Elders Real Estate Penrith
RESIDENTIAL TENANCY APPLICATION
ELDERS PENRITH WILL NOT PHOTOCOPY YOUR DOCUMENTS
PLEASE ENSURE ALL DOCUMENTS ATTACHED ARE COPIES ONLY
DO NOT ATTACH ORIGINALS TO THIS APPLICATION
Address: 348 High Street, Penrith NSW 2750
Phone Number: (02) 4732 5055
Fax Number: (02) 4732 5588
Email Address: [email protected]
Web: www.elderspenrith.com.au
IMPORTANT NOTICE TO APPLICANTS:
1.
Prior to completing an Application Form the applicants must have seen inside the property.
2.
3.
4.
Every person over the age of 18 must fill in an application form and provide references.
This application must be completed in full - written references must be attached.
The following information must be supplied:
If you: RENT THROUGH AN AGENT
If you: RENT PRIVATELY
• Rental Ledger: This must be a continuous document
• Rental Reference: From owner with contact phone
from start of tenancy to date of application with us
• Rental Reference: On letterhead from managing agent
• Employment Reference: On letterhead stating length of
employment + wages/salary details.
• If self employed; Copy of last 2 yrs personal tax return or
letter from accountant stipulating length of trading & personal income from company
OR
• Copy of Centrelink Payments / Youth Allowance
• Photo Identification: showing signature. Eg:
passport, drivers licence or proof of age card.
numbers.
• Last 4 rent receipts
• Employment Reference: On letterhead stating length of
employment + wages/salary details.
• If self employed; Copy of last 2 yrs personal tax return or
letter from accountant stipulating length of trading & personal income from company
OR
• Copy of Centrelink Payments / Youth Allowance
• Photo Identification: showing signature Eg:
passport, drivers licence or proof of age card.
Applications will only be looked at once ALL information by ALL applicants has been supplied.
This application will be investigated as to its accuracy and referred to:
Tenancy Information Centre Australia (TICA) PO Box 120 Concord NSW 2137
1. Applications are not processed over the weekend
2. We do not accept transfer of bond and we do not transfer bonds.
If your application is approved one week’s rent will be required to hold the property.
Should you decide not to proceed this reservation fee will be forfeited.
All reservation fee’s are subject to the same terms & conditions.
SUCCESSFUL APPLICANTS: Signing a lease requires the following monies to be supplied in addition
to the holding fee. All monies must be in the form of a Bank Cheque or Money Order:
BOND
4 WEEKS RENT LODGED WITH BOND BOARD
RENT
2 WEEKS IN ADVANCE REQUIRED
PLEASE NOTE - CASH OR PERSONAL CHEQUES WILL NOT BE ACCEPTED
All parties must sign the lease before keys can be issued.
It is your responsibility to arrange connection of all facilities such as electricity, phone & gas.
Our office reserves the right to allow for any changes or additions to the above at any time.
FAILURE TO COMPLETE THE ANNEXURE RESULTS IN INVALIDATION OF THE APPLICATION
ANNEXURE
A. Have you ever been evicted by any other landlord or agent
If “yes” give details:
B. Have you ever been refused another property by any other landlord or agent
If “yes” give details:
C. Are you in debt to any other landlord or agent
If “yes” give details:
D. Were any deductions made from your rental bond at your last address
If “yes” give details:
E. Have you ever been declared Bankrupt.
If “yes” give details and what year:
F. Do you currently have applications pending with any other agent/s
If “yes” give details:
G. Have you given notice to vacate at your current address?
If “no”, are you still under a lease:
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
I the applicant hereby authorise you, as the agent to conduct an inquiry with all Tenancy Information Databases, and any
other searches, which may verify the information, provided by me. I solemnly and sincerely declare that all the information
provided is true and correct and has been willingly supplied to assist in the assessment of my application.
