fbpx


APPLICATION FOR RESIDENTIAL TENANCY

(To be completed by all adult applicants and unaccompanied minors)

Unsuccessful applications to be notified by SMS or Email

PROPOSED PROPERTY ADDRESS: 1st{1st:5} 2nd {2nd:6}

DETAILS
Name: {Name::59} DOB: {DOB::12}
Drivers Licence or 18 + Card: {Drivers License or 18+ Card::9} Passport No: {Passport No::10}
Home Number: {Home Number::20} Mobile: {Mobile::21} Work Number: {Work Number::22}
Email Address: {Email::17}
Total number of Occupants to reside at property: {Total number of Occupants to reside at property::23} Have you any dependants: {Have you any dependants::172}
Name & Age of Dependants: {Name & Age of Dependants::25}
Registration Number of Vehicle/s: {Registration Number of Vehicle/s::173} Number of Vehicles: {Number of Vehicles::30}
xxxPETS: Type Breed & No: {PETS: Type | Breed | No.:31} Are you a smoker? {Are you a smoker:174}

HISTORY
Current Address: {Current Address::37} Period of Occupancy: {Period of Occupancy::36} {(Please Select):175} Reason for leaving: {Reason for leaving::39}
If renting Weekly Rental Amount: $ {If renting Weekly Rental Amount::40}
Name of Agent/Lessor/Owner: {Name of Agent/Lessor/Owner::41} Phone: {Phone::42}

(if less than 2 years) Address: {(If less than 2 years) Address::44} Period of Occupancy: {Period of Occupancy::45}
Name of Agent/Lessor/Owner: {Name of Agent/Lessor/Owner::47} Phone: {Phone::48}
Have you ever been evicted from a premises? {Have you ever been evicted from a premises?:176}
Do you currently owe money to any landlord or agent? {Do you currently owe money to any landlord or agent?:177}

OCCUPATION / PROOF OF INCOME YOU WILL NEED TO PROVIDE – PROOF OF INCOME for your application to be processed
Employed: Last TWO payslips. Self Employed – Bank Statements, Accountants Letter, and Tax Returns. Unemployed: Centrelink Statement
Current Occupation: {Current Occupation::50} Length of Employment: {Length of Employment::51}
Employer: {Employer::52} Contact: {Contact::54}
Address: {Address::55} Phone: {Phone::57}
Net Weekly Income: {Net Weekly Income::58}
Previous Occupation: {Previous Occupation::61} Length of Employment: {Length of Employment::62}
Employer: {Employer::63} Contact: {Contact::64}
Address: {Address::65} Phone: {Phone:178}
Net Weekly Income: {Net Weekly Income::67}

REFEREES (referees are not to be related to you)
Business Referee: {Business Referee::69} Phone: {Phone::71} Relationship: {Phone::79}
Business Referee: {Business Referee::75} Phone: {Phone::79} Relationship: {Relationship::80}
Personal Referee: {Business Referee::76} Phone: {Phone::78} Relationship: {Relationship::81}
Personal Referee: {Business Referee::74} Phone: {Phone::77} Relationship: {Relationship::82}

EMERGENCY CONTACT (This information is required in case we need to contact you as a matter arising from your tenancy and your normal contact details are not responding)
Next of Kin: {Next of Kin::84} Phone: {Phone::86}
Address: {Address::87} Mobile: {Mobile::88}
Other: {Other::89} Phone: {Phone::90}
Address: {Address::91} Mobile: {Mobile::92}

100 POINTS OF IDENTIFICATION – Prior to any application being considered each applicant must produce 100 points of ID and the agent may photocopy any item and retain as part of your application.
10 Points: Medicare Card, Birth Certificate, Motor Vehicle Registration Papers
30 Points: Bank Statements, Recent Utility Accounts eg: phone, electricity or gas
40 Points: Drivers Licence, Passport, 18+ Card, Photo ID Last FOUR rent receipts & tenant ledger

{Upload (jpg, gif, png, pdf) – less than 2mb:186}

DISCLAIMER/AUTHORITY

I, the said applicant, do solemnly declare that the information contained in this application is true and correct and that all of the information was given of my own free will. I further authorise the letting agent to contact and or conduct any inquiries and or searches with regard to the information and reference supplied in this application. I understand and agree to the conditions listed below numbered 1 to 8 and declare that I have legal capacity to enter into a Residential Tenancy Agreement.

