Tenancy Application « Parkes Property

Tenancy Application

Agent Details

Parkes Property Leasing
906-908 Doncaster Road Doncaster East, 3109
Phone no. 03 9848 1100
Fax no. 03 9840 1570
Email address: rentals@parkesproperty.com.au

Property Details

1. What is the address of the property you would like to rent?

2. Lease commencement date? (dd/mm/yyyy)
Day*	Month*	Year*
3. Lease term?
Years*	Months*
4. How many people will normally occupy the property?
Adults*	Children*

Personal Details

5. Please give us your details
Mr. Ms. Miss Mrs. Other
Given Name(s)*	Surname*
Date of Birth*
Drivers Licence No.*	Drivers Licence State*
Passport No.*	Passport Country*
Pension No. (if applicable)	Pension Type (if applicable)
6. Please provide your contact details
Home Phone No.*	Mobile Phone No.*
Work Phone No.	Fax No.
Email Address*
7. What is your current address?*

Applicant History

8. How long have you lived at your current address?
Years*	Months*
9. Why are you leaving this address?

10. Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Landlord/agent's phone no.	Weekly rent paid
11. What was your previous residential address?*

12. How long did you live at this address?
Years*	Months*
13. Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Landlord/agent's phone no.	Weekly rent paid
Was bond refunded in full?	If not why not?

Employment History

14. Please provide your employment details
What is your occupation?*	What is the nature of your employment?*
Employer's name (inc. accountant if self employed or institution if a student)*	Employer's address*
Contact name*	Phone no.*
Length of employment (months)*	Net annual income*
15. Please provide your previous employment details
Previous occupation*	Previous employer's name*
Previous length of employment (months)*	Previous net annual income*

Contacts/References

16. Please provide a contact in case of emergency
Given Name(s)*	Surname*
Relationship to you*	Phone no.*
17. Please provide two personal references (not related to you)
Given Name(s)*	Surname*
Relationship to you*	Phone no.*
Given Name(s)*	Surname*
Relationship to you*	Phone no.*

Other Information

18. Car Registration

19. Please provide details of any pets
Breed/type	Council registration/number
Breed/type	Council registration/number
20. How did you find out about this property? (please tick)
Internet Window display Local paper Rent list Other

Utility Connections (optional)

If you would like assistance, (at no additional charge) with the connection of telephone, electricity, gas and water to your new home then tick the box below. UtilityOne will then contact you and explain the details of the services available.

21. Please contact me regarding CONNECTION of my utilities
Yes No

Uitlity connection services are provided by:

Phone: 13 18 19
Email: contact@utilityone.com.au
Fax: 1300 73 18 19
Web: www.utilityone.com.au

If the box in this section is ticked, UtilityOne will use the information provided by the Agent to explain the services offered and to undertake any connection and disconnection services authorized (including the provision of information to utility companies). All details on this page must be completed for the service to be provided. Personal information collected by UtilityOne may be accessed by contacting UtilityOne using the contact details above. Normal service provider fees or bonds may apply.

Terms and Conditions

I/We offer to rent the property from the owner and subject to the owners approval.
I/we agree to enter into a lease to be prepared in accordance with and pursuant to the Residential Tenancies Act 1997.
I/We acknowledge and confirm my/our capacity to make all required payments as and when they fall due.
I/We declare that the information provided in this application is given freely and to the best of my/our knowledge, true and correct.
I/We declare that I/we have inspected the premises and that I/we am/are not bankrupt.
I/We duly authorise the Agent to make any and all necessary inquiries from such relevant sources deemed able to establish my/our credit worthiness.
I/We acknowledge that in the event of a default under this lease agreement, the Agent may disclose details of any such default to any person or persons whom the Agent may consider has an interest in receiving such information.

I/We confirm my/our Agreement to these terms and conditions

Tenancy Privacy Statement

Please take one moment and read the Tenancy Privacy Statement Click here

I/We have read this statement and ACCEPT the terms contained herein

Please type in your full name(s)*

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