificate

D Australian driver's licence

D Centrelink Card

. 0 Student Photo ID

D Proof of age card

D Department of Veterans Affairs card

D State/Federal Government Photo ID

25 Points

D Medicare card

D Telephone bill

D Tenancy History Ledger

D Last FOUR rent receipts

Proof of Income

D Council rates notice

D Electricity bill

D Bank statement

D Rent bond receipt

D Motor vehicle registration

D Gas bill

D Credit card statement

D Previous tenancy agreement

You are also required to supply the agenUlessor with proof of your income upon submission of your application.

Employed: Self employed: Not employed:

08/09

1 month of recent consecutive payslips

Bank Statements, Group Certificate, Tax Return or Accountant's letter.

Centrelink Statement.

© Copyright REIQ Printed by REA LW ORKS Live Page 3 of4

Southern Downs Realty Privacy Notice and Consent

Privacy Notice and Consent 1 © 2014 Carter Newell Lawyers

Privacy Notice and Consent Consent

I,

(Full name)

of

(Residential Address)

have read and understood the attached information. I authorise employees of Southern Downs Realty, and independent contractors of Southern Downs Realty including their directors, officers and employees, to obtain relevant information from, and release relevant information to, the parties described on page 2 to assist with my involvement with Southern Downs Realty. I understand that I can revoke my authority at any time. I acknowledge that if I revoke my authority, or if I decline to provide information as requested by Southern Downs Realty, Southern Downs Realty may be unable to provide the products or services I have requested.

Signed:

Date: / / 2 0

Parent/Guardian Signature (if under 18 years of age)

Privacy Southern Downs Realty Pty Ltd (ACN163 312 865) trading as Southern Downs Realty is committed to protecting your privacy in compliance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs). This document sets out Southern Downs Realty’s condensed Privacy Notice. Southern Downs Realty also has a full Privacy Policy, which contains information about how you can complain about any breach by Southern Downs Realty of the APPs or an applicable APP Code. A full copy of our Privacy Policy can be accessed from Southern Downs Realty, 112 Palmerin Street Warwick QLD 4370 or our website www.sdrealty.com.au. Information Collection, Use and Disclosure During the course of your involvement with Southern Downs Realty, we may collect, use or disclose personal information about you for the following purposes:

Assisting you to sell your property;

Assisting you to purchase a property;

Assisting you to lease a property (either as lessor or lessee);

Assisting you to obtain a loan;

Assisting you with payment or refund of a bond;

Assisting you with tenancy disputes;

Coordinating repairs or maintenance of a property owned or leased by you;

Recording or accessing information at the Titles Registry Office or other government agency;

Recording or accessing information at the Residential Tenancies Authority;

Recording or accessing information on tenancy information services or databases;

Client and business relationship management;

Marketing of products and services to you; The types of personal information we may collect, use or disclose about you includes but is not limited to:

Your full name;

Your date of birth;

Your residential address;

Your postal address;

Your email address;

Your home telephone number;

Your work telephone number;

Your mobile telephone number;

Your occupation and business address;

Financial information including details of your employer, income, name of bank or financial institution;

Details of your spouse, de facto, dependent children, and roommates;

Details of properties owned by you; In order to provide products and services to you, we may disclose your personal information to the persons/organisations described below:

Southern Downs Realty Privacy Notice and Consent

Privacy Notice and Consent 2 © 2014 Carter Newell Lawyers

In the event that you are a seller or a lessee, we may disclose your personal information to prospective buyers of the property owned or leased by you;

In the event that you are a buyer or a lessee, we may disclose your personal information to the sellers of the property you are purchasing or leasing;

Your legal advisor(s) and the legal advisor(s) representing the other party(s) involved in your transaction;

Your financial institution and/or financial advisor;

Insurance providers and brokers;

Utility providers and utility connection service providers;

Persons or organisations involved in providing, managing or administering your product or service including independent contractors engaged by us as real estate agents;

Trades people engaged by us to repair or maintain a property owned or leased by you;

Organisations involved in maintaining, reviewing and developing our business systems, procedures and infrastructure including maintaining or upgrading our computer systems;

