Pre-tenancy Application Form
Pre-Tenancy Application Form – Joint Parties Property Address: 1.
Please complete the following details to apply for the tenancy at the above address. Each adult tenant must complete this form.
2.
There is a letting fee of one weeks rent + gst. This fee is payable into the Property Managers bank account by the successful applicant within one week of securing the property.
3. The information you provide is for the purposes of applying for this tenancy only and may be used to conduct a credit, reference and police check. Your privacy is protected under the Privacy Act 1993.
Personal Details Applicant 1 When do you want the tenancy to begin? What length of tenancy do you prefer? (Please circle) Casual/Periodic
3 Months
6 Months
12 months
First Name:
Middle Name:
Last Name:
Home phone:
Work phone:
Mobile:
2 years or longer
Email: Date of Birth: Are you a Smoker?
Yes
No
(cross one out)
Do you have Pets?
Yes
No
(cross one out)
If “Yes” please provide details: How many people will be living at the property:
Adults
Children
Address of where you live now:
How long have you lived there?
Year(s):
Month(s):
Please state why you are leaving this address:
Copyright © 2010 Easy Peasy Limited
1 | Page
Employer Details (Applicant 1) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
No
How long have you worked for this employer?
Years
(cross one out) Months
If less than 2 years, please provide previous employment details below:
Previous Employer Details (Applicant 1) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
No
How long did you work for this employer?
Years
(cross one out) Months
Tenancy details (Applicant 1) If you are currently renting, please provide your landlord’s name and contact details. Name: Home phone:
Work phone:
Mobile:
Email: Do you agree to this person being contacted as a referee?
Copyright © 2010 Easy Peasy Limited
Yes
No
(cross one out)
2 | Page
Identification (Applicant 1) Please provide some photo identification, eg your driver’s license or passport. Driver’s license or passport number: Drivers Licence Version Number (5B on your licence): Car/Vehicle registration number:
Make and model:
Alternative form of ID provided Type: Name of a close relative: Relationship to you (eg, parent, brother or sister): Address: Home phone:
Work phone:
Mobile:
Email:
References (Applicant 1) Please provide two referees (include telephone numbers) that we can contact. Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness. (If you have already provided your current landlord’s details above, one additional referee is enough.) Please let these people know we will be contacting them to give ask about you in relation to the reference provided.
Reference 1 (Applicant 1) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Copyright © 2010 Easy Peasy Limited
3 | Page
Reference 2 (Applicant 1) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Checks (Applicant 1) Have you been convicted of a criminal offence?
Yes
No
(cross one out)
Do you give approval for a credit check to be carried out?
Yes
No
(cross one out)
Have you appeared at the Tenancy Tribunal in regards to a previous tenancy?
Yes
No
(cross one out)
Yes
No
(cross one out)
If YES, please give details
If YES, please give details
Is there any other information we should know which might affect your tenancy application? If YES, please give details
Copyright © 2010 Easy Peasy Limited
4 | Page
Personal Details Applicant 2 First Name:
Middle Name:
Last Name:
Home phone:
Work phone:
Mobile:
Email: Date of Birth: Are you a Smoker?
Yes
No
(cross one out)
Do you have Pets?
Yes
No
(cross one out)
If “Yes” please provide details: How many people will be living at the property:
Adults
Children
Address of where you live now:
How long have you lived there?
Year(s):
Month(s):
Please state why you are leaving this address:
Employer Details (Applicant 2) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
How long have you worked for this employer?
Years
No
(cross one out) Months
If less than 2 years, please provide previous employment details below: Copyright © 2010 Easy Peasy Limited
5 | Page
Previous Employer Details (Applicant 2) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
How long have you worked for this employer?
Years
No
(cross one out) Months
Tenancy details (Applicant 2) If you are currently renting, please provide your landlord’s name and contact details. Name: Home phone:
Work phone:
Mobile:
Email: Do you agree to this person being contacted as a referee?
Yes
No
(cross one out)
Identification (Applicant 2) Please provide some photo identification, such as your driver’s license or passport. Driver’s license or passport number: Drivers Licence Version Number (5B on your licence): Car/Vehicle registration number:
Make and model:
Alternative form of ID provided Type: Name of a close relative: Relationship to you (eg, parent, brother or sister): Address: Home phone:
Work phone:
Mobile:
Email: Copyright © 2010 Easy Peasy Limited
6 | Page
References (Applicant 2) Please provide two referees (include telephone numbers) that we can contact. Referees can be a friend, someone you have worked with, your case manager, your employer or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness. (If you have already provided your current landlord’s details above, one additional referee is enough.) Please let these people know we will be contacting them to give ask about you in relation to the reference provided.
