Real Estate Sales

Rental Application Form

If you are wanting to apply for a rental property you can either complete the form below or you can click here to download a copy of the application form. If you choose to download a copy of the application form please complete the form and return it to our office either by fax or in person. The office details are included below:

19 The Esplanade, Cotton Tree
Phone: 07 5443 1333
Fax: 07 5443 8104

Address: *		Please enter the address of the property you wish to rent

Postcode:

Lease Commencement Date: *		Please enter the date that you wish to commence renting the property. If it is prior to the date it is available please enter the date it is available.

Lease Term *		Please enter the term you wish to rent this property for.

Rent Per Week:

Bond		This is usually 4 weeks + 2 weeks in advance.

Total amount payable on signing of tenancy agreement:

Your Name: *

Previous Name (If applicable):

E-mail Address:

Car Registration Number:

Drivers License / 18+ Card Number *

Drivers License / 18+ Card State: *

Phone (H):

Phone (W):

Mobile: *

Date Of Birth: *

Passport Number:

Passport Country:

Current Address: *

Situation: *

Other Situation:

Period of Occupancy/Tenancy:


Landlord/Agent Details of this Property (if applicable):


Name:

Phone:


Payment Period: Weekly


Reason for leaving: *

Have you ever been evicted from a premises? *	Yes No

Are you currently in debt to any landlord or agent? *	Yes No

Current Occupation: *

Employer/Business Name & ACN/Centrelink Details *

Employer Contact:

Employer Phone: *

Employment Type: *

Duration: *

Weekly Income *

Employer Address: *


Previous Occupation


Previous Employer/Business Name & ACN/Centrelink Details *

Previous Employer Phone: *

Previous Employment Type: *

Duration: *

Previous Weekly Income

Previous Employer Address:

Are you a student? *	Yes No

If Yes, Course Name:

Duration:


Referees:
	All Referees should not be related to you.

Business Referee 1:

Phone:

Relationship:

Business Referee 2:

Phone:

Relationship:

Personal Referee 1:

Phone:

Relationship:

Personal Referee 2:

Phone:

Relationship:


Emergency Contact


Next of Kin: *

Address:

Phone (H): *

Phone (W):

Mobile:

Next of Kin (other):

Address:

Phone (H):

Phone (W):

Mobile:


Please Note:
	This information is required in case we need to contact you as a matter of urgency arising from your tenancy and your normal contact details are not responding.


Occupants


Number of Adults: *

Number of Dependants *


Full Name/s of Adult/s and unaccompanied minor/s to reside on the Premises:


Occupant 1: *

Occupant 2: *

Occupant 3:

Occupant 4:


Pets


Type/Breed:

Number:

Type/Breed:

Number:

Please Specify requirements (if any) regarding connection/disconnection of utilities:


Use of Premises:


Will the premises be used for business purposes: *	Yes No

Will waterbed/s be installed in the premises: *	Yes No

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