Rent Per Week Bond Amount Term Commence How many tenants will occupy the property? Pets yesno Applicant 1 - Details Date of Birth Drivers Lic # Expiriation State Passport # Passport Country Pension # (if applicable) Type Current Address Post Code Phone Mobile Email Applicant 2 - Details Date of Birth Drivers Lic # Expiriation State Passport # Passport Country Pension # (if applicable) Type Current Address Post Code Phone Mobile Email Applicant 1 - Current Landlord/Agent Details How long at current address? Years Months Reason for leaving Landlord/Agent Landlord Agent Email Rent Per Week Bond refunded?yesno If not, why? Applicant 2 - Current Landlord/Agent Details How long at current address? Years Months Reason for leaving Landlord/Agent Landlord Agent Email Rent Per Week Bond refunded?yesno If not, why? Applicant 1 - Previous Landlord/Agent Details How long at previous address? Previous Res Address Years Months Reason for leaving Landlord/Agent Landlord Agent Email Rent Per Week Bond refunded?yesno If not, why? Applicant 2 - Previous Landlord/Agent Details How long at previous address? Previous Res Address Years Months Reason for leaving Landlord/Agent Landlord Agent Email Rent Per Week Bond refunded?yesno If not, why? Applicant 1 - Current Employment Current Occupation Nature of your EmploymentFULL TIMEPART TIMECASUAL Current Employer's Name Current Employer's Address Contact Name Phone Employment Years Months Income Applicant 2 - Current Employment Current Occupation Nature of your EmploymentFULL TIMEPART TIMECASUAL Current Employer's Name Current Employer's Address Contact Name Phone Employment Years Months Income Applicant 1 - Previous Employment Previous Employer Occupation Address Prev Employer's Phone Time Employed Applicant 2 - Previous Employment Previous Employer Occupation Address Prev Employer's Phone Time Employed Applicant 1 - If you are Self Employed Business Name ABN Accountant ABN Applicant 2 - If you are Self Employed Business Name ABN Accountant ABN Applicant 1 - If you are a Student Institution Department Income Source Income Applicant 2 - If you are a Student Institution Department Income Source Income Applicant 1 - Emergency Contact Name Phone Applicant 2 - Emergency Contact Name Phone Applicant 1 - References 1) Name Address Name Phone 2) Name Address Name Phone Applicant 2 - References 1) Name Address Name Phone 2) Name Address Name Phone PRIVACY STATEMENT & DISCLAIMER 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 in to a Residential Tenancy Agreement. I acknowledge that this application is subject to the approval of the owner/ landlord. I declare that all information contained in this application is true and correct and that this is fundamental precondition of the owner entering into a Residential Tenancy Agreement. I declare that I have inspected the premises and am not bankrupt or insolvent. I, the tenant, accept the property in the condition as inspected by me. I authorise Ray Wehbe Real Estate to obtain personal information about me from: (a) The landlords or the leasing Agent of my current or previous residences; (b) My personal referees and employer/s; (c) Any record listing or database of defaults by tenants; Any record listing or database of defaults by tenants such as TICA, NTD or TRA for the purpose of checking my tenancy history. I am aware that I may access my personal information by contacting: TICA 1902 220 346 NTD 1300 563 826 TRA (02) 9363 9244 I am aware that the Agent will use and disclose my personal information within this application in order to: (a) communicate with the owner and select a tenant (b) prepare lease/tenancy documents (c) allow trades-people 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 check with Tenancy Databases. I also agree that I will not raise any objection for not being provided a reason for any rejection of this application. 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 contact details above. Yes, I accept the Terms and have read the declaration above. Please call me to connect my new home services. Privacy - Terms
