Application For Residential Tenancy Page 2
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TENANT 1
TENANT 2
Your Rental History
Your Rental History
Current Landlord/Agent (if no current Landlord,
Current Landlord/Agent (if no current Landlord,
name of previous Landlord/Agent)
name of previous Landlord/Agent)
Name
Name
………………………………………………..….…...
………………………………………………..….…...
Address
Address
………………………………………………...…...
………………………………………………...…...
………………………………………………………….……
………………………………………………………….……
Phone Wk
Hm
Phone Wk
Hm
………………..…...
………..…….………..
………………..…...
………..…….………..
Mobile
Mobile
……………………………………..………
……………………………………..………
Reason for vacating Current Premises………..……….
Reason for vacating Current Premises………..……….
…………………………………………………….…………
…………………………………………………….…………
…………………………………………………….…………
…………………………………………………….…………
Current Rent $
per week
Current Rent $
per week
…..……………..
…..……………..
Was bond refunded in full?
Yes / No
Was bond refunded in full?
Yes / No
If not, why not?
If not, why not?
………….…………………………….…..
………….…………………………….…..
Employment
Employment
Occupation
Occupation
………………………….……...……………...
………………………….……...……………...
Employers Name
Employers Name
……………………………….…………
……………………………….…………
Supervisor/Manager
…
Supervisor/Manager
…
……………………………………
……………………………………
Phone
Mob
Phone
Mob
……………….…….
…….……………………..
……………….…….
…….……………………..
Business Address
Business Address
………………….…...………………….
………………….…...………………….
………………………………………………...…………….
………………………………………………...…………….
Length of service
years/ months
Length of service
years/ months
………………...………
………………...………
Income $
per week gross
Income $
per week gross
…………….………..
…………….………..
Other Income & Sources
Other Income & Sources
….….…...………………………
….….…...………………………
…………………………………….…………………………
…………………………………….…………………………
……………………………………………………………….
………………………………………………………………
If employed there less than 6 months, previous
If employed there less than 6 months, previous
Employer’s Name
Employer’s Name
…………………………………..……
…………………………………..……
Phone
Mob
Phone
Mob
……………..…..….
…..…………..…………..
……………..…..….
…..…………..…………..
Business Address
Business Address
…………………………………...…….
…………………………………...…….
…………………………………..…………...…………….
…………………………………..…………...…………….
Length of service
years/ months
Length of service
years/ months
……………….………
……………….………
If you are Self-Employed
If you are Self-Employed
Name of Business
Name of Business
………………....……………….………
………………....……………….………
ABN
ABN
………………………….…………….………….
………………………….…………….………….
Industry
Industry
………………………….……………..…………
………………………….……………..…………
Business Address
Business Address
……………...…….………..…………..
……………...…….………..…………..
…………………………………..……………..…….………
…………………………………..……………..…….………
Personal Nett Income/Week
Personal Nett Income/Week
….………..………………...
….………..………………...
Name of Accountant
Name of Accountant
……………….……………….…….
……………….……………….…….
Accountant’s Ph. No
Accountant’s Ph. No
:…………………………….….…….
:…………………………….….…….
How long in this business
How long in this business
………………………….…….
………………………….…….
If you are a Student
If you are a Student
Name of Institution
Name of Institution
……………………………….………
……………………………….………
Faculty/Dept
Faculty/Dept
:……………………………………….……..
:……………………………………….……..
Student Union Number
Student Union Number
…………………………….…….
…………………………….…….
Student Identification (ID) No
Student Identification (ID) No
:……………..…………...
:……………..…………...
Income Source
Income Source
………………………………..……………
………………………………..……………
Nett Weekly Income
Nett Weekly Income
……………………………….…….
……………………………….…….
If you receive a Centrelink Payment
If you receive a Centrelink Payment
Type of payment
Type of payment
……………………………….…………
……………………………….…………
Customer Reference Number
Customer Reference Number
……………………………
……………………………
Amount received
Amount received
…………………………………….……
…………………………………….……
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