Tenancy Application Form Page 2

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Property Details
Property Address:
Rent Per Week: $
Bond Amount: $
Commencement Date:
Number of occupants to reside at the property : Adults
Children
Number of Cars
Applicants details
Title: Mr
Mrs
Miss
Ms
Dr
DOB:
First Name:
Surname:
Phone (H):
Mobile:
Phone (W):
Email Address:
Drivers Licence/ Passport Number:
State:
Names of Occupants/Dependants :
Name
Relationship
Date of birth
Are you or any of the dependants living with you a smoker? Yes
No
Do you intend to keep pets at the property? Yes
No
Number of pets:
Type of pet/s:
Current Address/ Rental Reference
Property Address:
Type of occupancy: Rent
Owner
Other
Period of occupancy
Rent Per Week: $
Agency/ Lessor name :
Number:
Reason for vacating:
Previous Address/ Rental Reference
Property Address:
Type of occupancy: Rent
Owner
Other
Period of occupancy
Rent Per Week: $
Agency/ Lessor name :
Number:
Reason for vacating:
Version 1.3 September 2015

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