Reference 1 (Applicant 2) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Reference 2 (Applicant 2) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Copyright © 2010 Easy Peasy Limited
7 | Page
Checks (Applicant 2) Have you been convicted of a criminal offence?
Yes
No
(cross one out)
Do you give approval for a credit check to be carried out?
Yes
No
(cross one out)
Have you appeared at the Tenancy Tribunal in regards to a previous tenancy?
Yes
No
(cross one out)
Is there any other information we should know which might Yes affect your tenancy application?
No
(cross one out)
If YES, please give details
If YES, please give details
If YES, please give details
Copyright © 2010 Easy Peasy Limited
8 | Page
Tenancy Check Privacy Act 1993 Statement This application form collects personal information about you. This information is required to:
Assess your eligibility as a tenant; and Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal); This information in this tenancy application form will be retained within our office; The information will also be made available to credit bureau and/or tenant default databases and will be accessible to other people that may inquire of this credit bureau and/or tenant default database; If you do not supply all the information in this form, you may not be considered for my/our tenancy(ies) You have a right to see the information held about you by any credit bureau or tenant default database and to correct that information in accordance with the Privacy Act.
Acceptance 1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database. 2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases. 3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal. 4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We Payment of rent Kept the dwelling and grounds tidy Were considerate towards neighbours Left the dwelling and grounds tidy If we are declined a tenancy – for any reason. 5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database. 6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above. Signature Applicant 1: ……………………….……. Date: ………………………………………….. Signature Applicant 2: ……………………….……. Date: …………………………………………..
Copyright © 2010 Easy Peasy Limited
9 | Page
Signature of Acceptance I/We have read and understood this application form. I/We agree to this information being used as necessary to obtain personal references and a credit check. Applicant 1 Print full name Signed
Date
Applicant 2 Print full name Signed
Date
Upon completion please return it to:
Easy Peasy Property Juliette Lister Property Manager and Letting Agent Email: [email protected] Postal: PO Box 31105, Lower Hutt 5040 Phone : 04 566 0150 Fax: 04 566 0153 Mobile: 021 547 837
Copyright © 2010 Easy Peasy Limited
10 | Page
Please complete the following details to apply for the tenancy at the above address. Each adult tenant must complete this form.
2.
There is a letting fee of one weeks rent + gst. This fee is payable into the Property Managers bank account by the successful applicant within one week of securing the property.
3. The information you provide is for the purposes of applying for this tenancy only and may be used to conduct a credit, reference and police check. Your privacy is protected under the Privacy Act 1993.
Personal Details Applicant 1 When do you want the tenancy to begin? What length of tenancy do you prefer? (Please circle) Casual/Periodic
3 Months
6 Months
12 months
First Name:
Middle Name:
Last Name:
Home phone:
Work phone:
Mobile:
2 years or longer
Email: Date of Birth: Are you a Smoker?
Yes
No
(cross one out)
Do you have Pets?
Yes
No
(cross one out)
If “Yes” please provide details: How many people will be living at the property:
Adults
Children
Address of where you live now:
How long have you lived there?
Year(s):
Month(s):
Please state why you are leaving this address:
Copyright © 2010 Easy Peasy Limited
1 | Page
Employer Details (Applicant 1) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
No
How long have you worked for this employer?
Years
(cross one out) Months
If less than 2 years, please provide previous employment details below:
Previous Employer Details (Applicant 1) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
No
How long did you work for this employer?
Years
(cross one out) Months
Tenancy details (Applicant 1) If you are currently renting, please provide your landlord’s name and contact details. Name: Home phone:
Work phone:
Mobile:
Email: Do you agree to this person being contacted as a referee?
Copyright © 2010 Easy Peasy Limited
Yes
No
(cross one out)
2 | Page
Identification (Applicant 1) Please provide some photo identification, eg your driver’s license or passport. Driver’s license or passport number: Drivers Licence Version Number (5B on your licence): Car/Vehicle registration number:
Make and model:
Alternative form of ID provided Type: Name of a close relative: Relationship to you (eg, parent, brother or sister): Address: Home phone:
Work phone:
Mobile:
Email:
References (Applicant 1) Please provide two referees (include telephone numbers) that we can contact. Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness. (If you have already provided your current landlord’s details above, one additional referee is enough.) Please let these people know we will be contacting them to give ask about you in relation to the reference provided.
Reference 1 (Applicant 1) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Copyright © 2010 Easy Peasy Limited
3 | Page
Reference 2 (Applicant 1) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Checks (Applicant 1) Have you been convicted of a criminal offence?
