1/5 APPLICATION CHECKLIST:
Thank you for applying for a Lakeford Real Estate rental property. Please complete this application thoroughly and ensure that all contact details are correct. Please ensure you attach non-returnable copies of documentation. The following is required to process your application:
Proof of identity (drivers license, passport or birth certificate)
Proof of income (last 2 pay slips or current Centrelink income statement)
Supporting documents (current rental ledger, last 2 rent receipts, 2 written references, current phone/electricity bill, rates notice)
I have read and signed the privacy statement
I have signed the application
If more than one person is applying then each person needs to complete an application
PROPERTY DETAILS:
Address:___________________________________________________________________________ Lease commencement date:__________________________ Length of lease: 6 months / 12 months Rent per week: $___________________________ How many people: Adults ______ Children______
PERSONAL DETAILS:
Mr / Mrs / Ms / Miss / Other: __________________________________________________________ Given name/s:____________________________ Surname:__________________________________ Date of birth:_____________________________ Gender: Male / Female
Drivers license Number:_________________________ Expiry :_______________________________ Passport Number:__________________________ Passport Country:__________________________ Home phone Number:_________________________ Mobile phone Number:___________________ Work phone Number: _________________________ Email: _________________________________ Current address: ____________________________________________________________________ Smoker / Non-smoker
2/5 OTHER OCCUPANTS:
Given name/s: ________________________________Surname: _____________________________ Relationship to you: ____________________________ Age: _________________________________ Given name/s: ________________________________Surname: _____________________________ Relationship to you: ____________________________ Age: _________________________________ Given name/s: ________________________________Surname: _____________________________ Relationship to you: ____________________________ Age: _________________________________ Given name/s: ________________________________Surname: _____________________________ Relationship to you: ____________________________ Age: _________________________________
APPLICANT HISTORY:
Current address: ____________________________________________________________________ Reason for leaving this address: _______________________________________________________ Name of landlord / agent: ____________________________________________________________ Landlord / agent phone number: ___________________________ Weekly rent: $______________ Previous address: ___________________________________________________________________ Name of landlord / agent: ____________________________________________________________ Landlord / agent phone number:_______________________________________________________ Was bond refunded in full? Yes / No
Have you ever been evicted from a property? Yes / No Are you in debt to another landlord or agent? Yes / no
EMPLOYMENT HISTORY:
What is your occupation: ___________________________________________________________ What is the nature of your employment? Full time / Part time / Casual
Employer’s name: ___________________________________________________________________ Employer’s address: _________________________________________________________________ Phone Number:_____________________________________________________________________ Length of employment: ____ Years____ Months Gross weekly income: _____________________
3/5 REFERENCES:
Please provide 2 personal references:
Given name/s: _____________________________ Surname: ________________________________ Relationship to you: _________________________ Phone Number:___________________________ Given name/s: _____________________________ Surname: ________________________________ Relationship to you: _________________________ Phone Number:___________________________
EMERGENCY CONTACT 1:
Please provide a contact in case of an emergency:
Given name/s: _____________________________ Surname: ________________________________ Relationship to you: _______________________ Phone Number:_____________________________ EMERGENCY CONTACT 2:
Please provide a contact in case of an emergency:
Given name/s: ____________________________ Surname: _________________________________ Relationship to you: _______________________ Phone Number:_____________________________
OTHER INFORMATION:
Car registration: ___________________________ Make/Model:______________________________ Please provide details of any pets:
Breed / Type: _____________________________ Inside / Outside: ___________________________ Council registration number:_________________ Micro-chipped: Yes / No
4/5 RESERVATION FEE:
PLEASE NOTE: THE HOLDING FEE CAN ONLY BE ACCEPTED AFTER THE APPLICATION FOR TENANCT IS APPROVED.
The holding fee (not exceeding one week’s rent) keeps the premises off the market for the prospective tenant for up to 7 days.