ALL DOCUMENTS PROVIDED TO ELDERS PENRITH AS PART OF THIS APPLICATION BECOME THE PROPERTY
OF ELDERS PENRITH AND WILL NOT BE RETURNED. ALL UNSUCCESSFUL OR WITHDRAWN APPLICATIONS ARE
DESTROYED
Applicants Signature:
Date:
/
/
(THIS MUST BE SIGNED FOR THE APPLICATION TO BE PROCESSED)
OFFICE USE ONLY:
References Checked (
) initials
Spoke to owner:
on:
Name of employer:
TICA
Credit Checks(
on:
CHECKED
YES / NO
LISTED
YES / NO
) initials Owner Approved Yes / No (
/
/
time:
/
/
time:
) initials
STAFF
100 POINTS OF IDENTIFICATION
100 Points of identification is required with at least one of the following items marked with * next to the point
value. Each applicant is required to provide the following:
ID REQUIRED PER APPLICANT
POINT VALUE
Driver’s License (showing current address)
30 points *
Passport
30 points *
Proof of Age card
30 points *
Current Tenancy history ledger
20 points
Previous 4 weeks rent receipts
20 points
Previous Tenancy agreement
20 points
Rental Bond receipt
20 points
Pay advice (up to date)
15 points
Motor vehicle Registration
15 points
Telephone account
15 points
Electricity / Gas account
15 points each
Current Bank or Credit Card statement
15 points each
Pension card
15 points
Council or Water rates
15 points each
Medicare card / Health Care card
10 points each
Birth Certificate
10 points
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 decision is always made by the Landlord.
• We are not required to give a reason for non-acceptance should your application be refused by the Landlord.
• It is the Tenant’s responsibility to arrange connection of electricity, telephone and gas supply to the property once the
application has been approved. If you would like help with this, please complete the Direct Connect section on the
following page and should your application be successful, we will forward your details to them and they will call you
to arrange your connections
PLEASE NOTE INCOMPLETED APPLICATIONS WILL NOT BE PROCESSED!
Residential Application Form
For your application to be processed you must answer all questions
(Including the reverse side)
A.
D.
AGENT DETAILS
Elders Real Estate Penrith
Address:
Phone Number:
Fax Number:
Email Address:
Web:
348 High Street, Penrith NSW 2750
(02) 4732 5055
(02) 4732 5588
[email protected]
www.elderspenrith.com.au
Once we have received this application we will call you to confirm your details.
Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working
day on receipt of this Application to confirm the information on this Application and explain the details
of the services offered. Direct Connect is a utility one stop connection service.
Please tick utilities as required
Electricity
Gas
Phone
Property Manager
B.
Internet
PROPERTY DETAILS
1. What is the address of the property you would like to rent?
Postcode
2. Lease commencement date?
Day
Month
Year
3. Lease term?
Years
Months
4. How many tenants will occupy the property?
Adults
C.
Ages of
Children
Children
PERSONAL DETAILS
5. Please give us your details
Mr
UTILITY CONNECTIONS
This is a free service that connects all your utilities
Ms
Miss
Mrs
Other
Surname
Given Name/s
Date of Birth
Driver’s licence number
Driver’s licence expiry date
Driver’s licence state
Pay TV
Signature
Passport no.
Passport country
Pension no. (if applicable)
Pension type (if applicable)
Insurance
DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect
arranging for the connection and disconnection of the nominated utility services and to providing
information contained in this application to utility providers for this purpose; acknowledge having been
provided with terms and Conditions of Supply of Direct Connect and having read and understood them
together with the Privacy Collection Notice set out below; declare that all the information contained
in this application is true and correct and given of their own free will; expressly authorise Direct
Connect to provide any information disclosed in this Application to a supplier or potential supplier of
the Services in accordance with the Privacy Collection Notice and to obtain any information necessary
in relation to the Services; expressly authorise Direct Connect to provide any information disclosed in
this Application to an information provider for the purpose of that information provider disclosing it to
a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and
to obtain any information necessary in relation to the Services; consent to Direct Connect contacting
me by telephone or by SMS in relation to the marketing or promotion of all of the services listed
under the heading “Utility Connections” above even if we/I have not applied for the connection of
those services in this application. This consent will continue [for a period of 1 year from the date
of our/my execution of this application/until [28] days after we/I disconnect the last of the
services in respect of which this application is made]; acknowledge that this consent will permit
Direct Connect to contact us/me even if the telephone numbers listed on this application form are
listed on the Do Not Call Register; understand that under the requirements of the Privacy Act 1988,
Direct Connect will ensure that all personal information obtained about me/us will be appropriately
collected, used, disclosed and transferred and will be stored safely and protected against loss,
unauthorised access, use, modification or disclosure and any other misuse; authorise the obtaining
of a National Metering Identifier (NMI) for my residential address to obtain supply details; consent
to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone
number); declare and undertake to be solely responsible for all amounts payable in relation to the
connections and/or supply of the Services and hereby indemnify Direct Connect and its officers,
servants and agents and hold them indemnified against any charges whatsoever in respect of the
Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any
loss or damage (including consequential loss and loss of profits) to me/us or any other person or
any property as a result of the provision of the services or any act or omission by the utility provider
or for any loss caused by or in connection with any delay in connection, disconnection or provision
of, or failure to connect or disconnect or provide, the nominated utilities; acknowledge that whilst
Direct Connect is a free service I/we may be required to pay standard connection fees or deposits
required by various utility providers; acknowledge that the Services will be provided according to
the applicable regulations and that the time frames and terms and conditions of the nominated
utility providers bind me/us and that after hours connections may incur additional service fees from
utility providers; acknowledge that the real estate agent listed on this application form may receive
a benefit from Direct Connect in connection with the provision of the service being provided to
me/us by Direct Connect; and acknowledge the entitlement of Direct Connect and its associates,
agents and contractors, to receive a fee or remuneration from the utility provider and that such fee
or remuneration will not be refunded to me as a rebate in connection with the provision of the utility
connection services.By signing this application form, I warrant that I am authorised to make this
application and to provide the consents, acknowledgements, authorisations and other undertakings
set out in this application form on behalf of all applicants listed in this application form.
