20170516 - Rental Application Form.pub
Residential Tenancy
V.8
Application Form P 08 8287 5511 | F 08 8287 4777 | [email protected] | www.raywhiteelizabeth.com.au Suite 1A/3 Elizabeth Way, Elizabeth SA 5112 | RLA 217965
Elizabeth
Applicant Name/s: _________________________________________ ___________Contact No: _______________________________________ Property 1: ______________________________________________________________________________________Attended Open? YES Property 2: ______________________________________________________________________________________Attended Open? YES Property 3: ______________________________________________________________________________________ Attended Open? YES I/We acknowledge the rent amount for Property 1 of $_____________________ per week is payable fortnightly in advance during the term of the lease. My nominated method of payment for rent shall be (please tick): Electronic Funds Transfer (EFT)
Centrepay
Commonwealth Bank
I/We acknowledge there is a requirement to pay a security bond. Rent up to $250pw Rent over $251pw
= =
Equal to 4 weeks rent Bond amount (preference 1): $ __________ Equal to 6 weeks rent Bond amount (preference 1): $ __________
The bond will be paid by Cash Bond Housing SA Bond (please circle) If you are approved. The bond & 2 weeks rent must be paid within 48 hours to secure the property
YOU MUST PHOTOCOPY ALL DOCUMENTATION AND HAND INTO OFFICE
APPLICATION CHECKLIST Proof of Income i.e. Payslips ( x2 current) OR Centrelink Income Statement with payment amounts Photo Identification (Licence OR Proof of age OR Passport) Places you lived (current & previous, contact numbers essential, see Residential Details page 2) Sign the Declaration (see page 4) Rental Ledger from current Real Estate Additional Identification Required (choose 3 from below) Birth Certificate
Proof of Age
Passport
Citizenship Certificate
Licence
Debit / Credit Card
Medicare Card
Latest Electricity or Gas Account
Latest Telephone Account RAY WHITE ELIZABETH DOES NOT PHOTOCOPY
Applicant 1 Title: __________
DOB: _______/________/________ AGE:_________
Applicant 2 Title: __________
DOB: _______/________/________ AGE:_________
Given Names: ____________________________________________________
Given Names: ____________________________________________________
Surname: _________________________________________________________
Surname: _________________________________________________________
Relationship with applicant 2:___________________________________
Relationship with applicant 1:___________________________________
Home: ________________________ Mobile:___________________________
Home: ________________________ Mobile:___________________________
Email: _____________________________________________________________
Email: _____________________________________________________________
Licence No._______________ ______Car Rego: ______________________
Licence No._______________ ______Car Rego: ______________________
Car Model: _______________________________________________________
Car Model: _______________________________________________________
Residential Details
Residential Details
Current Address: _________________________________________________
Current Address: _________________________________________________
____________________________________________________________________
____________________________________________________________________
Circle Applicable
Circle Applicable
Private Landlord Agent Family Boarding Owner
Private Landlord Agent Family Boarding Owner
How long have you lived at your current address?
How long have you lived at your current address?
_______ Years ________ Months
_______ Years ________ Months
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Contact No: ____________________ Rent per week $_______________
Contact No: ____________________ Rent per week $_______________
Why are you leaving this address?
Why are you leaving this address?
____________________________________________________________________
____________________________________________________________________
Previous Address: ________________________________________________
Previous Address: ________________________________________________
____________________________________________________________________
____________________________________________________________________
Circle Applicable
Circle Applicable
Private Landlord Agent Family Boarding Owner
Private Landlord Agent Family Boarding Owner
How long did you live at your previous address?
How long did you live at your previous address?
_______ Years ________ Months
_______ Years ________ Months
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Contact No: ____________________ Rent per week $_______________
Contact No: ____________________ Rent per week $_______________
Why did you leave this address?
Why did you leave this address?