Persons or organisations involved in purchasing part or all of our business;

Our related companies;

Organisations involved in the payments systems including financial institutions, merchants and payment organisations;

The Titles Registry Office or other government agencies;

The Residential Tenancies Authority;

Police;

Tenancy information services or databases;

Real estate websites;

Real estate peak bodies; Whenever it is reasonable or practicable to do so, we will collect your personal information directly from you. Sometimes it will be necessary for us to collect information from a third party or a publicly available source, such as a credit reporting agency, your legal adviser, your past or current employers, your previous Lessor’s or property managers, and tenancy information services or databases. In the course of providing services to you, it may be necessary for us to enter your personal information into forms generation software and real estate websites. Depending on the terms of use of such software and websites, a third party may acquire rights to use or disclose information entered into the relevant forms or websites. We may disclose your personal information to recipients within Australia or to overseas recipients . Should information be required to be sent interstate or overseas, we will take steps to protect the privacy of your information. We need your permission to collect, use and disclose your personal information, and we therefore ask that you sign the consent on the first page of this document to indicate your consent. In the event that you do not consent to Southern Downs Realty collecting and releasing your personal information as described above, we may be unable to provide the services requested by you. Access to, and correction of personal information You have the right to request access to your information and to request that Southern Downs Realty update or correct your personal information. A charge may apply for providing access to your information. Our Privacy Policy contains further information about how you may request access to, and correction of, your personal information. Contacting Us You may contact us by mail, email or telephone as follows: PO BOX 371 07 4661 8403 admin@sdrealty.com.au

The iPayRent service is owned and operated by IP Payments Pty Ltd (ABN 86 095 635 680). ©2013 IP Payments

iPayRent Service Request Form

STEP 1 – TENANT CONTACT DETAILS (Please print clearly)

Tenant 1: Title: Mr/Mrs/Ms ______________First Name _____________________________________________Last Name ___________________________________________________

Tenant 2: Title: Mr/Mrs/Ms ______________First Name __________________________________Last Name __________________________________________________

Home Phone: _ (_______) _________________________ Work Phone: _ (_______) ___________________________ Mobile Phone: ________________________________________________

Email: (Please print clearly)_____________________________________________________________________Date of birth: _______________________

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Residential: Commercial: Business Name:____________________________________________ABN:_________________________

Address: _____________________________________________________________________________________________________________________________________________________________

Suburb_____________________________________________________________State_____________________________Postcode_________________

(Proceed to STEP 2)

Office Use Only: Tenant No: _________________________________________________ Real Estate: ___________________________________________________________ PMS Property ID: ____________________________________________ Property Manager: ______________________________________________________

STEP 2 – PAYMENT SCHEDULE (Please select one method of payment from those listed below)

Tenant Initiated Payments: via website: www.ipayrent.com.au or telephone: 1300 724 786 from your secured nominated bank account or credit card on iPayRent *(Proceed to Step 3 to nominate a bank account or a credit card for the Tenant Initiated Payments) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- BPAY: Via your financial institution using iPayRent Biller Code and Tenant Reference *(Proceed to Step 4)

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cash/ EFTPOS: Over the counter at Australia Post via scanning the iPayRent barcode *(Proceed to Step 4) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Recurring schedule (Automatic payment) configured by your Managing Agent *(complete the details below and Proceed to Step 3)

Rent amount $_______________________ Frequency (Weekly/Fortnightly/Monthly) _____________________Commencement Date __________________ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Important Information: *Once we receive your completed form, you will be issued with a tenant number and instructions for payment of your rent. *All payments processed via iPayRent will take up to four business days for your agent to receive these funds, please factor this while initiating your payments. *There are Fees for using the iPayRent Service which is explained in the Fee schedule section of the Terms and Conditions attached.