Date
PO Box 1519, Box Hill, Victoria 3128. P: 1300 664 715 F:1300 664 185. www.directconnect.com.au
E.
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.
Smoker / Non Smoker
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.
6. Please provide your contact details
Home phone no.
Mobile phone no.
Work phone no.
Fax no.
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 TICA (Tenancy Information Centre Australia)
Email address
7. What is your current address?
Postcode
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.
Signature
Date
HOW DID YOU FIND OUT ABOUT THIS PROPERTY?
The Internet
Local Paper
Office
Office Window
Sign Board at property
Referral
Other (specify)
Application Fax to
Direct Connect (If Required)
Fax: 1300 664 185
F.
APPLICANT HISTORY
H.
9. How long have you lived at your current address?
Years
Months
CONTACTS / REFERENCES
17. Please provide a contact in case of emergency
Surname
Given name/s
10. Why are you leaving this address?
Relationship to you
11. Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Landlord/agent’s phone no.
Phone no.
18. Please provide 2 personal references (not related to you)
Given name/s
1. Surname
Weekly Rent
$
Relationship to you
Phone no.
2. Surname
Given name/s
Relationship to you
Phone no.
12. What was your previous residential address?
Postcode
13. How long did you live at this address?
Years
Months
I.
14. Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Landlord/agent’s phone no.
19. Car Registration
20. Please provide details of any pets
Breed/type
Council registration / number
Weekly Rent
$
Was bond refunded in full?
OTHER INFORMATION
1.
If not why not?
2.
J.
G.
PAYMENT DETAILS
Property Rental
EMPLOYMENT HISTORY
$
15. Please provide your employment details
What is your occupation?
per week Or
$
per month
Rental Bond (4 weeks rent):
$
First payment of rent in advance
$
Tenants share of cost of preparing tenancy agreement:
$
Sub Total
$
What is the nature of your employment?
(FULL TIME/PART TIME/CASUAL)
Employer’s name (inc. accountant if self employed or institution if student)
Less: deduct Reservations Fee (see below)
Employer’s address
$
Amount payable on signing tenancy agreement
(bank cheque or money order only)
$
Postcode
K.
Contact name
Phone no.
RESERVATION
Complete this section if you wish to reserve the property for a period of time:
Reservation Fee
Length of employment
Years
Net Income
Months
$
16. Please provide your previous employment details
Occupation?
Employer’s name
Length of employment
Years
Net Income
Months
$
Reservation Period
$
Days
The Landlords Agent undertakes:
a) The premises will not be let during the Reservation Period, pending the agreement of a
residential tenancy agreement:
b) The whole fee will be refunded if the Landlord does not decide to enter into a residential
tenancy agreement for the premises for the Reservation Period:
c) The whole fee will be refunded if the Landlord does not carry out (during the Reservation Period) repairs or other work on which it is a condition to enter into a residential tenancy
agreement:
d) If the applicant decides not to enter into a residential tenancy agreement, and the premises
are not let or otherwise occupied during the Reservation Period, the Landlord may retain the
portion of the fee representing the rent that would have been paid during the Reservation Period
(based upon the proposed rent), but must refund the remainder:
e) If a residential tenancy agreement is entered into, the fee is to be contributed towards rent for
the premises.
