Rental Application
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1
2
3
4RESIDENTIAL TENANCY APPLICATION
PhilipWebb Rentals Pty Ltd , 483 Whitehorse Road, Mitcham, 3132
Phone: 9874 3355 Fax: 9874 5272 .au
A. Rental Property Address
Preference 1
Rent per week $
Preference 2
Rent per week $
Preferred Commencement date
/
/
Preferred Term
Years
Months
B. Applicant Details
Applicant Name
Mr
Mrs
Ms
Miss
Dr
Other
First name/s
Surname
Other Applicant Names (All adults to reside at the property must be listed below and submit an application)
1
2
3
4
Number of people to Occupy
Adults
Children
Age(s) of children
C. Identification
Date of Birth
/
/
Age
Car Registration
Drivers Licence No
State
Expiry Date
/
/
Passport Number
Country
Expiry Date
/
/
D. Current Address
Contact details
Ph home
Ph mobile
Ph work
Email
E. Current Living Arrangements
I am currently
Renting through a Landlord or Agent
Go to Section F
Owner of Current Address
Go to Section G
Living with Friends/Parents/Family
Go to Section H
Other (please specify)
F. Renting
Name of current Agency / Private Landlord (circle one)
Contact person/agent
Contact number
Email address
Fax Number
Current monthly rent
$
Length of tenancy
Years
Months
Reason for moving
If renting from a private Landlord, please provide a copy of the lease agreement, receipts and a written reference
1302028 - 1426668R1
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