Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy....

7
APPLICATION FOR RESIDENTIAL TENANCY IMPORTANT To Consider your application form with all relevant information and reference details, and all persons wishing to reside clearly indicated. HOW TO APPLY Fill in completely and sign the application form with all relevant information and reference details, and all persons wishing to reside clearly indicated. We will not process this form unless all parts have been fully completed Read and Sign the Privacy Act Acknowledgement Form. WHAT TO INCLUDE We require each applicant where applicable to provide the following: IDENTIFICATION REQUIRED PER APPLICANT Tenancy Application Form Your application will be processed with the information provided and submitted to the landlord for the acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason for non-acceptance, if your application is not approved for tenancy. It is a tenant responsibility to arrange connection of electricity, telephone and gas supply to the property once application is approved. If your application is successful a holding deposit is required within 24 hours to secure the property and is NON-REFUNDABLE PLEASE READ CAREFULLY Current Agent Rent History Ledge / Record Latest Electricity or Gas Account (With Address) Current Driver’s Licence - with Photo Proof of Age Card - with Photo Passport (Australian Resident) Medicare Card Debit / Credit Card Centrelink payment advice If owner of current property attach council rates Payslips from current employer Banner 200 x 40mm We guarantee that your electricity and gas will be connected on your agreed move-in date*. 1300 850 360 | onthemove.com.au Your utility connection specialists * Terms and conditions apply. Full details at onthemove.com.au

Transcript of Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy....

Page 1: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason

A. AGENT DETAILSCENTURY 21 Property GroupAddress: 280 Clayton Road, Clayton VIC 3168 Phone: 03 9544 8888 Fax: 03 9544 8870 Email: [email protected]

F. DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:

(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/trades people to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database - Phone:

1300 563 826 – Email [email protected])(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I consent to the disclosure of this page of the application from to On The Move ABN 84 101 648 257 for the purpose of enabliing On The Move to offer the connection and disconnection of services to me. Where On The Move is requested to arrange for the provision of the services, I consent to On The Move disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection ordisconnection. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move

Print Name:

Signature: Date:

Residential Application Form

C. PERSONAL DETAILS 7. Please give us your details

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s licence number

Driver’s licence expiry date Driver’s licence state

Passport no. Passport country

Pension no. (if applicable) Pension type (if applicable)

8. Please provide your contact detailsHome phone no. Mobile phone no.

Work phone no. Fax no.

Email address

/ /

/ /

E. FREE UTILITY CONNECTION SERVICEB. PROPERTY DETAILS

2. What is the address of the property you would like to rent?

3. Preferred move in date?

Day Month Year4. Lease term?

Years Months

5. How many people will normally occupy the property?

Adults Children - Ages?

Per week

Postcode

1. Have you inspected the property?

Date

$

/ /

DisclaimerThis application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

D. OTHER INFORMATION9. Car make & registration

10. Please provide details of any petsBreed/Type Inside/Outside

PLEASE NOTE: Owner’s have the right to reject pets

Yes No

6. Rental Amount Offered

Applicant of

APPLICATION FOR RESIDENTIAL TENANCY

IMPORTANTTo Consider your application form with all relevant information and reference details, and all persons wishing to reside clearly indicated.

HOW TO APPLY• Fill in completely and sign the application form with all relevant information and reference details, and all

persons wishing to reside clearly indicated.• We will not process this form unless all parts have been fully completed • Read and Sign the Privacy Act Acknowledgement Form.

WHAT TO INCLUDEWe require each applicant where applicable to provide the following:

IDENTIFICATION REQUIRED PER APPLICANT

Tenancy Application Form

• Your application will be processed with the information provided and submitted to the landlord for the acceptance or non acceptance for tenancy. This is always a landlords decision.

• IMPORTANT - We are unable to give any reason for non-acceptance, if your application is not approved for tenancy.

• It is a tenant responsibility to arrange connection of electricity, telephone and gas supply to the property once application is approved.

• If your application is successful a holding deposit is required within 24 hours to secure the property and is NON-REFUNDABLE

PLEASE READ CAREFULLY

Current Agent Rent History Ledge / Record

Latest Electricity or Gas Account (With Address)

Current Driver’s Licence - with Photo

Proof of Age Card - with Photo

Passport (Australian Resident)

Medicare Card

Debit / Credit Card

Centrelink payment advice

If owner of current property attach council rates

Payslips from current employer

Banner 200 x 40mm

We guarantee that your electricity and gas will be connected on your agreed move-in date*.