____________________________________________________________________
____________________________________________________________________
Income / Employment Details
Income / Employment Details
Current Occupation: _____________________________________________
Current Occupation: _____________________________________________
Employer’s Name: _______________________________________________
Employer’s Name: _______________________________________________
Employer’s Address: ____________________________________________
Employer’s Address: ____________________________________________
___________________________________________________________________
___________________________________________________________________
Contact Name: _________________________ Ph: _____________________
Contact Name: _________________________ Ph: _____________________
Length of Employment: ________ Years _______ Months
Length of Employment: ________ Years _______ Months
Weekly Wage or Salary : $ _______________________________________
Weekly Wage or Salary : $ _______________________________________
Government/Other Benefits Type:______________________________
Government/Other Benefits Type:______________________________
Weekly Government Benefits Income: $ ________________________
Weekly Government Benefits Income: $ ________________________
Total Weekly Income: $ _________________________________________
Total Weekly Income: $ _________________________________________
Emergency Contact (i.e. Family, friend)
Emergency Contact (i.e. Family, friend)
Next of Kin: ______________________________________________________
Next of Kin: ______________________________________________________
Address: __________________________________________________________
Address: _________________________________________________________
Home: _________________________ Work: __________________________
Home: _________________________ Work: __________________________
Mob: ____________________ _______Relationship:___________________
Mob: ____________________ _______Relationship:___________________
Personal Reference (not related to you)
Personal Reference (not related to you)
Ensure they have agreed to be nominated as a referee and they must be contactable during business hours.
Ensure they have agreed to be nominated as a referee and they must be contactable during business hours.
1. Name: _________________________________________________________
1. Name: _________________________________________________________
Home: ________________________ Work: ________________________
Home: ________________________ Work: ________________________
Relationship: _________________________________________________
Relationship: _________________________________________________
2. Name: _________________________________________________________
2. Name: _________________________________________________________
Home: ________________________ Work: ________________________
Home: ________________________ Work: ________________________
Relationship: _________________________________________________
Relationship: _________________________________________________
Other persons to reside at the property (under 18 years old) Please provide full names and ages. Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Pets ———- Please provide details of any pets to be kept at the property Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________ Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________ Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________
Free Service Connection UTILITY CONNECTION - This is a FREE service that connects all your utilities. Ray White offer free service connections. Once the application has been approved we will provide the company with your details to get the services connected for you. Please tick utilities as required:
Electricity
Gas
Insurance
Internet
Phone
Cleaning
Please advise your property manager if you do not wish for this to occur.
Upon signing this application I give authority for my details to be provided for connection services if/when application is approved. Signature of applicant 1 ………………………………………….............................................………….. Date......./......./....... Application sent to Direct Connect (if required) Signature of applicant 2 ………………………………………….............................................………….. Date......./......./....... Application sent to Direct Connect (if required)
Removals
Processing and Application Acceptance/Non Acceptance Please Read Carefully •
Your application will be processed with the information provided and submitted to the landlord for their acceptance or non-acceptance for tenancy. This is always a landlord decision.
•
Should your application be accepted, you will be asked to pay the bond and first 2 weeks rent and sign the lease as soon as possible. You will be asked to pay the amounts into our trust account immediately.
•
Tenants will be liable for water charges.
•
It is a tenant responsibility to arrange connection of electricity, telephone and gas supply to the property, once the application is approved. However, we are also able to assist you in this regard - refer to previous page
•
Once applications are processed by the property manager, applicants will be notified if they have made it through to the short list, then will be notified if successful or unsuccessful . We are unable to provide a reason for non-acceptance if your application is not approved for tenancy.
DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the 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 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 am not bankrupt. I authorise the Agent to obtain personal Information from: a) The owner or the Agent of my current or previous residence; b) My personal referees and employer/s; c) Any record listing or database of defaults by tenants; If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future. 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 b) Prepare lease/tenancy documents c) Allow tradespeople or equivalent organisations to contact me d) Lodge/claim/transfer to/from a Bond Authority e) Refer to Tribunals/Courts & Statutory Authorities (where applicable) f) Refer to collection agents/lawyers (where applicable) g) Complete a credit check with NTD (National Tenancies Database) To ensure the quality of tenants Ray White Elizabeth uses the TICA (tenant database) system. Their contact number is 190 222 0346 (calls charged at $5.45 per minute, higher for mobile or pay phones) otherwise check out http://www.tica.com.au/tenant.php for other options. I am aware that if information is not provided or I do not consent to the uses 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. Applicant 1 Name: ________________________________________________Signed: ________________________________________Date: ____/____/____ Applicant 2 Name: ________________________________________________Signed: ________________________________________Date: ____/____/____
Benjamin Watkins Office Manager 0419 988 388
Diannee Chant Property Manager 0421 519 558
Candice Gilgen Property Manager 0423 799 179
Bronwyn Styles Property Manager 0468 950 533
Elizabeth Rooney Property Manager 0478 058 873
Jo Critchely PM Support 08 8287 5511
Application Approved For Processing By:_____________________________________________________ Date Received:______ / ______ / _____
V.8
Application Form P 08 8287 5511 | F 08 8287 4777 | [email protected] | www.raywhiteelizabeth.com.au Suite 1A/3 Elizabeth Way, Elizabeth SA 5112 | RLA 217965
Elizabeth
Applicant Name/s: _________________________________________ ___________Contact No: _______________________________________ Property 1: ______________________________________________________________________________________Attended Open? YES Property 2: ______________________________________________________________________________________Attended Open? YES Property 3: ______________________________________________________________________________________ Attended Open? YES I/We acknowledge the rent amount for Property 1 of $_____________________ per week is payable fortnightly in advance during the term of the lease. My nominated method of payment for rent shall be (please tick): Electronic Funds Transfer (EFT)
Centrepay
Commonwealth Bank
I/We acknowledge there is a requirement to pay a security bond. Rent up to $250pw Rent over $251pw
= =
Equal to 4 weeks rent Bond amount (preference 1): $ __________ Equal to 6 weeks rent Bond amount (preference 1): $ __________
The bond will be paid by Cash Bond Housing SA Bond (please circle) If you are approved. The bond & 2 weeks rent must be paid within 48 hours to secure the property
YOU MUST PHOTOCOPY ALL DOCUMENTATION AND HAND INTO OFFICE
APPLICATION CHECKLIST Proof of Income i.e. Payslips ( x2 current) OR Centrelink Income Statement with payment amounts Photo Identification (Licence OR Proof of age OR Passport) Places you lived (current & previous, contact numbers essential, see Residential Details page 2) Sign the Declaration (see page 4) Rental Ledger from current Real Estate Additional Identification Required (choose 3 from below) Birth Certificate
Proof of Age
Passport
Citizenship Certificate
Licence
Debit / Credit Card
Medicare Card
Latest Electricity or Gas Account
Latest Telephone Account RAY WHITE ELIZABETH DOES NOT PHOTOCOPY
Applicant 1 Title: __________
DOB: _______/________/________ AGE:_________
Applicant 2 Title: __________
DOB: _______/________/________ AGE:_________
Given Names: ____________________________________________________
Given Names: ____________________________________________________
Surname: _________________________________________________________
Surname: _________________________________________________________
Relationship with applicant 2:___________________________________
Relationship with applicant 1:___________________________________
Home: ________________________ Mobile:___________________________
Home: ________________________ Mobile:___________________________
Email: _____________________________________________________________
Email: _____________________________________________________________
Licence No._______________ ______Car Rego: ______________________
Licence No._______________ ______Car Rego: ______________________
Car Model: _______________________________________________________
Car Model: _______________________________________________________
Residential Details
Residential Details
Current Address: _________________________________________________
Current Address: _________________________________________________
____________________________________________________________________
____________________________________________________________________
Circle Applicable
Circle Applicable
Private Landlord Agent Family Boarding Owner
Private Landlord Agent Family Boarding Owner
How long have you lived at your current address?
How long have you lived at your current address?
_______ Years ________ Months
_______ Years ________ Months
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Contact No: ____________________ Rent per week $_______________
Contact No: ____________________ Rent per week $_______________
Why are you leaving this address?
Why are you leaving this address?
____________________________________________________________________
____________________________________________________________________
Previous Address: ________________________________________________
Previous Address: ________________________________________________
____________________________________________________________________
____________________________________________________________________
Circle Applicable
Circle Applicable
Private Landlord Agent Family Boarding Owner
Private Landlord Agent Family Boarding Owner
How long did you live at your previous address?
How long did you live at your previous address?
_______ Years ________ Months
_______ Years ________ Months
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Name Private Landlord / Agent / Family / Boarding: ____________________________________________________________________
Contact No: ____________________ Rent per week $_______________
Contact No: ____________________ Rent per week $_______________
Why did you leave this address?
Why did you leave this address?
