Tenancy Application Form Page 2
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1
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4PROPERTY DETAILS
Property:
Commencement Date:
/
/
Length of Tenancy:
Rent Per Week $
YEARS
MONTHS
OCCUPENCY DETAILS
Number of Occupants:
Number of Children (if any):
Ages of Children:
Do you smoke:
□
yes
□
no
If ‘yes’ do you smoke:
□
inside
□
outside
□
□
□
□
Do you have pets:
yes
no
If ‘yes’ are they:
inside
outside
Type of Pets:
Will you be applying for assistance from Department of House:
□
yes
□
no
APPLICANT DETAILS
□
□
□
□
□
Mr
Ms
Miss
Mrs
Other
Name:
Address:
Phone #:
Work #:
Mobile #:
Email:
Drivers Licence No:
State of Issue:
(please provide copy)
Date of Birth:
APPLICANT RESIDENTIAL HISTORY
How long have you lived at your current address?
From:
To:
YEARS
MONTHS
Landlord/Agents Name:
Phone:
Weekly Rent $
Reason for leaving:
Previous residential address:
How long have you live at this address?
From:
To:
YEARS
MONTHS
Landlord/Agents Name:
Phone:
Weekly Rent $
Was bond refunded in full?
□
yes
□
no If ‘no’ why?
Home Owner (if never rented)
Names of Selling Agent:
Phone:
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Parent category: Business