1300 850 360 | onthemove.com.au Your utility connection specialists

* Terms and conditions apply. Full details at onthemove.com.au

Page 2: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason

A. AGENT DETAILSCENTURY 21 Property GroupAddress: 280 Clayton Road, Clayton VIC 3168 Phone: 03 9544 8888 Fax: 03 9544 8870 Email: [email protected]

F. DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:

(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/trades people to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database - Phone:

1300 563 826 – Email [email protected])(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I consent to the disclosure of this page of the application from to On The Move ABN 84 101 648 257 for the purpose of enabliing On The Move to offer the connection and disconnection of services to me. Where On The Move is requested to arrange for the provision of the services, I consent to On The Move disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection ordisconnection. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move

Print Name:

Signature: Date:

Residential Application Form

C. PERSONAL DETAILS 7. Please give us your details

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s licence number

Driver’s licence expiry date Driver’s licence state

Passport no. Passport country

Pension no. (if applicable) Pension type (if applicable)

8. Please provide your contact detailsHome phone no. Mobile phone no.

Work phone no. Fax no.

Email address

/ /

/ /

E. FREE UTILITY CONNECTION SERVICEB. PROPERTY DETAILS

2. What is the address of the property you would like to rent?

3. Preferred move in date?

Day Month Year4. Lease term?

Years Months

5. How many people will normally occupy the property?

Adults Children - Ages?

Per week

Postcode

1. Have you inspected the property?

Date

$

/ /

DisclaimerThis application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

D. OTHER INFORMATION9. Car make & registration

10. Please provide details of any petsBreed/Type Inside/Outside

PLEASE NOTE: Owner’s have the right to reject pets

Yes No

6. Rental Amount Offered

Applicant of

A. AGENT DETAILSCENTURY 21 Property GroupAddress: 280 Clayton Road, Clayton VIC 3168 Phone: 03 9544 8888 Fax: 03 9544 8870 Email: [email protected]

F. DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:

(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/trades people to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database - Phone:

1300 563 826 – Email [email protected])(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I consent to the disclosure of this page of the application from to On The Move ABN 84 101 648 257 for the purpose of enabliing On The Move to offer the connection and disconnection of services to me. Where On The Move is requested to arrange for the provision of the services, I consent to On The Move disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection ordisconnection. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move

Print Name:

Signature: Date:

Residential Application Form

C. PERSONAL DETAILS 7. Please give us your details

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s licence number

Driver’s licence expiry date Driver’s licence state

Passport no. Passport country

Pension no. (if applicable) Pension type (if applicable)

8. Please provide your contact detailsHome phone no. Mobile phone no.

Work phone no. Fax no.

Email address

/ /

/ /

E. FREE UTILITY CONNECTION SERVICEB. PROPERTY DETAILS

2. What is the address of the property you would like to rent?

3. Preferred move in date?

Day Month Year4. Lease term?

Years Months

5. How many people will normally occupy the property?

Adults Children - Ages?

Per week

Postcode

1. Have you inspected the property?

Date

$

/ /

DisclaimerThis application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

D. OTHER INFORMATION9. Car make & registration

10. Please provide details of any petsBreed/Type Inside/Outside

PLEASE NOTE: Owner’s have the right to reject pets

Yes No

6. Rental Amount Offered

Applicant of

A. AGENT DETAILS Century 21 Wentworth - Frankston

9 Playne Street, Frankston VIC 3199Phone: 03 8781 4888Fax: 03 8781 4890Email: [email protected]

B. PROPERTY DETAILS

Before completing this application, please confirm the following:

I have inspected the property

I accept the property in its current condition

1. What is the address of the property you would like to rent?

2. Preferred move in date? 3. Lease term?

Day Month Year Months

4. Property rental? per week

5. How many people will normally occupy the property?

Adults Children, ages of children:

6. Please provide details of any pets.Breed / type Council registration / number

C. PERSONAL DETAILS

7. Please give us your details.

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s license number

Driver’s license expiry date Driver’s license state

Passport number Passport country

Centrelink card number Centrelink card type

8. Please provide your contact details.Home phone number Mobile phone number

Work phone number Fax number

Email address

D. UTILITY CONNECTIONS

E. DECLARATION

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/tradespeople to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database)(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

If Section D is completed, I consent to the disclosure of this page of the application form to On The Move for the purpose of enabling On The Move to offer utility connection and disconnection services to me. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move may receive a benefit in relation to the connection of a utulity.

