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Residential Tenancy Application Form

PROPERTY DETAILS - Property you would like to rent if this application is accepted?

Please upload your application supporting documents

How many tenants will occupy the property?

Application One: Personal Details *

Applicant One: Current Rental History

Applicant One: Previous Rental History

Applicant One: Current Employment Details

Applicant One: Previous Employment Details

Applicant One: If Student, Please Complete

Applicant One: Centrelink Benefits

Applicant One: If Self Employed, Please Complete

Applicant One: Emergency Contact

Applicant One: References - Not a Relative



Application Two: Personal Details

Applicant Two: Current Rental History

Applicant Two: Previous Rental History

Applicant Two: Current Employment Details

Applicant Two: Previous Employment Details

Applicant Two: If Student, Please Complete

Applicant Two: Centrelink Benefits

Applicant Two: If Self Employed, Please Complete

Applicant Two: Emergency Contact

Applicant Two: References - Not a Relative



Declaration & Authority

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.

that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have Inspected the premises and are not bankrupt

I authorize the Agent to obtain personal information from:

(a) The owner or the Agent of my current or previous residence;

(b) My personal referees and employer/s;

(c) Any record listing or database of defaults by tenants such as NTD, TICA or TRA for the purpose of checking your tenancy history;

I am aware that the Agent will use and disclose my personal information in order to:

(a) communicate with the owner and select a tenant

(b) prepare lease/tenancy documents

(c) allow trades people or equivalent organizations to contact me

(d) lodge/claim/transfer to/from a Bond Authority

(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)

(f) refer to collection agents/lawyers (where applicable)

(g) complete a credit check with NTD (National Tenancies Database). You may request copies of your records from HID on 1300 563 826 or www.ntb.netau to amend or dispute the record

(h) transfer water account details into my name

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 if the 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.

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