Tenancy Application Form - Harrison Parker Real Estate (Page 4 of 4) in pdf

Tenancy Application Form - Harrison Parker Real Estate Page 4

Employment History - Applicant 1

Employment History - Applicant 2

Nature of your Employment:

(circle)

Nature of your Employment:

(circle)

FULL TIME / PART TIME/ CASUAL

Current Employer’s Name:

Employer’s Address:

Contact Name:

Phone:

Contact Name:

Phone:

Employment:

Income: $

Employment:

Income: $

Yrs

Mths

Net weekly

Yrs

Mths

Net weekly

Previous Employment History - Applicant 1

Previous Employment History - Applicant 2

Previous Employer:

Address:

Previous Employer’s Ph:

Time Employed:

Previous Employer’s Ph:

Time Employed:

If you are a Student - Applicant 1

If you are a Student - Applicant 2

Dept:

Union No:

Student ID:

Union No:

Student ID:

Income Source:

Income: $

Income Source:

Income: $

Net PW

If You Receive a Centrelink Payment

Type:

Cust No:

Type:

Cust No:

Amount $:

Per Fortnight

Amount $:

Per Fortnight

If Self Employed

Accountant Name:

Ph:

Accountant Name:

Ph:

Company Name:

ABN:

Company Name:

ABN:

Emergency Contact - Applicant 1

Emergency Contact - Applicant 2

Name:

Address:

Home Phone:

Mob Phone:

Home Phone:

Mob Phone:

References - Applicant 1

References - Applicant 2

1) Name:

Address:

Home Phone:

Mobile Phone:

Home Phone:

Mobile Phone:

2) Name:

Address:

Home Phone:

Mobile Phone:

Home Phone:

Mobile Phone:

DECLARATION & AUTHORITY

I hereby oﬀer to rent the property from the owner under lease to be prepared by the Agent.

(a)

Communicate with the owner and select a tenant.

Agreement.

(b)

Prepare lease/Tenancy documents.

(c)

and given of my own free will. I declare that I have inspected the premises and am not

(d)

Lodge/claim/transfer to/from a Bond Authority.

bankrupt.

(e)

(f)

(a)

The owner or the Agent of my current or previous residence.

(g)

If you wish to view

(b)

My personal referees and employer/s

your records or the information is not accurate, you can contact NTD on 1300 563 826

or to amend or dispute the record.

(c)

(h)

Transfer water account details into my name.

(d)

My Accountant or Payroll oﬃcer.

(i)

MyConnect.

If I default under a rental agreement, I agree that the Agent may disclose details of any such default to the tenancy default da

ut, the Agent cannot provide me with the lease/tenancy of the

Applicant/Partner:

Dated: ___/___/______

Applicant Signature:

Dated: ___/___/______

Tenancy Application Form - Harrison Parker Real Estate Page 4

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