Rental Application Form (Page 3 of 4) in pdf

RENTAL APPLICATION FORM

COLLECTION OF INFORMATION NOTICE

The personal information you provide in this application or our Agency collects from other sources is necessary for Havig & Jackson Real Estate to

verify your identity, to process and evaluate the application and to manage the tenancy. If the application is successful, personal information collected

about you in the application and during the course of your tenancy, may be disclosed for the purpose for which it was collected to other parties

including the Lessor(s), referees, other Agents and third party operators of tenancy reference databases. Information already held on tenancy

databases may also be disclosed to Havig & Jackson Real Estate and/or the Lessor. If you enter into a Residential Tenancy Agreement and if you fail

to comply with your obligations under this agreement, the facts and other relevant personal information collected about you during the course of

your tenancy may also be disclosed to the Lessor; third party operators of tenancy databases and/or other Agents.

You have the right to access personal information that we hold about you by contacting our Privacy Officer; You can also correct this information

if it is inaccurate, incomplete or out of date. If your application is not successful it will be stored securely for a period of 24 hours. If you decide not

to collect your application Havig & Jackson will destroy your documents to comply with its privacy legislation.

If you do not complete this form or do not sign the consent below then your application for residential tenancy may not be considered by the

relevant Property or; if considered, may be rejected due to insufficient information to assess the application.

PRIVACY STATEMENT AND CONSENT

We are an independently owned and operated business. We are bound by the National Privacy Principles. We collect personal information about

you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or

letting agents, your current or previous employer and your referees. We will also check whether any details of tenancy defaults by you are held on

a tenancy database. We use databases operated by TICA Default Tenancy Control Pty Ltd (TICA) and National Tenancy Database (NTD). You can

find out more information about these databases on their websites and ntd.net.au. Your consent to us collecting this information

is set out below, in the Consent section.

I, the Applicant acknowledge that I have read the above Privacy Statement and Collection Notice of Havig & Jackson Real Estate. I authorise Havig

& Jackson to collect information about me from:

• My previous letting Agents and/or Lessors;

• My personal references, employers and all other references on this application;

• Any Tenancy Default Database (TICA and NTD) which may contain details to an arranger or service provider including tradespeople (to at-

tend to work required at this property), salespeople (primary and secondary Agents), valuers, the Lessor, other Agents, database operators, other

Property Managers, body corporate offices, insurance companies, financial services (to assist with home applications, if required in the future) and

to authorize as required by law.

I authorise and give permission to Havig & Jackson Real Estate to photograph the premises including my personal effects (if required) during the

tenancy and acknowledge that these images may be used for advertising purposes.

Disclosure: The proposed General Tenancy Agreement can be viewed upon request at our office.

DECLARATION

I hereby confirm the following:

During my inspection on / / I found the rental premises to be in a satisfactory condition.

I declare that the Application information provided is true and correct. I consent to this Application being verified and to the access of Tenancy

information Centre of Australia and National Tenancy Database records for information about my tenancy history if applicable. I apply for approval

to rent the premises referred to in this form and acknowledge that my Application will be referred to the Lessor of the Property for consideration.

I declare that I am not bankrupt or and undischarged bankrupt.

I have inspected the premises at: ________________________________________________________________________________________

And hereby apply for tenancy for a period of

months at a rental of $

per week commencing on

/ / . I agree to pay rent on

the due date by one of these options: Bank Cheque (approx. cost $5 - $15 per cheque), Australia Post Money Order (approx.. cost $4 - $6 per

cheque) or Deft Payment Systems (85c per transaction). Please note that any Deft Payment which is dishonoured will incur a dishonour fee of

$30 per transaction.

Applicant Name

Signature

Date

Havig & Jackson 698 Sandgate Road Clayfield QLD 4011 P: 3326 8444 F: 3262 9259 E: .au W: .au ABN: 71 081 019 783

Rental Application Form Page 3

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