RENTAL APPLICATION

(1) PROPERTY DETAILS

Property address: ________
Start date for lease: ________

(2) PROPERTY MANAGER DETAILS

Agency name: ________
Agency address: ________
Agency email: ________
Agency phone: ________
Manager name: ________

(3) APPLICANT DETAILS

Name: ________
Date of birth: ________
Email: ________
Phone: ________
Current address: ________

Drivers Licence State: ________
Drivers Licence Expiration Date: ________
Drivers Licence Number: ________

Passport Country: ________
Passport Expiration Date: ________
Passport Number: ________

Other proposed occupants:

________

(4) CURRENT RENTAL DETAILS

Current rental address: ________
Rent: ________
Start date of lease: ________
Owner/Manager name: ________
Owner/Manager email: ________
Owner/Manager phone: ________

(5) PREVIOUS RENTAL DETAILS

Previous rental address: ________
Rent: ________
Duration of lease: ________
Owner/Manager name: ________
Owner/Manager email: ________
Owner/Manager phone: ________

Previous rental address: ________
Rent: ________
Duration of lease: ________
Owner/Manager name: ________
Owner/Manager email: ________
Owner/Manager phone: ________

(6) CURRENT EMPLOYMENT DETAILS

Name of employer: ________
Employer address: ________
Job title/description: ________
Full time/part time/casual: Full time
Gross pay: ________
Starting date: ________
Manager/supervisor name: ________
Manager/supervisor contact: ________

(7) REFERENCES

First reference name: ________
Relationship: ________
First reference phone: ________

Second reference name: ________
Relationship: ________
Second reference phone: ________

(8) EMERGENCY CONTACT

Emergency contact name: ________
Relationship: ________
Emergency contact phone: ________

(9) VEHICLES

Vehicle make: ________
Vehicle model: ________
Colour: ________
Registration number: ________

Second vehicle make: ________
Vehicle model: ________
Colour: ________
Registration number: ________

(10) FURTHER DETAILS

• Do you give us permission to contact your previous employer(s) and reference(s) to ask about your application?
• Yes
• Do you give your previous employer(s) and reference(s) permission to speak about you and your application?
• Yes
• Do you give us permission to contact the owner/manager of your previous property to ask about your rental history?
• Yes
• Do you give permission to the owner/manager of your previous property to discuss your rental history with us?
• Yes
• Do you give us permission to contact your emergency contact in case of emergency?
• Yes
• In the event that you abandon the property, do you give us permission to allow your emergency contact to arrange for the removal of your contents from the property?
• Yes
• Do you have any pets? If so, please describe them:
• Yes - ________
• Do you or any of the other proposed occupants smoke?
• Yes
• How long are you interested in renting the property for?
• ________
• Why are you moving from your current property?
• ________
• Have you ever received a late rent notice?
• Yes
• Have you ever received an eviction notice?
• Yes

(11) DECLARATION

I declare that the information provided in this application is true and correct to the best of my knowledge.

• I acknowledge that this application does not constitute a binding lease agreement and that the property manager and/or owner is under no obligation to accept this application.
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• I consent to the collection, use and disclosure of my personal information for the purposes of assessing this application, in accordance with the Privacy Act 1988 (Cth) and applicable privacy laws.
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• By signing below, I confirm that I have read, understood and agree to the above declarations.

Signed:..................................................

________

Date:..................................................