Residential Tenancy Application Form - Rpm Real Estate Group Page 3
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1
2
3Payment Details
Own funds
Borrowed funds
Ministry Housing
How will you pay your bond?
Own funds
Borrowed funds
Ministry Housing
How will you pay your initial rent?
Personal cheques will not be accepted for the bond unless they have time to clear (5 full working days)
100 Point Check
The application will not be processed until 100 points has been achieved by the applicant
Reference from owner/landlord (20 points)
Last 4 rent receipts (50 points)
Copy birth certificate (10 points)
Drivers license (50 points)
Utility bills/bank statements (10 points)
Photo ID (40 points)
Current motor vehicle registration (10 points)
Passport (40 points)
Declaration
I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this
application be accepted by the landlord I agree to enter into a Residential Tenancy Agreement. I acknowledge that
this application is subject to the approval of the owner/landlord. I declare that all information contained in this
application (all pages) is true and correct and given of my own free will. I declare that I have inspected the
premises and am not bankrupt.
I authorise the Agent to obtain personal information from:
1. The owner or Agent of my current or previous residence
2. My personal referees and employers
3. Any record, listing or database or defaults by tenants
If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy
default database, and to agents/landlords of properties I may apply for in the future.
I am aware that the Agent will use and disclose my personal information in order to:
Communicate with the owner and select a tenant
Prepare lease/tenancy documents
Allow tradespeople or equivalent organisations to contact me
Lodge/claim/transfer to/from Bond Authority
Refer to Tribunals/Courts and Statutory Authorities (where applicable)
Refer to collection agents/lawyers (where applicable)
I am aware that if information is not provided or I do not consent to the uses to which personal information is put,
the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal
information on the contact details above.
The applicant acknowledges:
1. That the landlord’s insurance will not cover the tenant’s contents and it is advised that the tenant should
obtain contents and public liability insurance.
2. That the terms and conditions were available at the time of applying and these form part of the tenancy
agreement.
3. That upon being advised of approval of this application by the agent a legal tenancy agreement is created
and if the tenants choose not to proceed, the agent will begin procedures to relet the property and may
choose to recover costs incurred from the reletting as set down by the Residential Tenancies Act 1995.
4. That possession of the property will not take place until the tenancy agreement is signed by the applicant
and a security bond and rent in advance is paid.
5. That unless agreed otherwise the tenant shall be liable for all water costs pertaining to the property.
6. That the landlord has the right to increase rent during the term of a fixed tenancy in accordance with the
Residential Tenancy Act 1995
7. That the applicant agrees to pay rent via our NAB B-Pay System. Alternatively rent can be paid by internet
transfer, personal cheque or money order.
If accepted for this property, the Applicant/s agree NOT to use the property for any business or commercial use
I/we acknowledge that the inside of the premise are to be smoke free. Please initial ______________
Applicant 1 signature
Applicant 2 signature
Date
Date
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