Residential Application Form Mayfield Real Estate Page 2
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1
2
3Residential Application Form
24 Church Street, North Geelong 3215.
PH: 03 5272 1288
Fax: 03 5272 1699
Email: .au
PROPERTY DETAILS
Address of Property
Rent
Bond (x4 weeks rent)
$
per week
$
Preferred date of lease commencement
Lease term (please circle)
ASAP
6 MONTHS / 12 MONTHS
____/____/____
Number of tenants who will occupy the property
Adults
Children
Names of occupants under the age of 18:
DOB:
Pets
Number and type
PERSONAL DETAILS
Your Full Name
Date of Birth
Drivers Licence no.
Expiry date
Passport no.
Expiry date
Home phone no.
Work phone no.
Mobile phone no.
Current Address
Email address
Postcode
Car registration :
APPLICANT HISTORY
How long have you lived at your current address?
What was your previous residential address?
Why are you leaving this address?
Postcode
How long did you live at this address?
Name of Landlord/Agent (if applicable)
Name of landlord/Agent (if applicable)
Landlord/Agent PH:
Weekly rent paid
$
Landlord/Agent PH:
Weekly Rent Paid
Have you ever been evicted from a tenancy?
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