Application Form
For your application to be processed you must answer all questions
(including the reverse side)
A. AGENT DETAILS
F. UTILITY CONNECTIONS
Marshalls Property Real Estate
Telstra
13 2200
Energy Australia
13 1535
575 Pacific Hwy Belmont NSW 2280
Phone no: 02 49157888
Fax no: 02 4945 0450
G. DECLARATION
Email:
.au
B. PROPERTY DETAILS
I hereby offer to rent the property from the owner under a lease to be
1.
What is the address of the property you would like to rent?
prepared by the Agent. I acknowledge that I will be required to pay all monies
in full prior to commencement of the tenancy.
I acknowledge that this application is subject to the approval of the
Postcode
owner/landlord. I declare that all information contained in this application
(including the reverse side) is true and correct and given of my own free will.
Property rental
I declare that I have inspected the premises and accept it in the condition to
$
which it is offered. I am not bankrupt.
Per week
I authorize the Agent to obtain personal information from:
C. PERSONAL DETAILS
(a)
The owner or the Agent of my current or previous residence;
(b)
My personal referees and employer/s;
2.
Please give us your details
(c)
Any record, listing or database of defaults by tenants;
If I default under a rental agreement, I agree that the Agent may disclose
Mr
Mrs
Ms
Miss
Other
details of any such default to a tenancy default database, and to
agents/landlords of properties I may apply for in the future.
FULL NAME
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
Date of Birth
(b)
prepare lease/tenancy documents
(c)
allow trades people or equivalent organizations to contact me
(d)
lodge/claim/transfer to/from the Residential Tenancies Bond Authority
Driver’s licence no.
Driver’s licence state
(e)
refer to Tribunals/Courts & Statutory Authorities (where applicable)
(f)
refer to collection agents/lawyers (where applicable)
I am aware that if information is not provided or I do not consent to the uses
Passport no.
Passport country
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.
Pension no. (If applicable)
Pension type (if applicable)
Signature
Date
3.
Please provide your contact details
Home phone no.
Mobile phone no.
X
‘AGENT USE ONLY’
Work phone no.
Fax no.
Tica Checked
Email address
Landlord Contacted
4.
Proposed Lease commencement date?
Application Approved
5.
Lease term?
6.
How many people will normally occupy the property?
Commencement Date
Adults
Children
Ages
Lease Sign Appointment
Please tick
7. Department of Housing Assistance
if ap
plicable
Time
D.
PETS
Yes
No
Type/How
Many?
E.
ARE YOU A SMOKER?
Yes
No
N.B. Both sides of this
application must be completed