Tenancy Application Form

Before filling out this form, click here to generate an e-signature for yourself and your witness which you will need to save to your device for use in this form. If using a touch device, after creating a signature you can save it by pressing and holding on the image to open the save menu. Otherwise, just right click on the image and save it to your desktop for use in the form.

A. Rental Property Address

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Please provide an address.
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Please provide a suburb.
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Please provide a valid postcode.
Preferred Lease Term
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Enter a number of years.
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Enter a number of months.
Preferred Commencement Date *
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Enter a preferred commencement date.
Number of other applicants to occupy the property (Please complete one application form per person to be listed on the lease)
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Enter the number of adult occupants.
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Enter the number of child occupants.
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Enter the age of the child occupants.
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Enter the number of pets.
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Enter the pet types.
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Enter the pet living arrangements.
Preferred Rental Payment Options
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Enter a preferred rental payment schedule.
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Enter a preferred rental amount.
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Enter a preferred rental bond amount.

B. Personal Details

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Select a title.
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Enter your first name.
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Enter your middle name.
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Enter your last name.
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Enter your home phone number.
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Enter your work phone number.
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Enter your mobile phone number.
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Enter your email address.
Identification (please attach photocopies of identification, see section H)
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Enter your date of birth.
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Enter your age.
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Enter your drivers license number.
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Enter the state your drivers license was issued.
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Enter the expiry date of license.
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Enter your car registration number.
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Enter your pension type.

C. Emergency Contact

Please provide an emergency contact not residing with you
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Enter first name of contact.
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Enter last name of contact.
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Enter address of contact.
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Enter suburb of contact.
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Enter relationship of contact.
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Enter phone number of contact.
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Enter postcode of contact.

D. Applicant History

Current Address
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Enter a valid address.
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Enter a valid postcode.
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Tick if renting.
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Tick if private landlord.
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Tick if owner of property.
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Tick if your a friend or relative.
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Enter other option (if applicable).
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Enter name of contact.
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Enter work phone of contact.
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Enter home phone of contact.
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Enter mobile phone of contact.
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Enter email of contact.
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Enter your current rent amount.
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Enter your current rent schedule.
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Enter tenancy in months.
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Enter a reason for moving.
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Enter if bond will be refunded.
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Enter a reason for bond refund failure.

E. Previous Landlord / Agent Details

Previous Address
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Enter a valid address.
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Tick if renting.
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Tick if private landlord.
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Tick if owner of property.
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Tick if your a friend or relative.
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Enter other option (if applicable).
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Enter name of contact.
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Enter work phone of contact.
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Enter home phone of contact.
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Enter mobile phone of contact.
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Enter email of contact.
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Enter your current rent amount.
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Enter your current rent schedule.
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Enter tenancy in months.
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Enter a reason for moving.
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Enter if bond will be refunded.
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Enter a reason for bond refund failure.

F. Employment

Current Employer (Please attach 2 most recent payslips to this application, see section H)
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Enter your work company name.
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Enter the name of your manager/work contact.
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Enter the name of your role at work.
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Enter your work address.
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Enter your work postcode.
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Enter your work phone number.
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Enter the number of full years employed at current workplace.
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Enter the number of additional months employed at current workplace.
Annual net salary
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Enter your current annual salary per week.
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Enter your current annual salary per fortnight.
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Enter your current annual salary per month.
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Select your current employment type.
If self employed
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Enter the name of your accountant.
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Enter the name of your contact.
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Enter your work phone number.
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Enter your business type.
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Enter your ABN or ACN.
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Select an option.
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select your employment type.
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Enter your annual net income in ($).
Previous Employer
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Enter your previous work company name.
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Enter the name of your role at your previous workplace.
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Enter the phone number of your previous workplace.
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Enter the number of full years employed at previous workplace.
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Enter the number of additional months employed at previous workplace.
Annual net salary
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Enter your previous annual salary per week.
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Enter your previous annual salary per fortnight.
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Enter your previous annual salary per month.
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Select your previous employment type.
Please complete if student
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Enter your course name.
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Enter your campus name.
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Enter the name of you contact person.
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Enter your phone number.
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Select a course type.
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Enter your student number.

G. References

Professional references
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Enter the name of your professional reference #1.
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Enter the relationship to professional reference #1.
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Enter the phone number of professional reference #1.
 
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Enter the name of your professional reference #2.
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Enter the relationship to professional reference #2.
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Enter the phone number of professional reference #2.
Personal references
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Enter the name of your Personal reference #1.
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Enter the relationship to Personal reference #1.
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Enter the phone number of Personal reference #1.
 
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Enter the name of your Personal reference #2.
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Enter the relationship to Personal reference #2.
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Enter the phone number of Personal reference #2.

H. Please Provide Us With Identification

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Provide a copy of your drivers license.
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Provide a copy of your student card.
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Provide a copy of your passport.
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Provide a copy of your medicare card.
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Provide a copy of your most recent bank statement.
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Provide a copy of your rental ledgers.
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Provide a copy of payslip #1.
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Provide a copy of payslip #2.
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Provide a copy of your most recent gas bill (if applicable).
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Provide a copy of your most recent water bill (if applicable).
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Provide a copy of your most recent electricity bill (if applicable).

I. Declaration

I acknowledge that this is an application to lease this property and that my application is subject to the owner’s approval and the availability of the premises on the due date. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent pursuant to the Residential Tenancies Act 2010.

I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from the owner/landlord. I declare that all information contained in this application is true and correct and given of my own free will. I declare that I h ave inspected the premises and am not bankrupt.

I authorise the Agent to obtain details of my credit worthiness from, the owner or Agent of my current or previous residence, my personal referees, any record, listing and National Tenancy Database (NTD) which lists defaults by tenants. If I default under a rental agreement, the Agent may disclose details of any such default to any person whom the Agent reasonably considers has an interest receiving such information including National Tenancy Database (NTD).

If a landlord or estate agent finds details of a prospective tenant on a database, they must advise the tenant in writing, within seven days, of:

  • the name of the database and the person who listed the information
  • the tenant’s information held in the database
  • how the tenant can check, change or remove the listing (ie, by contacting the person who listed them or the database operator).
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Provide an e-signature (see start of form for instructions).
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Enter date of declaration.

L. Tenancy Privacy Statement

Your application for tenancy cannot be accepted unless this has been completed in full and signed. Please take the time to read this Privacy Statement carefully, and once completed return it to this office with your Tenancy Application.

We collect your personal information to assess the risk in providing you with the lease/tenancy of the premises you have requested, and if the risk is considered acceptable, then we provide you with the lease/tenancy of the premises. To carry out this role, and during the term of your tenancy, we usually disclose your personal information to the following:

The landlord, the landlord’s lawyers – in the case of commercial leases for their preparation, the landlord’s mortgagee – for mortgage purposes, referees you have nominated, organisation/tradespeople required to carry out maintenance to the premises, rental bond authorities, Residential Tribunal/Courts, collection agencies, National Tenancies Database Pty Ltd, other Real Estate Agents and Landlords, utilities companies such as gas, electricity, water and telephone connection, banks – for rental payment facilities and financial records, employers – for reference purposes and to be included on our database.

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Provide an e-signature (see start of form for instructions).
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Enter your name.
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Enter the date today.
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Enter the name of your witness.
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Provide an e-signature from witness (see start of form for instructions).
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Please pass the security check to continue.

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