In consideration of the above holding fee paid by the prospective tenant, the landlord’s agent acknowledges that:
i. The application for tenancy has been approved by the landlord; and
ii. During this period, the premises will not be reserved for any other applicant , nor will a Holding Fee be received from any other applicant, pending the making of a residential tenancy agreement; and
iii. If the prospective tenant(s) decide not to enter such an agreement, the landlord may retain the whole fee; and
iv. If a residential tenancy agreement is entered into, the holding fee is to be paid towards rent for the residential premised concerned.
v. The whole fee will be refunded to the prospective tenant if:
a) The entering into of the tenancy agreement is conditional on the landlord carrying out repairs or other work and the landlord does not carry out the work during the specified period. Applicant’s signature: _______________________________ Date: ________________________
YOURPORTER:
Given name/s: ______________________________ Surname: ___________________________ Mobile phone Number: ___________________________ Date of birth: ____________________ YourPorter is a FREE service connecting utilities and other services. lf the Agent approves this application, YourPorter will be contacting you by phone, SMS, or email for the purposes of assisting you to connect your utilities within 24 hours of receiving this application for next business day connection.
DECLARATION AND ACCEPTANCE: l/we consent to the disclosure of this application form (including any personal information contained in this form) to YourPorter Pty Ltd (ABN 36 252 576 050) for the purpose of allowing YourPorter and its service provider iSelect Ltd to contact me for the connection and disconnection of services as offered by YourPorter. I/we acknowledge that if I/we do not provide my/our personal information, YourPorter and iselect will not be able to provide these services to me/us. YourPorter and iSelect will ensure that my/our personal information is collected, used, held and disclosed in accordance with the requirements of the Privacy Act 1988. I/we consent to YourPorter and its Agents and iSelect disclosing my/our personal information to providers of the services l/we have indicated above that l/we would like to connect, for the connection of those services and the disconnection of any existing services. I/we consent to YourPorter and iSelect disclosing connection confirmation details to the Agent. I/we acknowledge that iSelect, the Agent, its employees and YourPorter may receive a benefit in relation to the connection of any of the services listed above. I/we consent to YourPorter and iSelect contacting me by phone or SMS in relation to the connection of the services listed above. I/we acknowledge that this consent permits YourPorter and iselect to contact me even if the numbers listed on this application are listed on the Do Not Call Register. YourPorter and iSelect will otherwise collect, hold, use and disclose personal information in accordance with their respective privacy policies, which are available at www.yourporter.com.au/general/privacy-policy/ and http://www.iselect.com.au/privacy-policy/ YourPorter is a free service, but l/we acknowledge that standard connection fees may apply for services connected (in addition to the ongoing service fees). l/we acknowledge that neither YourPorter nor the Agent nor iSelect accept any responsibility for any delay in or failure to arrange or provide for any connection or disconnection of a service or for any loss, damage, cost or expense in connection with such delay or failure. By signing this application l/we understand YourPorter is a value-add product and that l/we are under no obligation to use YourPorter.
5/5 DISCLOSURE STATEMENT & CONSENT –ANNEXURE TO APPLICANT – RESIDENTIAL TENANCY We are independently owned and operated business. We are bound by the National Privacy Principles. We collect personal information about you in this form to assess you application for a residential tenancy. We may need to collect information about you from previous landlords or letting agents, your current employer and your references. Your consent in collecting this information is set out below.
We may disclose personal information about you to the owner of the property to which this application applies. If this application is successful we may disclose your details to service providers relevant to tenancy relationship including maintenance contractors and the landlord’s insurers. We may also send personal information about you to the owners of any other properties you request.
You have the right to access personal information that we hold about you by contacting our agency. If you do not complete this form or do not sign the consent below then your application for residential tenancy may not be considered by the owner of the relevant property, or if considered, may be declined.
PRIVACY CONSENT:
I, _______________________________, (applicant) acknowledge that I have read the Privacy Disclosure Statement above and authorise the agency to collect information about me from: 1. My previous letting agents and/or landlords
2. My personal references; and
3. Any tenancy reference database which may contain personal information about me. I/We also authorise the agency to disclose details about any defaults by me under the tenancy to which this application relates and to any tenancy reference database to which the agency subscribes or has access.
I authorise the agent to disclose the personal information it collects about me to the owner of the property, even if the owner is a resident outside Australia. I authorise the agency to refer my details to service provider for:
- Utilities (to arrange connection or transfer of telephone, gas, electricity etc.)