1. {:183} inspected the property located at: {Inspected property located at:108}
2. I have of my own accord decided that I wish to rent the aforementioned property commencing on {Rent the aforementioned property commencing on:107}

For a period of {Rental period:102}, the rental of the property is to be {Rental price:106} per week and that this rental is within my means to support. The rental for the said property is to be paid every 2 weeks in advance at all times.

3. The Bond for the aforesaid property will be {Rental bond:109} and I undertake to pay the said Bond and two (2) weeks rent by cash/bank transfer or bank cheque on or before commencement start date of the Tenancy Agreement
4. The acceptance of my application is subject to a satisfactory report being obtained from information supplied on this Tenancy Application, submitted by me.
5. Should there be a requirement to commence proceedings for recovery of rent arrears, cleaning, repairs or damages to the aforesaid property during the term or expiration of the Tenancy Agreement, all cost associated with these proceedings shall be able to be recovered from me.
6. If this application is not accepted, the agent is not required or obligated to disclose why or supply to me any reason for the rejection of the application.
7. Should this application be unsuccessful, all information will be destroyed following the decision to refuse accommodation.

I acknowledge that any false information I provide in this application could jeopardise the application and any subsequent tenancy agreement I enter into on approval by the lessor or Agent.

PRIVACY ACT ACKNOWLEDGEMENT

In accordance with the Privacy Act I authorise you to give information to and obtain information from all credit providers and references named in this application. I understand this can include information about my credit worthiness credit standing, credit history or credit capacity. I understand this information may be used to assess my application.

The personal information the prospective lessee/tenant provides 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 course of the tenancy, if the application is successful, may be disclosed for the purpose for which it was collected to other parties including the lessor/s, referees, other agents and third party operators of tenancy reference databases. Information already held on tenancy reference databases may also be disclosed to the Agent/Lessor.

If the applicant enters into a Residential Tenancy Agreement and if the applicant fails to comply (or defaults occurs) with their obligations under the agreement, that fact or other relevant personal information collected about the application during the course of the tenancy may also be disclosed to the lessor, third party operators of tenancy reference databases (eg TICA) and or other agents.

If the applicant would like access to personal information the Agent holds, they can do so by contacting Blacks Real Estate at43 Wood Street, Mackay. 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.


Please select Yes or No and initial

The applicant agrees that this is not a binding agreement – the property is deemed to be accepted when the Lease

(Form 18A – and all standard terms and special terms) have been read and is signed by both parties) {The applicant agrees that this is not a binding agreement – the property is deemed to be accepted when the Lease (Form 18A – and all standard terms and special terms) have been read and is signed by both parties):180}

The applicant confirms that they have read and understand the above disclaimer authority & privacy act acknowledgment {The applicant confirms that they have read and understand the above disclaimer authority & privacy act acknowledgment:181}

The applicant also consents and understand that should my tenancy be accepted and upon commencement of the tenancy

agreement there may be cause for the agent / lessor to pass my details onto others which may include (but is not limited to)

insurance companies, body corporate, contractors, other real estate agents, salespeople and tenancy default databases. {The applicant also consents and understand that should my tenancy be accepted and upon commencement of the tenancy agreement there may be cause for the agent / lessor to pass my details onto others which may include (but is not limited to) insurance companies, body corporate, contractors, other real estate agents, salespeople and tenancy default databases.:182}

 

Name of Applicant: {Name:126}

Signature:

Date: {Date:127}

OFFICE USE ONLY Name of Employee taking application:

Application Form signed by Applicant

Identification Supplied

Proof of Income Supplied

Form fully completed including Rental Reference Form

Rental Reference

In accordance with current Privacy Policy I/We the undersigned authorise the recipient of this fax to give information to Blacks Real Estate regarding my/our rental history. I/We understand this information will be used to assess my/our application.