Signature Date

Print Name

$ $ per calendar month

Free utility connection service

Moving? Relax.

phone 1300 850 360 fax 1300 661 160 email [email protected] web www.onthemove.com.au

On The Move are specialists in connecting & disconnecting electricity, gas, water, telephone and more!

As part of your Century 21 Wentworth Real Estate experience, On The Move will arrange your services and take the stress out of moving… What’s even better is we do it for free.

We will call you within 2 hours of receiving your application to discuss the services you want connected.

Residential Application FormFOR YOUR APPLICATION TO BE PROCESSED YOU MUST ANSWER ALL QUESTIONS (INCLUDING THE REVERSE SIDE)

P/Code

WENTWORTH REAL ESTATE

A. AGENT DETAILS D. UTILITY CONNECTIONS / RELOCATIONS

CENTURY 21 - John Ross Combined233 Prospect HWY, Seven Hills

Phone: 02 9831 2622 Fax: 02 9622 9664 Email: [email protected]: www.century21.com.au/sevenhills/

B. PROPERTY DETAILS

C. PERSONAL DETAILS

PostCode

A. AGENT DETAILS Century 21 Wentworth - Frankston

9 Playne Street, Frankston VIC 3199Phone: 03 8781 4888Fax: 03 8781 4890Email: [email protected]

B. PROPERTY DETAILS

Before completing this application, please confirm the following:

I have inspected the property

I accept the property in its current condition

1. What is the address of the property you would like to rent?

2. Preferred move in date? 3. Lease term?

Day Month Year Months

4. Property rental? per week

5. How many people will normally occupy the property?

Adults Children, ages of children:

6. Please provide details of any pets.Breed / type Council registration / number

C. PERSONAL DETAILS

7. Please give us your details.

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s license number

Driver’s license expiry date Driver’s license state

Passport number Passport country

Centrelink card number Centrelink card type

8. Please provide your contact details.Home phone number Mobile phone number

Work phone number Fax number

Email address

D. UTILITY CONNECTIONS

E. DECLARATION

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/tradespeople to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database)(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

If Section D is completed, I consent to the disclosure of this page of the application form to On The Move for the purpose of enabling On The Move to offer utility connection and disconnection services to me. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move may receive a benefit in relation to the connection of a utulity.

Signature Date

Print Name

$ $ per calendar month

Free utility connection service

Moving? Relax.

phone 1300 850 360 fax 1300 661 160 email [email protected] web www.onthemove.com.au

On The Move are specialists in connecting & disconnecting electricity, gas, water, telephone and more!

As part of your Century 21 Wentworth Real Estate experience, On The Move will arrange your services and take the stress out of moving… What’s even better is we do it for free.

We will call you within 2 hours of receiving your application to discuss the services you want connected.

Residential Application FormFOR YOUR APPLICATION TO BE PROCESSED YOU MUST ANSWER ALL QUESTIONS (INCLUDING THE REVERSE SIDE)

P/Code

WENTWORTH REAL ESTATE

Let On The Move reduce your stress and save you time by arranging your utility connections at the property... at no extra cost! We will contact you within 2 hours to confirm.

Terms & Conditions - You are consenting to On The Move contacting you to arrange your services. On The Move may need to disclose personal information to utility companies to arrange your services. Please see On The Move’s Privacy Policy at www.onthemove.com.au. On The Move and your Agent may receive a benefit for arranging your services. On The Move and your Agent do not accept responsibility for any delay or failure to connect your services. Standard connection fees and bonds may apply.

ELECTRICITY, GAS, TELEPHONE, INTERNET, PAY TV, TENANCY INSURANCE

Ph: 1300 850 360 Fax: 1300 661 160 Email: [email protected]

No, I will connect the required utilities on my own accord.

