Tenant Income Asset Application Form
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ANAGEMENT
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Head Office: 1/582 Manly Rd, Wakerley Q4154
ABN: 74 274 245 443
Ph/Fax: (07) 38904463
Mobile: 0414572505
Email:
.au
Note: This form must be completed by each tenant wanting to reside in the property. Children not earning an income are
excluded.
Tenant Name:
Rental Dwelling Address:
Date of Application:
Please provide a copy of at least one item from both the primary and secondary list of items below as proof of identity
of the following documents depending on your QLD residency status.
Primary:
•
Full Australian birth certificate or extract of Australian birth certificate
•
Current Australian Passport
•
Immigration papers or other documents issued by the Commonwealth Department of Immigration and
citizenship (including various visas eg TY 444 visa for NZ citizens)
•
Naturalisation or Citizenship certificate
Secondary
•
Drivers licence
•
18 plus card
•
Medicare Card
•
Bank, credit card or ATM Card with your signature
Please confirm your total income received (including tax) for any of the following categories of income in the last 12
months from the date of this application. It is essential that proof of each Income Type is provided, i.e. pay slips,
Centrelink statements, Annual Centrelink Income Statement, PAYG Summary, Notice of Assessment (most recent), letter
from employer stating Gross Total Income Earned and/or Bank Statement to prove the income stated etc.
Failure to provide adequate supporting documentation will result in delying the process or rejection of your suitability
for this property. You must confirm any gaps eg “had no income for the period 1/5/12 to 15/5/12/
Income Statement
Fortnightly
Gross Amount
Tick for
Amount
Proof
Provided
Wages/Salary
Most recent Tax Notice of Assessment/ PAYG Summary
Business Income
Bank Interest
Dividends
Newstart allowance
Youth Allowance
Absutdy Payments
Rent Assistance
Partner Allowance
Parenting Single Payment
Family Tax Benefit A
Family Tax Benefit B
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