Residential Tenancy Application Form - Bekdon Richards Estate Agents Page 2

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What is your current address?
Please provide university/tafe information if you are currently studying
Course Name
Postcode
Name of Institution
How long have you lived at your current address?
Years
Months
Why are you leaving this address?
Please provide two personal references (not related to you)
1. Surname
Given name/s
If you own this property, please provide proof of ownership Ie:Rates Notice
Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Relationship to you
Phone no.
Landlord/agent’s phone no.
Weekly rent paid
2. Surname
Given name/s
$
What was your previous residential address?
Relationship to you
Phone no.
Postcode
How long did you live at this address?
Years
Months
Car Registration
Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Please provide details of any pets:
Breed / type
Council registration / number
Landlord/agent’s phone no.
Weekly rent paid
1.
$
2.
Was bond refunded in full?
If not, why?
Please answer the following questions:
yes
no
Have you applied for another property? (please circle and give details)
Have you ever been evicted by any landlord or agent?
YES / NO
Have you ever been refused another property?
Joint Applications (if applicable)
Are you in debt to another landlord or agent?
If there are any additional applicants applying to share this property with
you, please state their name/s below:
Please provide your employment details
1.
What is your current occupation?
2.
What is the nature of your employment?
(FULL TIME/PART TIME/CASUAL)
Was the property upon your inspection in a reasonably clean and fair
condition?
Employer’s name
Phone no.
Yes
No
If ‘No please specify:
If self-employed, please provide your accountants details. Written confirmation will be required.
_________________________________________________________
Employer’s address
How did you find out about this property? (Please choose one)
Contact name
Position
Office Rental List
For Lease Board
Internet
Friend or family member
Length of employment
Gross income per
annum
Work Colleague
Other
$
Years
Months
If ‘Other’ please specify ____________________________________
Please provide any other source/s of income (per annum):
$
Please provide your previous employment details
Employer’s name: (inc.accountant if self employed) Phone no.
Contact name
Position
Length of employment
Length of employment
Years
Months
OFFICE USE ONLY
Property manager

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