1. What is the address of the property you would like to rent?

Day Month Year

MonthsYears

Adults Children

Ages of Children

5. Please give us your details.

6. Please provide your contact details.

3. Lease term?

2. Preferred move in date?

4. How many people will normally occupy the property?

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

E. APPLICANT HISTORY7. What is your current address and how long have you lived there?

11. What was your previous residential address?

10. Please tell us about this rented property?

8. Current rent paid $

9. Reason for leaving current property?

13. Please give us further information about this rented property?

Years Months

Name of landlord or agent

Landlord / agent phone number Weekly rent paid

12. How long did you live at this address?PostCode

Years Months

14. Car Registration Make/Type

15. Please provide details of any pets.Breed/ Type Inside/Outside Council Registration number

F. OTHER INFORMATION

Page 3: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason

A. AGENT DETAILSCENTURY 21 Property GroupAddress: 280 Clayton Road, Clayton VIC 3168 Phone: 03 9544 8888 Fax: 03 9544 8870 Email: [email protected]

F. DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:

(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/trades people to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database - Phone:

1300 563 826 – Email [email protected])(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I consent to the disclosure of this page of the application from to On The Move ABN 84 101 648 257 for the purpose of enabliing On The Move to offer the connection and disconnection of services to me. Where On The Move is requested to arrange for the provision of the services, I consent to On The Move disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection ordisconnection. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move

Print Name:

Signature: Date:

Residential Application Form

C. PERSONAL DETAILS 7. Please give us your details

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s licence number

Driver’s licence expiry date Driver’s licence state

Passport no. Passport country

Pension no. (if applicable) Pension type (if applicable)

8. Please provide your contact detailsHome phone no. Mobile phone no.

Work phone no. Fax no.

Email address

/ /

/ /

E. FREE UTILITY CONNECTION SERVICEB. PROPERTY DETAILS

2. What is the address of the property you would like to rent?

3. Preferred move in date?

Day Month Year4. Lease term?

Years Months

5. How many people will normally occupy the property?

Adults Children - Ages?

Per week

Postcode

1. Have you inspected the property?

Date

$

/ /

DisclaimerThis application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

D. OTHER INFORMATION9. Car make & registration

10. Please provide details of any petsBreed/Type Inside/Outside

PLEASE NOTE: Owner’s have the right to reject pets

Yes No

6. Rental Amount Offered

Applicant of

A. AGENT DETAILSCENTURY 21 Property GroupAddress: 280 Clayton Road, Clayton VIC 3168 Phone: 03 9544 8888 Fax: 03 9544 8870 Email: [email protected]

F. DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises.

I authorise the Agent to obtain personal information from:

(a) the owner or the Agent of my current or previous residence;(b) my personal referees and employer/s;(c) any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow organisations/trades people to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database - Phone:

1300 563 826 – Email [email protected])(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I consent to the disclosure of this page of the application from to On The Move ABN 84 101 648 257 for the purpose of enabliing On The Move to offer the connection and disconnection of services to me. Where On The Move is requested to arrange for the provision of the services, I consent to On The Move disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection ordisconnection. I acknowledge that neither On The Move nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and On The Move

Print Name:

Signature: Date:

Residential Application Form

C. PERSONAL DETAILS 7. Please give us your details

Mr Ms Miss Mrs Other

Surname Given name/s

Date of Birth Driver’s licence number

Driver’s licence expiry date Driver’s licence state

Passport no. Passport country

Pension no. (if applicable) Pension type (if applicable)

8. Please provide your contact detailsHome phone no. Mobile phone no.

Work phone no. Fax no.

Email address

/ /

/ /

E. FREE UTILITY CONNECTION SERVICEB. PROPERTY DETAILS

2. What is the address of the property you would like to rent?

3. Preferred move in date?

Day Month Year4. Lease term?

Years Months

5. How many people will normally occupy the property?

Adults Children - Ages?

Per week

Postcode

1. Have you inspected the property?

Date

$

/ /

DisclaimerThis application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

D. OTHER INFORMATION9. Car make & registration

10. Please provide details of any petsBreed/Type Inside/Outside

PLEASE NOTE: Owner’s have the right to reject pets

Yes No

6. Rental Amount Offered

Applicant of

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

17. Please provide a contact in case of emergency.

H. CONTACTS / REFERENCES

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

First payment of rent in advance

Per week OR Per month

19. Property Rental

Rental Bond (4 weeks rent)

Sub Total

Less: Deducted Reservation Fee (see below)

I. PAYMENT DETAILS

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

G. EMPLOYMENT HISTORY

16. Please provide your employment details

Years Months

Length of employment Weekly / Annual Income

F. APPLICANT HISTORY

9. What is your current address?

10. How long have you lived at your current address?

Years Months

11. Please tell us about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

12. What was your previous residential address?

13. How long did you live at this address?

Years Months

14. Please give us further information about this rented property.Name of landlord or agent

Landlord/agent’s phone number Weekly rent paid

Was bond refunded in full? YES NO

If NO, why not?

G. EMPLOYMENT HISTORY

15. Please provide your employment details.What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self employed or institution if a student)

Employer’s address

Contact name

Length of employment

Years Months

Weekly / Annual Income

H. PREVIOUS EMPLOYMENT DETAILS

16. Please provide your previous employment details. Occupation

Employer’s name

Length of employment

Years Months

Contact name

I. CONTACTS / REFERENCES

17. Please provide a contact in case of emergency.Surname Given name/s

Relationship to you Phone number

18. Please provide two personal references (not related to you).

1. Surname Given name/s

Relationship to you Phone number

2. Surname Given name/s

Relationship to you Phone number

J. OTHER INFORMATION

19. Car Registration.

20. Please provide names of other applicants.

K. NOTES

L. PLEASE PROVIDE US WITH 100 POINTS OF I.D.

• Driver’s Licence 50• Passport 50• Proof of Age Card 50• Student ID Card 50• Copy of gas / water / electricity account 30 • Copy of mobile phone account 20• Copy of Medicare Card 20• Concession / Pension Card 10

M. PLEASE NOTE

Initial payments must be made by bank cheque or money order within 24 hours after approval of application. NO PERSONAL CHEQUES PLEASE.

Keys will not be handed over until the lease agreement has been signed by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Signature Date

Print Name

$

P/Code

P/Code

P/Code

CENTURY 21 AGENTSSMARTER. BOLDER. FASTER.CENTURY21.COM.AU

RENTAL LIST ANDTENANCY APPLICATION FORM

WENTWORTH REAL ESTATE

Phone number

Phone number

PostCode

J. NOTES / ADDITIONAL INFORMATION

IF STUDENT PLEASE COMPLETE

I. CONTACTS / REFERENCES22

24. Please provide details of any pets

23. Car registration

. Please provide a contact in case of emergency or if a student, parent details

Surname

Given name/s

Relationship to you Phone no.

Breed / Type Council registration number

Place of Study

Course being taken

Course Length Enrolment Number

Course Coordinator Course Coordinator Phone

G. APPLICANT HISTORY

12 . How long have you lived at your current address?

Years Months

13. Why are you leaving this address?

14. Please tell us about this rented propertyName of Agent or Private Landlord

Landlord/Agent’s phone no. Weekly rent paid

15. What was your previous residential address?

16. How long did you live at this address?

Years Months

17. Reason for leaving

18. Please give us further information about this rented propertyName of Landlord or Agent

Landlord/Agent’s phone no. Weekly rent paid

$

$

Postcode

Bond refunded in full? If not why not?

Yes No

20. Other Income (eg. Centrelink, Pension)

K. ADDITIONAL INFORMATION

J. OTHER INFORMATION

PLEASE PROVIDE US WITH 100 POINTS OF I.D.

AND/OR REQUESTSIf

Applicants must supply a minimum of two (2) types of identification from the list below with a minimum total of 100 points. ID must include at least 1 type of Photo ID plus ID that contains the applicants current residential address and date of birth.

Drivers licence or passport 70Proof of age card (keypass) 50Student ID card 50Copy of Gas / Water / Electricity account 30 eachCopy of Mobile Phone Account 20Copy of Medicare Card 20Concession / Pension Card 10

you have any questions, comments or additional information to be conveyed to the landlord, please write below:

H. EMPLOYMENT HISTORY19. Please provide your employment details What is your occupation?

What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)

Employer’s name (inc. accountant if self-employed or institution if student)

Employer’s address

Contact name Phone no.

Length of employment Net Monthly Income

Years Months

21. Please provide your previous employment detailsOccupation?

Employer’s name

Employer’s Address

Length of employment Net Monthly Income

Years Months

$

Postcode

$

Postcode

11. What is your current address?

Postcode

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. I acknowledge that I will be required to pay the amounts as specified in Section J I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt. I authorise the Agent to obtain personal information about me from:

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I HAVE PHYSICALLY INSPECTED THE PROPERTY WITH A CENTURY 21 REPRESENTATIVE.

YES NO

Signature of Applicant

Account Holder Signature/s

Are two signatures required for Joint or Business Accounts?

Date

Date

L. DECLARATION

K. PAYMENT RENT

(a) The owner or the Agent of my current or previous residences;(b) My personal referees for this application(c) My current and past employers;(d) Any person who maintains any record, listing or database of defaults by tenants; and I authorise and consent to each of those persons providing re-quested personal information about me to the Agent. If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future. I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow tradespeople or equivalent organisations to contact me(d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)

A. PROPERTY DETAILS1. What is the address of the property you would like to rent?

2. Lease commencement date?

Day Month Year3. Lease term?

Years Months4. Rent will be paid

Fortnightly Weekly

5. How many people will normally occupy the property?

Adults Children Ages of Children______________

B. PERSONAL DETAILS6. Please give us your details

Mr. Ms Miss Mrs. Other

Surname Given name/s

Date of Birth

Driver’s licence no. Driver’s licence state

Passport no. Passport country

Pension no. (If applicable) Pension type (if applicable)

7. Please provide your contact detailsHome phone no. Mobile phone no.

Work phone no. Fax no.

Email address

8. What is your current address?

C. APPLICANT HISTORY 9. How long have you lived at your current address?

Years Months

10. Why are you leaving this address?

11. Landlord/ Agent details of this property (if applicable)Name of landlord or agent

Landlord/agent’s phone no. Weekly rent paid

D. FREE UTILITY CONNECTION SERVICE Telephone: 1300 400 600

Fax: 1300 326 468www.yourporter.com.au

YourPorter is a FREE service connecting utilities and other services. If the Agent approves this application, YourPorter will be contacting you by phone, SMS, or email for the purposes of assisting you to connect your utilities within 24 hours of receiving this application for next business day connection.

Electricity Telephone Car Insurance Life Insurance

Gas Pay TV Home & Contents Home Loans

Internet Health Insurance

DECLARATION AND ACCEPTANCE: I/We consent to the disclosure of this application form (including any personal information contained in this form) to YourPorter Pty Ltd (ABN 36 252 576 050) for the purpose of allowing YourPorter and its service provider iSelect Ltd to contact me for the connection of services as offered by YourPorter. I/We acknowledge that if I/We do not provide my/our personal information, YourPorter and iSelect will not be able to provide these services to me/us. YourPorter and iSelect will ensure that my/our personal information is collected, used, held and disclosed in accordance with the requirements of the Privacy Act 1988 (Cth). I/We acknowledge that iSelect, the Agent, its employees and YourPorter may receive a benefit in relation to the connection of any of the services listed above. I/We consent to YourPorter and iSelect contacting me by phone or SMS in relation to the connection of the services listed above. I/We acknowledge that this consent permits YourPorter and iSelect to contact me even if the numbers listed on this application are listed on the Do Not Call Register. YourPorter and iSelect will otherwise collect, hold, use and disclose personal information in accordance with their respective privacy policies, which are available at www.yourporter.com.au/general/privacy-policy/ and http://www.iselect.com.au/privacy-policy/ YourPorter is a free service, but l/We acknowledge that standard connection fees may apply for services connected (in addition to the ongoing service fees). I/We acknowledge that neither YourPorter nor the Agent nor iSelect accept any responsibility for any delay in or failure to arrange or provide for any connection of a service or for any loss, damage, cost or expense in connection with such delay or failure. By signing this application I/We understand YourPorter is a value add product and that I/We are under no obligation to use YourPorter.

Signatures X_____________________________ Date ____/____/____E. PAYING RENT: We prefer payment of rent from your

Bank Account or by Credit / Debit Card using Rental Rewards Simply complete below – visit www.rentalrewards.com.au for further information.

We accept Please nominate your preferred ongoing rent payment methods:Set & Forget Automatic debit payments from your nominated account To ensure your Agent receives your rent on time, please predate by 5 days to allow the funds to clear from your bank account.Next Rent Payment Due: ____/_____/____ Rent Amount: $___________

Rent Frequency: Weekly Fortnightly Monthly Pay rent using your Bank Account – Direct Debit Request: I/we request that moneys due in terms of repayment arrangements covered by this document, be drawn by Rental Rewards Pty Ltd (User ID 321418) under the Direct Debiting System from my/our account stated below. I/we acknowledge that this Direct Debiting arrangement is governed by the terms of the Direct Debits Service Agreement received from you.Financial Institution: ______________ Branch:______________________

Account Name: ____________________________________________

BSB A/C

OR Pay your rent using your Credit / Debit Card Number:

Name on Card: ______________________________ Expiry: ____/____

Qantas Frequent Flyer or Myer One No:

