Tenancy Application form
Please complete every field in the online form
or the faxable / printable pdf form before submitting your application.

 

 

 

 

Please also attach here: Attachments

• Copy of identification
• Proof of current residence (eg. phone bill, electricity bill)
• Proof of income/ability to pay (eg. pay slip, letter from accountant, centrelink statement)

Each person wishing to lease the property must submit a separate application.


Failure to comply with the above conditions
may prevent your application from being processed
Printable pdf Format:
 

Rental Property  
Address:

 Rent:

Personal Details  
Full name
 Date of Birth:
Day Month Year
Current Address
Work Phone Home Phone
Mobile E-mail



Employment Details  
Occupation:
 Date of Commencement
Employer's Name:
 Contact Name:
Employers Address:
Work Phone: Mobile:
E-mail:
Previous Employer::
Contact:
Position:
Work Phone
Period of Employment:


Rental Details
Current landlord / agent name:
Current Rental Address:
Weekly rent:
 Length of occupancy:
Work Phone: Mobile:
Previous landlord / agent name:
Previous Rental Address:
Weekly rent:
 Start Date:
End Date:
Work Phone: Mobile:


Personal References ( Not Relatives )
1. Name:

Address:
Work Phone: Mobile:
2. Name:

Address:
Work Phone: Mobile:


Emergency Details
Name: Relationship:

Address:
Work Phone: Home Phone:
Mobile:


Tenancy Details
Number of occupants
Number of adults
Number of children:
Ages of children:

Pets Yes No
How many & what kind of pets Number: Kind:
Proposed commencement date of lease: Day Month Year
Proposed Length of lease Months
Proposed frequency of rental payment weekly monthly


Please read through the following information before signing. Please note that properties are leased in their current condition, unless otherwise mentioned.

1. I declare that I have inspected the property and have found it to be in a reasonable state of cleanliness and repair. If I have noticed something that needs attention, it appears below:

2. I declare that I am able to meet the rental payments required for this property, and that the information supplied is true and correct, and I am not bankrupt.

3. I authorise Exclusively Rentals to check the references supplied to provide information to the landlord for the purpose of assessing my eligibility to lease the property. Reference checks may also be made with third party tenancy reference databases.

Privacy Policy
The personal information supplied by the Applicant in this application or collected from other sources is necessary for the Agent to verify the Applicant’s identity, to process and evaluate the application and to manage the tenancy. Personal information collected about the Applicant in this application and during the tenancy (if successful) may be disclosed for the purpose of which it was collected to other parties including the landlord, referees, other agents and third party tenant databases. Information already held on tenancy databases may also be disclosed to the Agent and/or landlord. If the Applicant enters into a Lease Agreement, and if the Applicant breaches their lease agreement, then the Applicant’s personal information may be disclosed to the landlord, third party tenant databases, and other agents.

If the Applicant would like to access the personal information the Agent holds, they can do so by contacting the Agent. The Applicant can also correct this information if it is inaccurate, incomplete or out-of-date.

If the information is not provided, the Agent may not be able to process the application and manage the tenancy.

Name:

Date:

I agree that the details I have supplied are true and correct, and I agree to all conditions stated in this application form

I agree

 

 

 

 

 

 

 


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