Tenancy Application Form - Metropole Property Strategists (Page 2 of 4) in pdf

Residential Tenancy Application Form

For your application to be processed you must answer all questions

(including the reverse side)

Sub Total

1. Agent Details

6. Utility Connections

Phone no: 02 9327 2266

Phone:

1300 554 323

Fax no: 02 9327 2927

Email:

.au

Internet:

A Free Service - Connecting Your Home Services Has Never Been

Sydney

Easier!

Address: Level 4, Edgecliff Centre, 203-233 New South Head Road,

connectnow is a simple and convenient time saving service assisting with your

Edgecliff NSW 2027

Telephone, Electricity & Gas connections to some of Australia’s leading providers.

ID: 17354

connectnow also provide a range of additional services to compliment your

2. Property Details

household utilities, such as Internet &Pay TV.

This is a value-added service independent of your tenancy application -

you are not obligated to use connectnow.

Address

If you would like connectnow to contact you to discuss any of the above services

Suburb

Postcode

please tick the box and a connectnow representative will make all reasonable

efforts to contact you within one working day of receiving an application. If we are

Lease Term

Years

Months

unable to contact you within this period please contact connectnow on 1300 554

323 to ensure connection can be completed by your requested date.

Date Property is to be occupied

It is the responsibility of the Tenant to ensure that the Main Electricity Switch is in

the “Off Position” between 7am & 7pm on the day connection is required and that

Name of other Applicants to Occupy the Property

there is easy access to the property.

Adults

Children (age)

While the connectnow service is FREE, standard service provider connection fees

and charges still apply. You pay NO extra charges as a result of using the

Have you viewed the property? Y / N

Date

connectnow service.

3. Personal Details

Please Contact Me  YES

Title

First Name

Middle Name

7. Declaration

Last Name

I acknowledge that this is an application to lease this property and that my

application is subject to the owner’s approval and the availability of the premises

Date of Birth

Age

on the due date. I hereby offer to rent the property from the owner under a lease

to be prepared by the Agent pursuant to the Residential Tenancies Act 1997.

Current Address

I acknowledge that I will be required to pay rental in advance and a rental bond,

and that this application is subject to approval from the owner/landlord. I declare

Suburb

Postcode

that all information contained in this application (including the reverse side) is true

and correct and given of my own free will. I declare that I have inspected the

Drivers Licence Number

State of Issue

premises and am not bankrupt.

Car Registration

I authorise the Agent to obtain details of my credit worthiness from, the owner or

Agent of my current or previous residence, my personal referees, any record,

Alternate ID (eg passport)

listing or database of defaults by tenants. If I default under a rental agreement,

the Agent may disclose details of any such default to any person whom the Agent

Pension Type (if applicable)

reasonably considers has an interest receiving such information.

Please provide contact details

If section 6 is complete please note that the following terms will apply if you ask

Home Ph

Mobile Ph

us to contact you. Firstly you will be consenting to connectnow Pty.Ltd. A.B.N. 79

097 398 662 arranging for the connection and disconnection of the nominated

*Email

home services and to providing information contained in this application to the

service providers for this purpose. I agree that neither connectnow nor the Agent

Occupation

Work No

accepts liability for loss caused by delay in, or failure to connect/disconnect or

provide the nominated services. The service will be activated according to the

Employer Company Name:

applicable regulations, service provider time frames and terms and conditions

once the client has agreed to use the chosen service provider. I authorise the

Please provide a contact number you are available on all day, ph:

obtaining of a National Metering Identifier (N.M.I.) on my residential address to

obtain supply details. I acknowledge that the terms and conditions of the service

4. Emergency Contact

provider bind me and that after hours connections may incur additional service

fees from service providers. I acknowledge that connectnow Pty Ltd will be paid a

fee by the service provider and will be paying a fee to the Agent in respect of the

Please provide an emergency contact not residing with you

provision of the service being provided to me by connectnow Pty Ltd.

First Name

Surname

The privacy of connectnow customers is of vital importance to connectnow. You

Relationship

Phone No

have the right to access connectnow records of your information under the Privacy

Act. connectnow will not release your personal information to any third party other

than for the purposes of connecting the nominated utility service, unless required

Address

to do so under law or government order.

Suburb

Postcode

5. Payment Details

Signed:

Date

Property Rental

Per Week $

Per Month $

First Payment of rent in advance

Rental Bond (1 Month Rent)

.au

Upon signing this application form, Metropole Buyers Agents Pty Ltd will subscribe you to .au to receive Australia’s leading Property Investment

e—magazine for FREE! It’s packed full of strategies and insights into property investment, tax and finance from some of Australia’s top property experts. Whether you are

a beginner investor or a seasoned pro, we’ve got timely information to reach your financial goals…..delivered fortnightly direct to your *email inbox.

No—please do not register my details

Tenancy Application Form - Metropole Property Strategists Page 2

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