Prospective Tenant Information (Page 3 of 4) in pdf

Please provide your previous employment details

Occupation?

Employer’s name:

Length of employment

________Y _______M

Net income $_____________________

CONTACTS / REFERENCES

Please provide a contact in case of emergency

Full Name of next of kin

Relationship to you

Phone no

Please provide two personal references (not related to you)

Full Name of contact/reference

Relationship to you

Phone no

Full Name of contact/reference

Relationship to you

Phone no

OTHER INFORMATION

Please provide details of any pets: Breed / type________________________Council registration / number ___________________

Are you a smoker

YES / NO

If yes, will you smoke outside? YES / NO

Will you take care of the garden? YES / NO

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 Tenancy Agreement.

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 authorize 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 communicate with the owner and select a

tenant

a) Prepare lease/tenancy documents

b) Allow organizations/trades people to contact me

c) Lodge/claim/transfer to/from a Bond Authority

d) Refer to Tribunals/Courts & Statutory Authorities (where applicable)

e) Refer to collection agents/lawyers (where applicable)

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.

WHERE DID YOU HEAR ABOUT US

Newspaper

Window

Walk-in

Referred

Internet (please specify) _______________________

Applicants Signature

Date

Office Use Only

Property Manager Name

Date Received:

References Checked on

Successful

Unsuccessful

For your application to be processed you must answer all questions

Page 3 of 4

Prospective Tenant Information Page 3

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