Yes
No
(cross one out)
Do you give approval for a credit check to be carried out?
Yes
No
(cross one out)
Have you appeared at the Tenancy Tribunal in regards to a previous tenancy?
Yes
No
(cross one out)
Yes
No
(cross one out)
If YES, please give details
If YES, please give details
Is there any other information we should know which might affect your tenancy application? If YES, please give details
Copyright © 2010 Easy Peasy Limited
4 | Page
Personal Details Applicant 2 First Name:
Middle Name:
Last Name:
Home phone:
Work phone:
Mobile:
Email: Date of Birth: Are you a Smoker?
Yes
No
(cross one out)
Do you have Pets?
Yes
No
(cross one out)
If “Yes” please provide details: How many people will be living at the property:
Adults
Children
Address of where you live now:
How long have you lived there?
Year(s):
Month(s):
Please state why you are leaving this address:
Employer Details (Applicant 2) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
How long have you worked for this employer?
Years
No
(cross one out) Months
If less than 2 years, please provide previous employment details below: Copyright © 2010 Easy Peasy Limited
5 | Page
Previous Employer Details (Applicant 2) Employer’s Name: Employer’s Address: Position Held:
Manager’s Name:
Do you agree to this person being contacted as a referee?
Yes
How long have you worked for this employer?
Years
No
(cross one out) Months
Tenancy details (Applicant 2) If you are currently renting, please provide your landlord’s name and contact details. Name: Home phone:
Work phone:
Mobile:
Email: Do you agree to this person being contacted as a referee?
Yes
No
(cross one out)
Identification (Applicant 2) Please provide some photo identification, such as your driver’s license or passport. Driver’s license or passport number: Drivers Licence Version Number (5B on your licence): Car/Vehicle registration number:
Make and model:
Alternative form of ID provided Type: Name of a close relative: Relationship to you (eg, parent, brother or sister): Address: Home phone:
Work phone:
Mobile:
Email: Copyright © 2010 Easy Peasy Limited
6 | Page
References (Applicant 2) Please provide two referees (include telephone numbers) that we can contact. Referees can be a friend, someone you have worked with, your case manager, your employer or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness. (If you have already provided your current landlord’s details above, one additional referee is enough.) Please let these people know we will be contacting them to give ask about you in relation to the reference provided.
Reference 1 (Applicant 2) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Reference 2 (Applicant 2) Name Address
Home phone:
Work phone:
Mobile:
Relationship to you (e.g. friend, employer, co-worker)
Copyright © 2010 Easy Peasy Limited
7 | Page
Checks (Applicant 2) Have you been convicted of a criminal offence?
Yes
No
(cross one out)
Do you give approval for a credit check to be carried out?
Yes
No
(cross one out)
Have you appeared at the Tenancy Tribunal in regards to a previous tenancy?
Yes
No
(cross one out)
Is there any other information we should know which might Yes affect your tenancy application?
No
(cross one out)
If YES, please give details
If YES, please give details
If YES, please give details
Copyright © 2010 Easy Peasy Limited
8 | Page
Tenancy Check Privacy Act 1993 Statement This application form collects personal information about you. This information is required to:
Assess your eligibility as a tenant; and Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal); This information in this tenancy application form will be retained within our office; The information will also be made available to credit bureau and/or tenant default databases and will be accessible to other people that may inquire of this credit bureau and/or tenant default database; If you do not supply all the information in this form, you may not be considered for my/our tenancy(ies) You have a right to see the information held about you by any credit bureau or tenant default database and to correct that information in accordance with the Privacy Act.
Acceptance 1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database. 2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases. 3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal. 4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We Payment of rent Kept the dwelling and grounds tidy Were considerate towards neighbours Left the dwelling and grounds tidy If we are declined a tenancy – for any reason. 5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database. 6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above. Signature Applicant 1: ……………………….……. Date: ………………………………………….. Signature Applicant 2: ……………………….……. Date: …………………………………………..
Copyright © 2010 Easy Peasy Limited
9 | Page
Signature of Acceptance I/We have read and understood this application form. I/We agree to this information being used as necessary to obtain personal references and a credit check. Applicant 1 Print full name Signed
Date
Applicant 2 Print full name Signed
Date
Upon completion please return it to:
Easy Peasy Property Juliette Lister Property Manager and Letting Agent Email: [email protected] Postal: PO Box 31105, Lower Hutt 5040 Phone : 04 566 0150 Fax: 04 566 0153 Mobile: 021 547 837
Copyright © 2010 Easy Peasy Limited
10 | Page
