Residential Tenancy Application Page 3
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7URGENT RENTAL REFERENCE
In accordance with the Privacy Act, I authorise the recipient of this fax to give the following information to LJ Hooker
Mackay, in regard to my rental history. I understand that the information will be used to assess my application.
Applicants Name……………………………………………………………………………………………………………………
Signature:……………… ………….....................................................................................................................................
Date signed:………………………………………………………………………….…………………………..…………………
----------------------------------------------OFFICE USE ONLY------------------------------------------------
Property rented:… ….……………………………………………………………………………………………………………
Agent/Owner:…………………………………………………………………. Fax # ………………………………………….
Property rented:…………………………………………………………………………………………….………………………
Agent/Owner………………………:…………………………………………. Fax # ……………………………………………
Please COMPLETE ALL relevant areas
Period of Occupancy
Weekly rent amount paid
$
Is rent paid on time?
Any Remedies & Reason
Notice to Leave & Reason
Date Vacated
Routine Inspections
Excellent
Good
Average
Poor
Comments on Inspections
Bond Refund
Full
Part Only
If Part only, money was deducted for and
how much?
Any Outstanding Money Owing
$
None
Pets
Yes/No
Type
Any Pet Damage on Vacate?
Yes/No
Type
Number of occupants
Was the Occupant easy to deal with
Details of Disputes with Occupant (if any)
WOULD YOU RENT TO THIS TENANT
AGAIN?
Property Manager Name
PLEASE FAX THIS INFORMATION BACK TO ________________________
LJ HOOKER MACKAY ON (07) 4944 0519 WITH A COPY OF TENANT LEDGER
Document: TAF – PM
Revision: 5
Date: 18 March 2015
Page 3 of 6
W:Property ManagementBlank FormsNew Blank Forms – PMTENANCY Application Form V5
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