____________________________________________________________________
____________________________________________________________________
Income / Employment Details
Income / Employment Details
Current Occupation: _____________________________________________
Current Occupation: _____________________________________________
Employer’s Name: _______________________________________________
Employer’s Name: _______________________________________________
Employer’s Address: ____________________________________________
Employer’s Address: ____________________________________________
___________________________________________________________________
___________________________________________________________________
Contact Name: _________________________ Ph: _____________________
Contact Name: _________________________ Ph: _____________________
Length of Employment: ________ Years _______ Months
Length of Employment: ________ Years _______ Months
Weekly Wage or Salary : $ _______________________________________
Weekly Wage or Salary : $ _______________________________________
Government/Other Benefits Type:______________________________
Government/Other Benefits Type:______________________________
Weekly Government Benefits Income: $ ________________________
Weekly Government Benefits Income: $ ________________________
Total Weekly Income: $ _________________________________________
Total Weekly Income: $ _________________________________________
Emergency Contact (i.e. Family, friend)
Emergency Contact (i.e. Family, friend)
Next of Kin: ______________________________________________________
Next of Kin: ______________________________________________________
Address: __________________________________________________________
Address: _________________________________________________________
Home: _________________________ Work: __________________________
Home: _________________________ Work: __________________________
Mob: ____________________ _______Relationship:___________________
Mob: ____________________ _______Relationship:___________________
Personal Reference (not related to you)
Personal Reference (not related to you)
Ensure they have agreed to be nominated as a referee and they must be contactable during business hours.
Ensure they have agreed to be nominated as a referee and they must be contactable during business hours.
1. Name: _________________________________________________________
1. Name: _________________________________________________________
Home: ________________________ Work: ________________________
Home: ________________________ Work: ________________________
Relationship: _________________________________________________
Relationship: _________________________________________________
2. Name: _________________________________________________________
2. Name: _________________________________________________________
Home: ________________________ Work: ________________________
Home: ________________________ Work: ________________________
Relationship: _________________________________________________
Relationship: _________________________________________________
Other persons to reside at the property (under 18 years old) Please provide full names and ages. Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________ Pets ———- Please provide details of any pets to be kept at the property Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________ Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________ Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________
Free Service Connection UTILITY CONNECTION - This is a FREE service that connects all your utilities. Ray White offer free service connections. Once the application has been approved we will provide the company with your details to get the services connected for you. Please tick utilities as required:
Electricity
Gas
Insurance
Internet
Phone
Cleaning
Please advise your property manager if you do not wish for this to occur.
Upon signing this application I give authority for my details to be provided for connection services if/when application is approved. Signature of applicant 1 ………………………………………….............................................………….. Date......./......./....... Application sent to Direct Connect (if required) Signature of applicant 2 ………………………………………….............................................………….. Date......./......./....... Application sent to Direct Connect (if required)
Removals
Processing and Application Acceptance/Non Acceptance Please Read Carefully •
Your application will be processed with the information provided and submitted to the landlord for their acceptance or non-acceptance for tenancy. This is always a landlord decision.
•
Should your application be accepted, you will be asked to pay the bond and first 2 weeks rent and sign the lease as soon as possible. You will be asked to pay the amounts into our trust account immediately.
•
Tenants will be liable for water charges.
•
It is a tenant responsibility to arrange connection of electricity, telephone and gas supply to the property, once the application is approved. However, we are also able to assist you in this regard - refer to previous page
•
Once applications are processed by the property manager, applicants will be notified if they have made it through to the short list, then will be notified if successful or unsuccessful . We are unable to provide a reason for non-acceptance if your application is not approved for tenancy.
DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the 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 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 am not bankrupt. I authorise the Agent to obtain personal Information from: a) The owner or the Agent of my current or previous residence; b) My personal referees and employer/s; c) Any record listing or database of defaults by tenants; If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future. 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 b) Prepare lease/tenancy documents c) Allow tradespeople or equivalent organisations to contact me d) Lodge/claim/transfer to/from a Bond Authority e) Refer to Tribunals/Courts & Statutory Authorities (where applicable) f) Refer to collection agents/lawyers (where applicable) g) Complete a credit check with NTD (National Tenancies Database) To ensure the quality of tenants Ray White Elizabeth uses the TICA (tenant database) system. Their contact number is 190 222 0346 (calls charged at $5.45 per minute, higher for mobile or pay phones) otherwise check out http://www.tica.com.au/tenant.php for other options. I am aware that if information is not provided or I do not consent to the uses 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. Applicant 1 Name: ________________________________________________Signed: ________________________________________Date: ____/____/____ Applicant 2 Name: ________________________________________________Signed: ________________________________________Date: ____/____/____
Benjamin Watkins Office Manager 0419 988 388
Diannee Chant Property Manager 0421 519 558
Candice Gilgen Property Manager 0423 799 179
Bronwyn Styles Property Manager 0468 950 533
Elizabeth Rooney Property Manager 0478 058 873
Jo Critchely PM Support 08 8287 5511
Application Approved For Processing By:_____________________________________________________ Date Received:______ / ______ / _____
