Residential Rental Application Form
Property Address: 18 Citrine St, Camp Hill Qld 4152
**Please Note** All information provided in this form by unsuccessful applicants will be deleted within 7 days of the property being leased.
To complete this application you will be required to upload proof of identification and employment/income. It is advisable to have these files available and ready to upload before commencing the application.
Lease Details:
Preferred Lease Period
*
Months
Lease Commencement Date
*
-
Day
-
Month
Year
Date
Rental Amount
*
$/wk
Applicant Details:
Applicant's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email address
*
example@example.com
Date of Birth
*
-
Day
-
Month
Year
Date
Drivers Licence Number & (State)
*
123456789 (Qld)
Number of persons who will occupy the property
*
Please state the names of the other occupants and relationship to the applicant.
Are you or any of the dependants living with you a smoker?
*
Yes
No
Do you intend to keep pets at the property?
*
Yes/No Number and type of pets
If yes, please enter breed type and pet age.
Pet breed. Pet age.
Do you own a lawnmower?
*
Yes
No
Are you willing to maintain the lawn and gardens?
*
Yes
No
Applicant's Current Address:
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Duration of occupancy?
*
Years/months
Type of occupancy?
*
Renting
Owner
Living with parents/family
Other
Leasing Agency (If renting)
*
Agency name
Leasing agent's email address
*
example@example.com
Leasing agent's phone number
*
Please enter a valid phone number.
Current rent amount?
*
$/week
Reason for leaving?
*
Reason for leaving current address
Applicant's Previous Address:
Previous Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Duration of occupancy?
*
Years/months
Type of occupancy?
*
Renting
Owner
Living with parents/family
Other
Leasing Agency (If renting)
*
Agency name
Leasing agent's email address
*
example@example.com
Leasing agent's phone number
*
Please enter a valid phone number.
Previous rent amount?
*
$/week
Reason for leaving?
*
Reason for leaving previous address
Have you ever been evicted from a rental property?
*
Yes
No
Do you have any known reasons that would affect your ability to pay rent?
*
Yes
No
Was your last bond refunded in full?
*
Yes
No
If 'No', please advise what deductions were made from your bond?
Employment Details:
Are you employed?
*
Full time
Part time
Casual
Contract
Self Employed
Unemployed
Retired
Centrelink / Pensioner etc
Are you an overseas student?
*
Yes
No
Occupation/Job Title?
*
Net income per week
*
$/week
Please upload Proof of Income - Last 2 payslips, tax return etc.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Supporting Documents:
You are required to meet a 100 point identification criterion upon submission of your application. The Agent/Lessor may photocopy any item and retain as part of your application. Please tick the identifying documents you have provided with your application.
Identification Documents Uploaded
*
Passport - 70 points
Full birth certificate - 70 points
Citizenship certificate - 70 points
Australian driver's licence - 40 points
Student photo ID - 40 points
Centerlink card - 40 points
Government issued photo ID - 40 points
Medicare card - 25 points
Electricity/Gas Bill - 25 points
Motor vehicle registration - 25 points
Bank/Credit card statement - 25 points
Please upload identification documents selected above.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Comments? Please add any information to support your application
Applicant's Signature
*
Applicant's Name
*
Date Signed
*
-
Day
-
Month
Year
Date
Submit
Should be Empty: