Tenancy application form

1. Address*:

2*. Suburb:

3. Rent payable PW$ :

4. Rent payable PCM$:

1. Lease Term Required*:

2. Commencement Date*:

3. Occupants (Adults No.)*:

4. Occupants (Children and ages)*:

5. Pets*:

6. Species / breed*:

1. Title*:

2. First Name *:

3. Last Name*:

4. Date of Birth*:

5. Drivers License No*:

6. Drivers License expiry date* :

7. Alternative ID (e.g passport) No*:

8. Home Phone Number*:

9. Work Phone Number*:

10. Mobile Number*:

11. Email address*:

1. Name:

2. Relationship:

3. Address :

Phone:

1. Are you the*: Owner Tenant

2. Current Address*:

3. Suburb*:

4. Post code :

5. How long have you lived at your current address? (Y/M):

6. Name of Landlord/Agent*:

7. Contact Number*:

8. Rent paid per month*:

9. Reason for leaving*:

1. Were you the*: Owner Tenant

2. Previous Address*:

3. How long did you lived at this address?*

4. Name of Landlord/Agent/Selling Agent* :

5. Contact Number*:

6. Rent paid per month*:

7. Was the bond repaid in full*: Yes No

8. If No, please specify reason:

9.Reasons for leaving*:

1. Reference Name*:

2. Relationship*:

3. Phone*:

4. Reference Name*:

5. Relationship*:

6. Phone*:

1.Occupation* :

2. Employer Name*:

3. Employer Address*:

4. Suburb*:

5. Post Code*:

6.Contact Person* :

7. Phone*:

8. Length of employment*:

9. Net income (P/W$)*:

10.Net income (P/Annum$)*:

1.Employer's Name:

2. Employer Address:

3. Suburb:

4. Post Code:

5. Contact Name :

6. Phone :

7. Occupation:

8.Length of Employment (Y/M):

1. Received From :

2. Contact Phone :

3. Net Income (P/M):

4. Net Income (actually):

1. Name:

2.Amount: :

3.Name:

4. Amount :

1.Company Name:

2.A.B.N:

3.Company Address:

4.Suburb:

5.Post Code:

6.Business Type:

7.Position Held:

8.Accountant Name:

9. Phone:

I acknowledge that this is an application to lease the property and that my application is subject to the owner's approval and the availability of the premises on the due date. No action will be taken against the Landlord or agent if the application is unsuccessful or upon acceptance should the premises be unavailable for occupation on the date for whatever reason. I hereby offer and accept to rent the property as is, from the owner under a lease to be prepared by the Agent. I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from the landlord/agent. I declare that all information contained in this application (including 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 details of my credit worthiness from, the owner or agent of my current or previous residence, my personal referees, any record, listing or database or defaults by tenants. If I default under a rental agreement, the agent may disclose details of any such default to any person whom the agent reasonably considers has an interest receiving such information. I understand that if my application is successful, prior to taking up occupancy of your premises, I will be required to make my first full rental payment in the form of a BANK CHEQUE or MONEY ORDER payable to HAM KERR PROPERTY. I understand that the bond must be paid in BANK CHEQUE or MONEY ORDER payable to HAM KERR PROPERTY and given to our office within 24 hours of acceptance of the application for tenancy. I also understand that my future rental payments thereafter must be paid by automatic DIRECT DEBIT from my account. I understand I am not permitted to deposit monies directly into Ham Kerr Property Trust Account.

Yes No