Date:

Tenants:{Tenants::193} Signature: xxx

Property Address: {Property Address::199}

Managing Agent: {Managing Agent::200} Phone #{Phone::201}
Was the applicant listed as the lessee? Yes No
How much was the rent per week? _____________
How long was the lease? _____________
Are the applicants still living there? Yes No
Was their bond refunded in full? Yes No
Were the applicants ever in arrears? Yes No
Were there any form 11’s issued (how many/why)? _____________
Were there any form 12’s issued (how many/ why)? _____________
Have court applications or Tribunal orders been applied for? Yes No
Did the applicants have pets? Yes No
What were they and how many? _____________
Did the animals damage anything? Yes No
Were inspections carried out? Yes No
Was there any damage noted at the property? Yes No
Was the property kept neat and tidy? Yes No
Were the grounds maintained? Yes No
Did the applicants have any boats or extra cars on the property? Yes No
Were there any complaints by neighbours at the property? Yes No
Were there any problems at the property? Yes No
Did you find the tenants to be reliable and honest? Yes No
Would you rent to them again? Yes No

Comments: __________________________________________________________________

____________________________________________________________________________

Name: _____________________________ Agency: __________________________________

Signature: __________________________ Date: ____________________________________

Privacy Notice and Consent

Consent

I, {I,:204}

(Full name)

of {of:205}

(Residential Address)

have read and understood the attached information. I authorise employees of Blacks Real Estate, and independent contractors of Blacks Real Estate including their directors, officers and employees, to obtain relevant information from, and release relevant information to, the parties described on page 2 to assist with my involvement with Blacks Real Estate. I understand that I can revoke my authority at any time. I acknowledge that if I revoke my authority, or if I decline to provide information as requested by Blacks Real Estate, Blacks Real Estate may be unable to provide the products or services I have requested.

Signed:

Date: {Date:208}

Parent/Guardian Signature (if under 18 years of age):

Privacy

Blacks Real Estate Pty Ltd (ACN 009972016) trading as Blacks Real Estate is committed to protecting your privacy in compliance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs). This document sets out Blacks Real Estate’s condensed Privacy Notice. Blacks Real Estate also has a full Privacy Policy, which contains information about how you can complain about any breach by Blacks Real Estate of the APPs or an applicable APP Code. A full copy of our Privacy Policy can be accessed at www.blacksrealestate.com.au.

Information Collection, Use and Disclosure

During the course of your involvement with Blacks Real Estate, we may collect, use or disclose personal information about you for the following purposes:
Assisting you to sell your property;
Assisting you to purchase a property;
Assisting you to lease a property (either as lessor or lessee);
Assisting you to obtain a loan;
Assisting you with payment or refund of a bond;
Assisting you with tenancy disputes;
Coordinating repairs or maintenance of a property owned or leased by you;
Recording or accessing information at the Titles Registry Office or other government agency;
Recording or accessing information at the Residential Tenancies Authority;
Recording or accessing information on tenancy information services or databases;
Client and business relationship management;
Marketing of products and services to you;

The types of personal information we may collect, use or disclose about you includes but is not limited to:
Your full name;
Your date of birth;
Your residential address;
Your postal address;
Your email address;
Your home telephone number;
Your work telephone number;
Your mobile telephone number;
Your occupation and business address;
Financial information including details of your employer, income, name of bank or financial institution;
Details of your spouse, de facto, dependent children, and roommates;
Details of properties owned by you;

In order to provide products and services to you, we may disclose your personal information to the persons/organisations described below:

In the event that you are a seller or a lessee, we may disclose your personal information to prospective buyers of the property owned or leased by you;
In the event that you are a buyer or a lessee, we may disclose your personal information to the sellers of the property you are purchasing or leasing;
Your legal advisor(s) and the legal advisor(s) representing the other party(s) involved in your transaction;
Your financial institution and/or financial advisor;
Insurance providers and brokers;
Utility providers and utility connection service providers;
Persons or organisations involved in providing, managing or administering your product or service including independent contractors engaged by us as real estate agents;
Tradespeople engaged by us to repair or maintain a property owned or leased by you;
Organisations involved in maintaining, reviewing and developing our business systems, procedures and infrastructure including maintaining or upgrading our computer systems;
Persons or organisations involved in purchasing part or all of our business;
Our related companies;
Organisations involved in the payments systems including financial institutions, merchants and payment organisations;
The Titles Registry Office or other government agencies;
The Residential Tenancies Authority;
Police;


Website Designed by Strategic Media Partners