Tenancy Application - Christchurch Real Estate Agent

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TENANCY APPLICATION
247 Waimairi Road Ilam, Christchurch.
Phone: (03) 358 9088 Fax: (03) 358 9087
This information is required for the purposes of assessing your eligibility as a tenant.
Email:
reception@gpre.co.nz
A separate application form is required for each person over 18 who propose to enter a
Licensed under the REAA 2008
tenancy agreement as a tenant.
PROPERTY APPLYING FOR:
DATE:
APPLICANT DETAILS:
Dr / Mr/ Mrs/ Ms/ Miss
(circle one)
First Names………………….................................................. Last Name...................………………………….................................
Present Address: ………………………………………..………………………………………………………………………...................
Email Address:……………………………………………………………………………………………………………………...................
Proof of current address: (suitable proof: Power/ Phone account)………………………………………………………………............
Phone Numbers: Home………………………...... Work: …………………………….... Mobile: ………………………………….........
Emergency Address (NZ street address required for legal documents) ……...…………………………………………………..........
Date Of Birth: ………/…………/…………Suitable Photo I.D Type: …………........... Licence (B5)/Passport number:………..........
# a copy of identification is required
(suitable ID: Photo drivers licence, Passport, WINZ customer ID, Photo Credit card)
Emergency Contact (close friend/ Next of kin) Name:……………………………….Relationship:……………………………............
Address: ………………………………………………………………………………………Phone No. ……………………....................
Do you smoke? Yes/ No
Do you have pets?
Yes/No if ‘yes’ list deails…………………………………………………...........
PRESENT ACCOMMODATION:
Home Owner / Renting / Boarding / Living at Home / New to NZ
(circle one)
Length of time at this property:…………………………………………..................... Current Tenancy: Fixed Term / Periodic
If current tenancy is fixed term, state when tenancy ends ………………………………………………………...…………….............
Reason for leaving the Property …………………………………………………………………………………………...…....................
Rent per week $........................................ Have you given notice?
Yes/ No
Employment/ Income
Company you work for?.................................................................Period worked there? ……………..yrs …………………mths
Contact Name: ………………………………………Work Phone No. …………….….....…. Mobile: …………..………….…......……
Job Description……………………………………………………………………………………………………………….…............OR
are you currently receiving your income from Work & Income New Zealand?
Yes/ No
Type of benefit? …………..…………………..….............…. WINZ customer No.……………………………………..
Occupants:
(how many people in total will live at the property)
Adults…………………....……..…..Children………..………….......Children’s ages……………………………………........................
VEHICLES: How many vehicles will be parked at the property?.....................................................................................................
Make ……………………....…………Model…………………………….Registration………....…………….Colour……......…..……….
Make ………………………....………Model…………………………….Registration………....…………….Colour…........…………….
RENTAL REFERENCES:
Property Management Company…………………………………………………….Phone Number………….……........……………...
Agent / Property Manager...................................................................................Phone Number.....................................................
Private Landlord (If Privately Managed) ....………………………………………...Phone Number……………........….......................
Previous Landlord / Property Manager............................................................................................................................................
What was your previous address.....................................................................................................................................................
How long did you live there? ………………………………………………. Why did you leave? ......................................................
…………………………………………………………………………………………………………………………………………………...
Have you had a tenancy terminated before? Yes/No If ‘yes’ why? ...............................................................................................
Have you had money deducted from your bond? Yes/ No If yes why? …………………………………..…………………................
Have you had a mediated/ tribunal order issued against you? Yes/ No If ‘yes’ why?.....................................................................
Have you had a criminal conviction Yes/ No ..................................................................................................................................
Two Referees:
(Note: not family members nor people you intend to have living with you)
Name: …………………………….......…… Company: …………...………........…………..Phone Nos:……………………..………....
Name: ………………………….......….……Company: ………..........…...……………….…Phone Nos:……………...……………..…
What date are you available to move in to the property you are applying for?.......................................................................
How long would you like to live in this property for? (please circle) 6 months /
12 months / Periodic Tenancy

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