Residential Tenancy Application Form

For your application to be processed you must answer all questions

A. Rental Property Details

What is the address of the property you would like to rent?*

Lease commencement date?*

Lease term?*

How many tenants will occupy the property?*

B. Applicant’s details

Prefix

Full Name

Do you smoke?*

Date of Birth

Passport Number

Passport Country

Driver's License Number

Driver's License Expiry Date

Driver's License State

Current address

Please provide your contact details

Mobile Phone No.

Home Phone No.

Work Phone No.

Email Address

Car registration

C. Current Rental Details

Current rent per week ($)

Length of stay*

Agent/landlord name

Phone

Reason for leaving

D. Previous Rental

Previous property address

Current rent per week ($)

Length of stay

Agent/landlord name

Phone

Reason for leaving

Please answer the following questions:

Applications pending on any other properties?

Have you ever been evicted by any landlord or agent?

Have you ever been refused another property?

Are you in debit to another landlord or agent?

Is there any reason that would affect your rent payment?

Was the bond refunded in full?

E. Current Employment

Company name

Occupation

Contact name

Phone no.

Full time / Part time / Casual

Length of employment

Annual salary ($)

F. Previous Employment

Company name

Occupation

Contact name

Phone no.

Full time / Part time / Casual

Length of employment

Annual salary ($)

G. Reference

Full Name

Relationship

Address

Phone no.

Full Name

Relationship

Address

Phone no.

H. Emergency Contact

Full Name

Relationship

Address

Phone no.

I. Property Inspection Details

During my inspection of this property, I found it to be in a reasonably clean condition.

If “No”, I believe the following items should be attended to prior to the commencement of my tenancy. I acknowledge that these items are subject to the landlord’s approval.

J. Statement of Costs

I acknowledge that thisis an application to rent this property and that my application is subject to the Landlord’s approval. I consent to the information provided in this application being verified and a reference check on TICA being undertaken.
I declare that I am not a bankrupt or an un discharged bankrupt and that the information provided by me is true and correct. I undertake to pay the monies detailed below through a bank transfer made payable to Allied Estate upon signing the Residential Tenancy Agreement.

Rental bond

2 weeks rent in advance

Total

If a holding fee is being paid for the property, the following conditions will apply:

1. A holding fee will only be accepted once an application has been approved by the landlord.
2. The holding fee is equivalent to one week’s rent to reserve the premisesin favour of you for the period ofseven days.
3. During this period, the premises will not be reserved for any other application, nor will a holding fee be received from any other application.
4. The holding fee will be paid towards the initial rent for the premises.
5. Should the applicant decided to withdraw their application, the landlord may retain the full amount of the holding deposit.
6. The holding fee will be banked into a trust account and any refund given will be through EFT.

Allied Estate, acting on behalf of the landlord of the premises, acknowledges receipt of the above application and theaccompanying holding fee and agree:

1. To reserve the premisesfor the period in accordance with the conditions above stated.
2. To prepare a Residential Tenancy Agreement for the premises.

Applicants signature

Date

Agents signature

Date

Residential Tenancy Application Form