Rental Application Form Page 2
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4RENTAL APPLICATION FORM
DETAILS OF PROPERTY YOU ARE APPLYING FOR
Address of Property:
Move in date:
Lease term:
Rent per week:
Number and type of pets:
Names of all other occupants for the property:
Names and ages of any children to occupy the property:
PERSONAL DETAILS
Name:
Current Address:
Home Phone:
Work Phone:
Mobile:
Fax:
Email:
Date of Birth:
Driver’s Licence No:
Driver’s Licence State:
Passport No:
Passport Country:
NEXT OF KIN DETAILS
Name:
Relationship:
Address:
Phone:
Mobile:
Email:
CURRENT ADDRESS DETAILS
Property Address:
Length of time at current address:
Years
Months Rent Paid:
Reason for leaving:
Landlord/Agent:
Phone:
Fax:
PREVIOUS ADDRESS DETAILS
Previous Address:
Choose one:
Rent
Own
Parents
Share
Length of time at address:
Years
Months Rent Paid:
Landlord/Agent:
Phone:
Fax:
Was full Bond refunded:
Yes
No
If No, please specify reasons why:
CURRENT EMPLOYMENT DETAILS
Occupation:
Current Employer:
Employer’s Address:
Contact Name (payroll/manager):
Phone:
Length of Employment:
Net Weekly Income:
SELF EMPLOYMENT DETAILS
Company Name:
Business Type:
Business Address:
Position Held:
ABN:
Net Weekly Income:
Accountant Name:
Phone:
Accountant Address:
OTHER INCOME (If Receiving Government Assistance Please Attach Proof Of Income & Statements)
Source(s) of other income:
STUDENT INFORMATION
Place of Study:
Course Name:
Course Length:
Student No:
Campus Contact:
Phone:
Havig & Jackson 698 Sandgate Road Clayfield QLD 4011 P: 3326 8444 F: 3262 9259 E: .au W: .au ABN: 71 081 019 783
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Parent category: Business