Tenancy Application Form - Guardian Page 3
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1
2
3
4F.
APPLICANT HISTORY
H.
CONTACTS / REFERENCES
17. Please provide a contact in case of emergency
9. How long have you lived at your current address?
Surname
Given name/s
Years
Months
10. Why are you leaving this address?
Relationship to you
Phone no.
11. Landlord/Agent details of this property (if applicable)
18. Please provide 2 personal references (not related to you)
Name of landlord or agent
Given name/s
1. Surname
Relationship to you
Phone no.
Landlord/agent’s phone no.
Weekly Rent Paid
$
Given name/s
2. Surname
12. What was your previous residential address?
Relationship to you
Phone no.
Postcode
13. How long did you live at this address?
I.
OTHER INFORMATION
Years
Months
19. Car Registration
14. Landlord/Agent details of this property (if applicable)
Name of landlord or agent
20. Please provide details of any pets
Breed/type
Council registration / number
Landlord/agent’s phone no.
Weekly Rent Paid
1.
$
2.
Was bond refunded in full?
If not why not?
J.
PAYMENT DETAILS
Property Rental
G.
EMPLOYMENT HISTORY
$
per week
15. Please provide your employment details
What is your occupation?
$
First payment of rent in advance
$
Rental Bond (4 weeks rent):
What is the nature of your employment?
$
Sub Total
(FULL TIME/PART TIME/CASUAL)
Employer’s name
$
(inc. accountant if self employed or institution if student)
Less: Holding deposit (see below)
Amount payable on signing tenancy agreement
$
(bank cheque or money order only)
Employer’s address
K.
HOLDING FEE
The holding fee can only be accepted after the application for tenancy is approved.
Postcode
The holding fee (not exceeding 1 week’s rent) of .............................. keeps the
premises off the market for the prospective tenant for 7 days (or longer by
Contact name
Phone no.
agreement).
In consideration of the above holding fee paid by the prospective tenant, the
landlord’s agent acknowledges that:
(i) The application for tenancy has been approved by the landlord; and
Length of employment
Net Income
(ii) The premises will not be let during the above period, pending the making of a
residential tenancy agreement;
$
Years
Months
and
(iii) If the prospective tenant(s) decide not to enter into such an agreement, the
16. Please provide your previous employment details
landlord may retain the whole fee;
and
Occupation?
(iv) If a residential tenancy agreement is entered into, the holding fee is to be paid
towards rent for the residential premises concerned.
(v) The whole of the fee will be refunded to the prospective tenant if:
(a) the entering into of the residential tenancy agreement is conditional on the
Employer’s name
landlord carrying out repairs or other work and the landlord does not carry out the
repairs or other work during the specified period
(b) the landlord/landlord’s agent have failed to disclose a material fact(s) or made
misrepresentation(s) before entering into the residential tenancy agreement.
Contact name
Phone no.
Signature of Landlords agent
Date
Signature of Applicant
Length of employment
Net Income
Date
$
Years
Months
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