Signature of Landlords Agent
Date
DISCLAIMER / AUTHORITY
I the said applicant do solemnly and sincerely declare:
1. I have inspected the property located at:
2. I have of my own accord decided that I wish to rent the aforementioned property in the current state commencing
/
/
for a period of 26
Weeks or 52 Weeks (Please select). Please note the owner prior to signing must approve a 52 Weeks or greater lease.
3. I have been informed, understand and agree that the rental for the above mentioned property is to be $
per week and that this rental
is within my means of support.
4. I have been informed, understand and agree that the rental for the said property is to be paid every week/fortnight and is to be two (2) weeks in
advance at all times.
5. I have been informed, understand and agree that it is imperative that your office receives the rent on the same day each week. This day must match
the day of the week I initially signed the lease.
6. I have been informed, understand and agree that the bond for the above mentioned property will be equal to the rent mentioned above x 4 weeks
and undertake to pay this at the time of signing the lease agreement and prior to receiving the keys for the property. I further authorise the letting
agent to attend to all details regarding the lodgement of the said Rental Bond with the appropriate authorities.
7. I understand and agree that in the case of a rental increase; additionally monies must be paid by myself to the agent to match the new bond.
These monies will be forwarded to the Department of Fair Trading by Elders Real Estate on my behalf and added to my current bond being held
there.
8. I have been informed, understand and agree that the failure to pay this bond will result in the lease not being signed and keys not being handed
out. The property will be re-let to another applicant and the full reservation fee will be forfeited by yourself as compensation to the owner.
9. I have been informed, understand and agree that the acceptance of my application is subject to a satisfactory report being obtained from the
information supplied and any information, which results in the checks, made through the tenancy databases.
10. I have been informed, understand and agree that upon my defaulting in any manner on this agreement that all costs associated with the
lodgement, service and collection of the said debt will be incurred by myself and added to the debt owed.
11. I the said applicant do solemnly and sincerely declare that I am over 18 years of age and eligible to enter into this application.
12. I have been informed, understand and agree that should this application not be accepted, the agent is required or obliged to disclose any
reason for the rejection of this application.
13. I have been informed, understand and agree to pay one (1) weeks rent (by bank cheque or money order) after this application has been
approved as a Reservation Fee.
14.I have been informed, understand and agree that the Registration Fee is subject to the terms as set out here; Forfeit of Reservation Fee or
part thereof will result in cases where ;
a) Failure to proceed with the signing of lease once approved,
b) Delay by yourselves in signing the lease on the agreed date
c) Prior to signing, it is discovered that the information supplied by you is inaccurate or falsified.
15. I have been informed, understand and agree that barring all incident as listed above, the said one-week rent, “Reservation Fee” will be
allocated to the first week’s rent that becomes due and payable.
16.I have been advised, understand and agree that failure to pay your rent or services Eg: Water Usage may result in a termination being issued
and associated CTTT orders, debt lodgements and debt recovery services being initiated.
17. I have been advised, understand and agree that only the parties approved by application on signing the Lease Agreement may reside at the
property.
18. I have been advised, understand and agree that the only way to have myself removed from the tenancy agreement is by way of having a new lease
signed without my name on it. This can only be done with the remaining parties completing new application forms, being approved and a new bond
being set up.
19. I have been advised, understand and agree that I am responsible for all other parties debt and damage residing with me and will incur their
debt whilst ever my name remains on the lease.
20. The attached disclosure also applies to TICA and RP Tenant.
Applicants Signature:
Date:
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COLLECTION NOTICE - PRIVACY ACT 1988
Personal information the prospective tenant provides in this application or collected from other sources is necessary for the agent to verify the
applicant’s identity, to process and evaluate the application and to manage the tenancy. Personal information collected about the applicant in this
application and during the course of the tenancy if the application is successful may be disclosed for the purposes for which it was collected to other
parties including to landlords and their advisers, referees, other agents and third party operators of tenancy reference databases. Information already
held on tenancy reference databases may also be disclosed to the agent and/or landlord. If the applicant enters in to a residential agreement, and if
the applicant fails to comply with their obligations under that agreement, that fact and other relevant personal information collected about the
applicant during the course of the tenancy reference databases and/or other agents.
If the applicant would like to access the personal information the agent holds, they can do so by contacting Elders Penrith – 348 High Street, Penrith NSW
2750 Phone: 02 4730 5055 Fax: 02 4732 5588
The applicant can also correct this information if it is inaccurate, incomplete or out of date.
If the information is not provided, the agent may not be able to process the application and manage the tenancy.
Applicants Signature:
Date:
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