Tenancy Application - Christchurch Real Estate Agent Page 2

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How did you hear about us? (circle one) Newspaper / Rental List / Internet / “For Rent” Sign / Referral from Friend or Family
I agree to pay the following costs to Giera Progressive First National on signing the Tenancy Agreement
One weeks rent in advance + Four weeks bond + Letting fee of 1 weeks rent + GST
CAUTIONS PROVIDED PURSUANT TO THE PRIVACY ACT 1993 BEFORE APPLYING FOR A RESIDENTIAL PROPERTY
This application form collects personal information about you to assess whether you would be the best applicant on merit for
a specific property of for other properties available for rent, and we may also carry out a credit check.
If you enter into a tenancy agreement with us, the information in this application form will be held on a database and used by
us and by the owner of the rental property, and may also be made available to a credit bureau or tenant default database.
If you do not supply all the information requested in this form, you may not be considered as a tenant for any of the properties
we administer.
You have the right to see the information we, any credit bureau or tenant default database holds about you and to correct the
information in accordance with the Privacy Act
CONSENT STATEMENT:
I understand and consent that:
You are asking me for personal information about me that you will give to a credit bureau and that the credit bureau will hold
that information on their systems and use it to credit check me and to provide their credit reporting service
When any other credit bureau’s customers use the credit bureau’s credit reporting service, the credit bureau may give the
information to those customers.
You may conduct any enquiries or searches to verify the information contained in this application, and to obtain details of my
creditworthiness from the owner or agent of my current or previous residence, my personal referees and any record, listing
or database available for such purposes including National Tenancy Database and Tenancy Information New Zealand.
You my provide the information in this form and details of any proven breach in my tenancy agreement or of the Residential
Tenancies Act 1986 to any credit bureau or tenant default database and that the information may then be publicly accessible
through any credit bureau or tenant default database.
If I verbally advise that I will accept a property and credit checks are done, there may be charges incurred to me if I choose to
withdraw my application.
If I proceed with renting one of your properties, I do solemnly and sincerely declare and agree that:
I am not a discharged bankrupt, and I am 18 or older
The rent to be paid is within my means and I will complete a tenancy agreement prepared by the Company.
I am responsible for arranging my own Contents Insurance cover, and for any damage that may be caused to the landlord’s
property.
My phone numbers and email addresses may be given to trades people to arrange access for maintenance purposes, or to a
valuer or agent for the purpose of making a mutually acceptable viewing appointment when a valuation is required.
If I default in my obligations to you, that fact and other relevant personal information collected about me during the course of
the tenancy may be disclosed to a credit company and/or the landlord and/ or third party operators of the tenancy/reference
databases and / or other Real Estate Agents, and those parties may give information about my default to their customers.
Any costs of debt recovery will be my responsibility.
You may use any of the information on this form to enforce any judgment in respect of the tenancy agreement or in respect of
any order against me made by Tenancy Tribunal.
I hereby appoint the Company as my agent to find accommodation for me. Should you introduce me to any premises which
lead to me taking a tenancy, I undertake to pay your fee equal to one weeks rent plus GST.
I CONFIRM THE INFORMATION IN THIS FORM IS TRUE AND CORRECT AND THAT I HAVE READ AND UNDERSTOOD ALL OF
THE ABOVE INCLUDING THE PRIVACY ACT 1993 STATEMENT AND THE CONSENT STATEMENT
Signature of Applicant: ____________________________________________Dated: ________________________________________
IF YOUR APPLICATION IS UNSUCESSFUL FOR ABOVE PROPERTY PLEASE COMPLETE
Type Of Property Wanted: (circle one) House / Unit
Suburb:…………………....................................................…….…............Maximum Rent $………..................………
nd
No. Bedrooms: ……………………………. Garaging ………………………Extras eg 2
bathroom / fenced section
…………………………………………………………………………………………………………………………………….
Length of Tenancy Required: Periodic/ 6 months/ 12 months/ 24 months/ other……………………………….............
Date Required By: ………../…………./……….. Have you rented before? Yes/ No

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