Property Address:
Preferred Lease Start Date:
Tenancy Term (please circle) : 6months
12months
Applicant Information
Name:
Phone:
Date of birth:
License/ Passport:
Current address:
City:
Own / Rent
State:
Weekly rent/payment:
How long?
Name of owner/agent:
Phone:
Reason for leaving:
Email:
Previous address (if current is <2years):
City:
Own / Rent
State
Weekly rent/payment:
How long?
Name of owner/agent:
Phone:
Reason for leaving:
Email:
If you are self employed
Company or Business Name:
ACN/ABN:
Date Formed:
Employment Information
Current employer:
Employer address:
City:
State:
Phone:
How long?
Email:
Position:
Weekly income (NET):
Casual/ Part-Time/ Full-time
City:
Centrelink Benefit:
State:
Weekly income (NET):
Pets to be on Lease
How many?
Type:
Breed:
Desexed/Council Registered/Microchipped
Occupancy Details (details of all persons to reside at property)
Name
DOB
Relationship
Name
DOB
Relationship
Name
DOB
Relationship
Name
DOB
Relationship
Emergency Contact
Name:
Relationship:
Number
Your application is a high priority; upon receiving a fully
completed application we will submit your application to the
owner within 24 hours and have a final decision to you within 36
hours.
Applications are subject to owner’s approval.
Applications will not be processed unless all information is
supplied.
Please supply 100 points of ID
Please Read the Following Carefully
1. If your application is approved and you have paid a deposit and
withdraw your application, your holding deposit may be forfeited
2. Holding deposits, if requested, can only be refunded by way of
a TRUST ACOUNT CHEQUE
3. The initial payments are equivalent to 2 weeks rent + 4 weeks
for the bond. This must be deposited directly into the RPM Trust
Account.
4. It is agreed that immediately upon communication that this
application has been accepted, this tenancy is binding on the
landlord and tenant.
5. All rent is paid to this office by using Direct Deposit/Credit
Card/bank cheque and I am aware of the costs.
6. I have read the attached Form 18A plus the clauses which will
be on my tenancy agreement
7. Standard terms & special conditions attached to Form 18A.
Each applicant must complete a separate application.
8. The link for the General Tenancy Agreement is
http://www.rta.qld.gov.au/eforms_starting_tenancy.cfm
Successful applications:
We require 2 weeks rent immediately to secure the property.
Rent – first 2 weeks rent 2 x $
Bond – 4 times weekly rent 4 x $
=$
=$
TOTAL PRE-MOVING IN COST $
Total to be paid BEFORE lease commences
Our office does not accept bond transfers
Initial payments of bond and rent can only be by bank cheque or
direct deposit to our bank account, cash will not be accepted
All parties to the lease must attend a 30 minute sign up
appointment
We are unable to hand over keys until tenancy documents are
signed, all money is paid and the lease has started
ACKNOWLEDGEMENT
I/we the applicants do solemnly & sincerely declare that I /we
am/are not bankrupt.
I/we inspected the premises and wish to take a tenancy of such
premises under the terms listed above and that the rental paid is
within my/our means.
I/we undertake to pay a bond upon the signing of the tenancy
agreement.
I/We the applicant (s) declare that the above information is true
and correct and that I/we have supplied it of our own free will.
I/We understand that the information has been collected by you
as the letting agent, for the purpose of determining whether I/we
am/are an appropriate tenant for the property.
I/We authorise you to verify the above information by contacting
and checking the accuracy of the information with those persons
named in this application, and by undertaking such enquiries and
searches (including tenancy database searches) as you consider
reasonably necessary.
I/We acknowledge false information in this application could
jeopardise this application and any subsequent tenancy
agreement I/we enter into on approval by the lessor or agent.
I/We acknowledge and accept that if this application is rejected,
the agent is not legally obliged to give reasons for the rejection.
Signed: __________________________________________
Request for Rental Reference
(Please sign privacy statement to allow RPM to contact previous property managers)
Privacy Act Acknowledgement for Tenants
In accordance with Privacy Principle 1.3 of the Privacy Act we require you to read and sign this acknowledgement.
In order to process a tenancy application a tenancy applicant is required under the National Privacy Principles of Privacy Act to be made aware
that an organisation may access a database.
In addition a tenancy applicant is entitled to know what will happen to their information when it is passed onto an agent.
In accordance with the National Privacy Principles the database member discloses that in addition to information being supplied to a database
company other organisations may receive information from time to time.
Other organisations may include debt collection agencies, insurance companies, government departments and other landlords or agents. I/we
the said applicant/s declare that I/we give my/our permission to the agent to collect my/our information and pass such information onto TICA
Default Tenancy Control
Pty Ltd.
I/we further give my/our permission for my/our information to be provided to any other tenancy database for the assessment of my/our
tenancy application.
I/we further give consent to the member of the Database Company to contact any of my/our referees provided by me/us in my/our tenancy
application.
I/we agree and understand that once a tenancy application has been lodged with a member of a tenancy database and an inquiry made with a
tenancy database my/our information may be recorded as making an inquiry.
I/we agree that in the event of a default occurring under a tenancy agreement I/we give my/our permission to the member of a tenancy
database to register any of my details of such breach with a tenancy database.
I/we further agree and understand that the removal of such information from a database company is subject to the conditions of the Database
Company.
I/we understand that TICA Default Tenancy Control Pty Ltd is a database company that allows its member’s access to information accumulated
from members about tenants who have breached their tenancy agreements.
I/we agree and understand that should I fail to provide the database member with the information and acknowledgements required the
database member may elect not to proceed with my/our tenancy application.
I/we agree and understand that a listing with TICA Default Tenancy Control Pty Ltd could have an adverse effect on my/our ability to obtain
future rental accommodation.
I/we acknowledge and understand that TICA Default Tenancy Control Pty Ltd can be contacted on 190 222 0346.
I/we agree that the calls to TICA Default Tenancy Control Pty Ltd are charged at $5.45 per minute inclusive of GST.
Signed:____________________________________________________________________________
To the property manager:
Agency Name: ______________________________________________________________________
Name of tenant: _____________________________________________________________________
Property address: ____________________________________________________________________
Was the applicant listed as a tenant?
Y/N
Did your office terminate the tenancy?
Y/N
If yes, why?_________________________________________________________________________
Was the tenant often in arrears?
Y/N
Was there ever any issues with inspection?
Y/N
If yes, details? _______________________________________________________________________
Was a Notice to Remedy Breach ever issues?
Y/N
Period of time through your agency: _____________________________________________________
Rent amount: _______________________________________________________________________
Would you rent to the tenant again? _____________________________________________________