Residential Application Form printable pdf download

6. Please provide your contact details

Home Phone Number

Mobile Phone Number

Work Phone Number

Fax Number

Residential Application Form

Email Address

For your application to be processed you must answer

all questions

(including the reverse side)

7. What is your current address?

A. AGENT DETAILS

(please tick one)

RT Edgar Toorak

RT Edgar Barwon Heads

Postcode

RT Edgar Albert Park

RT Edgar Ocean Grove

RT Edgar Hawthorn

RT Edgar Yarra Valley

Property Manager Name

RT Edgar Brighton

RT Edgar Yea

RT Edgar Portsea

RT Edgar Gisborne

Application Fax to Direct Connect (if required)

RT Edgar Rye

RT Edgar Woodend

RT Edgar Flinders

RT Edgar Kyneton

Application Fax to Connect Plus (if required)

RT Edgar Geelong

RT Edgar Alpine

RT Edgar Point Lonsdale

D. DECLARATION

I hereby offer to rent the property from the owner under a lease to

B. PROPERTY DETAILS

be prepared by the Agent. Should this application be accepted by the

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

landlord I agree to enter Into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the

owner/landlord. I declare that all information contained in this

Postcode

application (including the reverse side) is true and correct and given

of my own free will. I declare that I have Inspected the premises and

Property Rental

am not bankrupt.

I authorise the Agent to obtain personal Information from:

Per week

Per month

(a) The owner or the Agent of my current or previous residence;

(b) My personal referees and employer/s;

2. Lease commencement date?

TICA or TRA for the purpose of checking your tenancy history;

Day

Month

Year

I am aware that I may access my personal information by contacting -

• NTD: 1300 563 826

3. Lease Term

• TICA: 1902 220 346

• TRA: (02) 9363 9244

Years

Months

If I default under a rental agreement, I agree that the Agent may

disclose details of any such default to a tenancy default database,

4. How many tenants will occupy the property?

and to agents/landlords of properties I may apply for in the future.

Adults

Children – ages

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

C. PERSONAL DETAILS

(b) prepare lease/tenancy documents

5. Please give us your details

(d) lodge/claim/transfer to/from a Bond Authority

(e) refer to Tribunals/Courts & Statutory Authorities (where

Miss

Mrs

Other

applicable)

Surname

Given Name/s

(f) refer to collection agents/lawyers (where applicable)

(g) complete a credit check with NTD (National Tenancies Database)

(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to

Date of Birth

Driver’s License Number

the uses to which personal information is put, the Agent cannot

provide me with the lease/tenancy of the premises.

Driver’s Licence Expiry Date

Driver’s Licence State

Signature

Date

Passport Number

Passport Country

E. APPLICANT HISTORY

8. How long have you lived at the current address?

Pension Number (if applicable) Pension Type (if applicable)

Years

Months

9. Why are you leaving this address?

Residential Application Form

Related Articles

Related forms

Related Categories