Tenant services

Online Rental Application Form

Please fill out all applicable fields below.

Property Applying For

Tenancy start date Property Address Suburb Rent per week Bond

Your details

Full Name * Your Email * After Hours Phone Business Hours Phone Mobile Phone Date of Birth

Please indicate who else will be residing with you

Person one

Name Relationship Age range

Person two

Name Relationship Age range

Person three

Name Relationship Age range

Do any of you smoke? Yes No

References

Your current address Your previous address

Agent Details (if rental)

Company Name Contact Person Phone Number

Second Agent Details (if rental)

Company Name Contact Person Phone Number

Have you ever owned a home? Yes No

Employment

Your Occupation Currently Employed With Length of current employment

General Information

What type of accommodation do you require? Rental range (weekly)

Do you have pets? Yes No

Drivers License Number Drivers License State Closest relative not living with you Phone number

Personal Reference

Additional comments

I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the Residential Tenancies Act, that I will pay the Landlord's costs incurred in undertaking collection action to recover his/her losses. Yes No

What is 2 + 7? *

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