Application For Residential Tenancy
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4642 Lower North East Road, PARADISE SA 5075
Ph: 08 8365 8211
Fax: 08 8365 8311
Email:
.au
RLA 173 523
6 4 2 L O W E R N O R T H E A S T R O A D , P A R A D I S E S A 5 0 7 5
(08) 8365 8211 - FAX:(08) 8365 8311–EMAIL:
.au
APPLICATION for RESIDENTIAL TENANCY
Please return by 5pm on the next business day to be considered.
Note:
IT IS A CONDTION OF THIS APPLICATION THAT ALL ITEMS ARE COMPLETED IN FULL.
Property applied for
………………………………………………………………………………………………………………..
Property Rental $
per week - Payable: Fortnightly
………….
Payment Via Direct Debit (from your Bank Account) / Internet Transfer / C/Pay (sub. to landlord consent)
Term of Tenancy …. 12 months
Commencement Date
..
/
./
.
…..
…...
…...
Security Bond: Equal to 4 wks rent if property under $250 per week, 6 wks rent over $250 per wk.
PLEASE NOTE: 2 wks Deposit & the Bond is payable upon acceptance.
TENANT 1
TENANT 2
Full Name (s) of ALL Applicants
Full Name (s) of ALL Applicants
Mr / Mrs /Ms / Miss
Mr / Mrs /Ms / Miss
…………………………………………………………...……
…………………………………………………………...……
Age
years
Date of Birth
Age
years
Date of Birth
:…………
…../……../………….
:…………
…../……../………….
Drivers lic No
Car Reg No
Drivers lic No
Car Reg No
…………………
……………….
…………………
……………….
State
Make & Model
.
State
Make & Model
.
………..
……………………………..
………..
……………………………..
18+ Card Number ……………………
18+ Card Number ……………………
…………………..
…………………..
Medicare Number
Medicare Number
………………………………………..…
………………………………………..…
Marital Status:
Marital Status:
Single / Married / Divorced / De facto
Single / Married / Divorced / De facto
Telephone: Wk:
.Hm
Telephone: Wk:
.Hm
………………….
…………………….
………………….
…………………….
Mobile
Mobile
………………………………………..
………………………………………..
Email
Email
………………………………………………….…....
………………………………………………….…....
Current Address
Current Address
………………………………………………..……….………
………………………………………………..……….………
………………………………………………..………….……
………………………………………………..………….……
Time at present Address.…….………..years/months
Time at present Address.…….………..years/months
Previous Address
Previous Address
(if less than 2 years at present address)
(if less than 2 years at present address)
……………………………………………………….……..…
……………………………………………………….……..…
…………………………………………………………...……
…………………………………………………………...……
NOTICE TO ALL RESIDENTIAL TENANCY APPLICANTS
Before any Application will be considered, Applicants must achieve a minimum of 100
Check points and provide proof of income.
BIRTH CERTIFICATE
# 40 Points
PASSPORT (current)
# 40 Points
MEDICARE CARD
# 20 Points
DRIVERS LICENCE OR PHOTO I.D.
40 Points
PHONE, ELECTRICITY & GAS ACCOUNTS/BANK STATEMENTS
# 10 Points each
For proof of income please attach a letter from each employer or the last 4 weeks consecutive payslips.
If you are a recipient of Centrelink payments please attach a current income statement from Centrelink.
Pursuant to Section 51 of The Residential Act 1995 - A tenant must not give a landlord false information
about the tenant’s identity or place of occupation.
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