Residential Tenancy Application

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RESIDENTIAL TENANCY APPLICATION
Phone: 07 4957 2600
Fax: 07 4944 0519
ONE APPLICATION FOR EACH PERSON
PLEASE COMPLETE ALL DETAILS ON THIS FORM
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED
Proposed Property
1. _______________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
Full Name
____________________________________________________________ D.O.B. __________________
Your Current Address
PH/Mob_________________
__________________________________________________
Email Address:__________________________________________________________________________
No. Occupants to reside at proposed property _____Relationship to you_____________________________
Dependants/Children (Age): ________________________________________________________________
SMOKER – Yes / No
Pets Yes/No Type ____________________Breed________________________
Are they Registered___________ Reg Details & No.____________________________________________
Car Reg __________________State________ Drivers Lic. No.________________ 18+Card____________
No: Cars ________________Boats______________Motorbikes_________________________________
Current Landlord/Agent
______________________________________________________________________
Phone_________________________ Fax: ____________________Email_____________________________
Dates of Occupancy___________________________________________ Weekly Rent $________
Reason for Leaving _______________________________________ Was Bond Refunded? ___________
Rental History
Please give details of most recent rental history, INCLUDING current address.
(If no rental history, please state your previous address & details)
PREVIOUS ADDRESSES
(If Less than 2 years) Address ______________________________________________________________
Agent/Landlord/Owner ___________________________________________ Phone # __________________
Dates of Occupancy __________________________Weekly Rent $_______Was Bond Refunded? Yes / No -
If no why_______________________________________________________________________________
Have you ever been evicted from a property? (please circle)
Yes No
Do you currently owe money to a Landlord or Agent? (please circle) Yes No
Document: TAF – PM
Revision: 5
Date: 18 March 2015
Page 1 of 6
W:Property ManagementBlank FormsNew Blank Forms – PMTENANCY Application Form V5

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