Residential Application Form

Residential Application Form

For your application to be processed you must answer all questions
AGENT DETAILS:
P.O.D REAL ESTATE
Address: P.O Box 5214, Cranbourne, 3977
Phone: 0407 717 992
Email: sales@pod-realestate.com.au
Web: www.pod-realestate.com.au
A. PROPERTY DETAILS:
1. What is the address of the property you wish to rent?

Street Address

Room Number

CityState

Post Code
Property Rental:*
per week
per month
Bond
2. Lease Commencement Date:

MonthDayYear
3. Lease Term:
Years
months
4. How many people will normally occupy the property:
Adults
Children
Ages
B. PERSONAL DETAILS:
5. Please give us your details:
Given Names

First NameSurname
Date of Birth:
Drivers Licence Number:
Drivers Licence Expiry:
Drivers Licence State:
Passport Number:
Passport Country:
Pension Number: (if applicable)
Pension Type: (if applicable)
6. Please provide your contact details:
Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Fax Number:
Email Address:
7. What is your current address?

Street Address

Street Address Line 2

CityState

Post Code
PLEASE PROVIDE US WITH 100 POINTS OF IDENTIFICATION:
Driver’s license 50
Passport 50
Proof of age card 50
Student ID card 50
Copy of mobile phone account 20
Copy of Medicare card 20
Concession / pension card 10
Bank Card 10
Copy of gas / water / electricity account 30each
File Upload

Cancelof
C. UTILITY CONNECTIONS

All utilities are included in the agreed rent.
D. APPLICANT HISTORY
8. How long have you lived at your current address?

MonthsYears
9. Why are you leaving this address?
10. Rental Provider/Agent details of this property (if applicable)
Name of Rental Provider or agent
Rental provider/agent’s phone number
Weekly rent paid
11. What was your previous residential address?

Street Address

Street Address Line 2

CityState

Post Code
12. How long did you live at this address?

YearsMonths
13. Rental Provider/Agent details of this property (if applicable)
Name of landlord or agent
Landlord/ Agent’s phone number
Weekly Rent Paid
E. EMPLOYMENT HISTORY
14. Please provide your employment details
What is your occupation?
Employer’s name (inc. accountant if self-employed or institution if a student)
What is the nature of your employment? (FULL TIME / PART TIME / CASUAL)
Employer’s address

Street Address

Street Address Line 2

CityState

Post Code
Contact name
Contact Phone Number
Length of employment

MonthsYears
Nett Income (Per Annum)
15. Please provide your previous employment details
Occupation?
Employers Name
Length of employment

MonthsYears
Nett Income (Per Annum)
F. CONTACTS / REFERENCES
16. Please provide a contact in case of emergency

First NameLast Name
Relationship to you
Phone Number
17. Please provide two personal references (not related to you)

1. First NameLast Name
Relationship to you
Phone Number
2. First NameLast Name
Relationship to you
Phone Number
G. OTHER INFORMATION
18. Car Registration
19. Please provide details of any pets
Breed
Council registration / number
20. Do you smoke?

Yes, insideYes, outsideNo
H. PAYMENT

I/We agree to pay a rental bond equal to 4 weeks rent if my/our application for tenancyis successful.
We will pay the bond by one of the following:

EFT TransferDept. of Housing (DOH)
We will pay Initial rent payment by one of the following:

EFT TransferCash
We will pay all ongoing rent for the tenancy by one of the following.

EFT TransferCashMoney Order/Bank Cheque
** PLEASE NOTE**
*Security deposits are to be paid separately by ETF Transfer or cheque made out to the RTBA within 24 hours after approval of application. No personal cheques accepted.
*Initial rental payment must be made by EFT Transfer or Cash on or before of the start of tenancy
*Keys will not be handed over until the rental agreement has been signed by all the
applicants
*This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the rental provider or rental provider's agent should any circumstances arise whereby the property is not available for occupation on the due date
*The applicant has declared that the information provided is true & correct and agree
that the rental provider's agent is permitted to make enquiries to provide information
to the rental provider for the purposes of assessing your eligibility to rent the property
I. DECLARATION
I hereby offer to rent the property from the rental provider under a rental agreement to be prepared by the Agent. Should this application be accepted by the rental provider I agree to enter in to a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.

I acknowledge that this application is subject to the approval of the rental provider. 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.

I authorize 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 such as NTD, TICA or TRA for the purpose of checking your tenancy history.

I am aware that I may access personal information by contacting:
NTD:1300 563 826
TICA:1902 220 346
TRA: 0293639244

If I default under a rental agreement, 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 rental agreement/tenancy documents
(c) allow organizations/trades people to contact me
(d) lodge/claim/transfer to/from the Residential Tenancies 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 NTD (National Tenancies Database - Phone1300563 826 –Emailinfo@ntd.net.au)
(h) transfer water account details in to my name

I authorize the disclosure of information in my application to connect Now for the
purpose of contacting the relevant water service provider to transfer the property’s
water account to my name if my application is successful
Signature

Clear
Date

MonthDayYear
Date
Date:
Should be Empty:

Residential Application Form

AGENT DETAILS:

A. PROPERTY DETAILS:

B. PERSONAL DETAILS:

PLEASE PROVIDE US WITH 100 POINTS OF IDENTIFICATION:

C. UTILITY CONNECTIONS

D. APPLICANT HISTORY

E. EMPLOYMENT HISTORY

15. Please provide your previous employment details

F. CONTACTS / REFERENCES

G. OTHER INFORMATION

H. PAYMENT

** PLEASE NOTE**

I. DECLARATION

PLEASE NOTE