STEP 3 – NOMINATING BANK ACCOUNT OR CREDIT CARD FOR YOUR PAYMENTS (Please print clearly)

Please debit my Credit Card nominated below: (Your Credit Card must be viewed by your managing agent to validate —this is part of our fraud prevention policy)

Card Type: Visa MasterCard Name on Card: _________________________________________________________________________________________________________________ Credit Card No: __________________________________________________________________________________________Expiry Date: ____________

OR

Please debit my Bank Account nominated below: (Please provide a copy of your bank statement to validate —this is part of our fraud prevention policy) Account Name: _____________________________________________________________Financial Institution: ________________ __________________ BSB (6 Digits): _______________________________________Account Number (Max 9 digits):________________________________________________ Important information

*If you provide Visa Debit or MasterCard Debit card details, the banks will process this as a Credit Card payment and the credit card surcharge will apply. (Proceed to STEP 4)

STEP 4 – REQUEST AND AUTHORITY TO DEBIT

I/We hereby agree to the Terms & Conditions and request and authorise IP Payments (Debit User No. 306033 & 252550) to debit/process my/our nominated bank account or credit card identified above through the Bulk Electronic Clearing System or credit card network for any amount that IP Payments may debit or charge in accordance with the Terms and Conditions set out below. (Where account has two signatures, both must sign below.)

Name: ___________________________________Date:______________________ Name: ____________________________ Date:________________ Signature 1: ________________________________________________________ Signature 2:_____________________________________________

The iPayRent service is owned and operated by IP Payments Pty Ltd (ABN 86 095 635 680). ©2013 IP Payments

iPayRent

TERMS & CONDITIONS Definitions “Agreement” means these terms and conditions. “iPRSR” means iPayRent Service Request. “OTC” means over-the-counter at Australia Post (cash and EFTPOS debit card). “Person” includes a company or corporation. “We”, “Us”, “Our”, “Service Provider”, means IP Payments Pty Ltd (ABN 86 095 635 680). “You”, “Your” means the customer who signed the iPayRent service request. “Service Fee” - The Fee to use the Service provided by IPP for an online portal where tenants can gain access to their registered details, view and print off their full Payment History, Cancel Payments, forward date Payments and submit one-off Payments to pay rent, or water charges due to your managing agent Contractual relationships By signing the application for the IP Payments iPayRent service: You agree to accept the terms and conditions associated with the provision of the services below. You acknowledge this service is provided by IP Payments Pty Ltd as an optional payment method that is not intended to restrict you from other rent payment methods.

You acknowledge that your managing agent must be a member of iPayRent in order for us to provide this service to you. You are entering into this agreement under your own free will. IP Payments’ iPayRent service We make available to you rent payment facilities as agreed with your managing agent and identified in the Payment Schedule above. Processing times

Transactions initiated before 4.00pm AEST each business banking day are processed on that business banking day.

Transactions initiated after 4.00pm AEST on a business banking day are processed on the next business banking day.

Transactions initiated on non-business banking days (weekends, public holidays, and bank holidays) are processed on the next business banking day.

Enquiries and statements An iPayRent tenant website is provided at www.ipayrent.com.au for review of all of your rent payments and recurring schedule. Where enquires are not resolved online you should contact your managing agent. Void/Stop or deferred payments Once a bank account payment has been submitted it can be voided or stopped via the iPayRent tenant website or by contacting your managing agent before 2.45pm AEST on the business banking day that the payment was initiated. Credit card payments cannot be voided or stopped. Dishonoured payments

We will not charge any fees if your payment is dishonoured for any reason. You may need to initiate a catch up payment once you have rectified the reason for the dishonoured payment. Password security You must ensure that your iPayRent password is kept secure and not disclosed to anyone. If you suspect that the security of your password has been breached you must ensure that:

Your password is changed on the iPayRent tenant website

we are promptly notified of the suspected breach

Variations and amendment of terms and conditions

We may vary any of these conditions and any operating reference or user guide, including fees and charges, with 14 days notice on the iPayRent website (www.ipayrent.com.au). You shall be deemed to have accepted any variation or amendment notified to you on the website unless you provide us with written notice within 14 days from the publication of the website notice of amendment or variation that you refuse to accept the variation or amendment. If you refuse to accept the variation or amendment, the agreement will be deemed terminated. iPayRent service request (iPRSR) and funds disbursement Where you have selected Recurring Schedule or Tenant Initiated Payments as your payment method, you accept payments will be debited from your bank account or credit card account. Bank account payments are processed under IP Payments User Id 306033 or 252550 and credit card payments are processed via a Merchant Facility. The IP Payments User Id’s and credit card merchant facility is operated by IP Payments Pty Ltd (ABN: 86 095 635 680). Drawing arrangements