DECLARATION: I hereby register with Rental Rewards ACN 056881942 (RR) & authorise RR to process payments from my nominated account. I understand that there is a $5 monthly membership fee, which will be charged quarterly in advance and pro rata for the quarter on the 1st day of the month following your joining month. I am aware of the convenience fee of 1.1% (incl GST) for Credit Card payments of the transaction value and an additional $2 transaction fee for all Credit Card payments in accordance with this Tenant Registration form (TRF) and the Rental Rewards Terms and Conditions (RRTC) available on www.rentalrewards.com.au or calling (02) 9352 3118. Some payments over $500 by some card categories (e.g. Premium &Corporate Cards) may attract an additional $10 fee. Payments over $3,000 by card will attract a 1.76% fee only. For exact fees for your rent amount and card type, register online. By signing this TRF, I confirm the information above is true and correct, that I have read and understood the TRF and the RRTC and that I agree to be bound by the TRF and RRTC. I understand that this arrangement will remain in place until such time as it is cancelled by me or Rental Rewards in writing. NOTE: Transactions will appear on your bank statement as “REAL ESTATE PAYMENT–RR, AUSTRALIA”

Account Holder Signature/s Date ____/____/____X________________________________ X ____________________________ Are two signatures required for Joint or Business Accounts?

REAL ESTATE OFFICE USE ONLY SOURCE: AGENTAGENT ID: 200391 TENANT ID:_________________ PROPERTY MANAGER:_____________________________Rental Rewards Registration faxed to 02 9352 3120

Or Scanned & Emailed to [email protected]

Postcode

Postcode

$

We prefer payment of rent from your Bank Account or by Credit / Debit Card using Rental Rewards.

Please nominate your preferred ongoing rent payment methods:

Simply complete below - visit www.rentalrewards.com.au for further information.

SET & FORGET: Automatic debit payments from your nominated account To ensure your Agent receives your rent on time, please predate by 5 days to allow the funds to clear from your bank account.

Next Rent Payment Due:

Rent Frequency: Weekly Fortnightly Monthly

Pay rent using your Bank Account – Direct Debit Request

Rent Amount: $

I/we request that moneys due in terms of repayment arrangements covered by this document, be drawn by Rental Rewards Pty Ltd (User ID 321418) under the Direct Debiting System from my/our account stated below. I/we acknowledge that this Direct Debiting arrangement is governed by the terms of the Direct Debits Service Agreement received from you.

DECLARATION: I hereby register with Rental Rewards ACN 056881942 (RR) & authorise RR to process payments from my nominated account. I understand that there is a $5 monthly membership fee, which will be charged quarterly in advance and pro rata for the quarter on the 1st day of the month following your joining month. I am aware of the convenience fee of 1.1% (incl GST) for Credit Card payments of the transaction value and an additional $2 transaction fee for all Credit Card payments in accordance with this Tenant Registration form (TRF) and the Rental Rewards Terms and Conditions (RRTC) available on www.rentalrewards.com.au or calling (02) 9352 3118. Some payments over $500 by some card categories (e.g. Premium &Corporate Cards) may attract an additional $10 fee. Payments over $3,000 by card will attract a 1.76% fee only. For exact fees for your rent amount and card type, register online. By signing this TRF, I confirm the information above is true and correct, that I have read and understood the TRF and the RRTC and that I agree to be bound by the TRF and RRTC. I understand that this arrangement will remain in place until such time as it is cancelled by me or Rental Rewards in writing. NOTE: Transactions will appear on your bank statement as “REAL ESTATE PAYMENT–RR, AUSTRALIA”

Financial Institution: ______________ Branch:______________________Account Name: _________________________________________________

BSB A/C

OR Pay your rent using your Credit / Debit Card Number:

Name on Card: Expiry:

Qantas Frequent Flyer or Myer One No:

REAL ESTATE OFFICE USE ONLY SOURCE: AGENT AGENT ID: 200391 TENANT ID:PROPERTY MANAGER:Rental Rewards Registration faxed to 02 9352 3120 Or Scanned & Emailed to [email protected]

18. Please provide two personal references (not related to you).

Page 4: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason
Page 5: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason
Page 6: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason
Page 7: Tenancy Application Form Residential Application Form · acceptance or non acceptance for tenancy. This is always a landlords decision. • IMPORTANT - We are unable to give any reason

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