The drawings under this iPayRent Service Request arrangement will occur as and when you initiate them via the telephone, Internet, BPAY, OTC at Australia Post in accordance with the recurring schedule you or your managing agent configure via the iPayRent website.

Adjustments

IP Payments may from time to time also debit or credit to you any adjustments in respect of transactions due to errors, omissions, payments initiated without a valid tenant iPRSR or payments that are later dishonoured. Your rights Changes to the arrangement If you want to make changes to the drawing arrangements you should log on to the iPayRent website and make the relevant changes or complete a new iPRSR form available from your agent. Changes made via the website are live and will take effect immediately. Changes requested via a new iPRSR form will not take effect until the form has been completed, signed and returned to your agent for processing. Changes to the rent amount within a recurring schedule configured by Your agent can be amended by your Agent in accordance with the terms of your lease agreement without the need to complete a new iPRSR form. Cancelling or stopping the agreement If you want to cancel or stop the agreement you should log onto the iPayRent website and make the relevant changes or complete a Cancellation form available from your agent. Changes made via the website are live and will take effect immediately. Changes requested via a Cancellation form will not take effect until the form has been completed, signed and returned to your agent for processing. Enquiries Direct all enquiries to your managing agent, rather than to your financial institution, and these should be made at least 3 working days prior to the next scheduled drawing date. All communication addressed to your managing agent should include your name, tenant number and telephone number. Confidentiality and privacy

All personal customer information held by us will be kept confidential except that information provided to your managing agent or our financial institution to initiate the drawing to your nominated account or where the provision of that information is necessary to resolve any issues that may arise from the operation of the service or where you specify otherwise. Full details of our privacy policy can be found at www.ippayments.com.au . Disputes If you believe that a drawing has been initiated incorrectly, we encourage you to take the matter up directly with your managing agent. If the issue is not resolved to your satisfaction please contact our customer service team by email at ipayrent@ippayments.com or by telephoning 1300 724 786. If you do not receive a satisfactory response from us within 14 days, contact your financial institution who will respond to you with an answer to your claim:

Within 5 business days (for claims lodged within 12 months of the disputed drawing);

or within 30 business days (for claims lodged more than 12 months after the disputed drawing)

You will receive a refund of the drawing amount if we cannot substantiate the reason for the drawing. Note: Your financial institution will ask you to contact us to resolve your disputed drawing prior to involving them. Your commitment to us It is your responsibility to ensure that:

Your nominated bank or credit card account can accept these payments (your financial institution can confirm this); and

That on the drawing date there is sufficient cleared funds in the nominated account; and

That you advise us if the nominated account is transferred or closed; and

That you advise us of your new expiry date (in the case of a credit card) If your drawing is dishonoured by your financial institution you may be charged a fee and/or interest by your financial institution. Fee schedule When You use the iPayRent service You agree to pay Us a non-refundable Service fee / Convenience fee every time you make a payment. These fees are:

Credit Card – 2.2% Surcharge (GST inclusive) of the amount paid to Us by You;

OTC at Australia Post - $4.00 Convenience Fee (i.e. Service Fee $0.80 + Australia Post Convenience fee $3.20; GST inclusive)

BPAY per payment - $3.00 (i.e. Service Fee $0.80 + Convenience Fee $2.20; GST inclusive);

Bank Account Payments do not incur any transaction fees; you’ll only pay a Service fee of $0.80 every time you use the Service to make a payment (GST inclusive).

Note – If you provide Visa Debit or MasterCard Debit card details, the banks will process this as a Credit Card payment, incurring a 2.2% Credit Card surcharge (GST inclusive).