Online Rental Application Form

Online Rental Application Form
Applicant 1 Full Name*

First NameMiddle NameLast Name
Applicant 2 Full Name

First NameLast Name
Applicant 1: E-mail*
example@example.com
Applicant 2: E-mail
example@example.com
Applicant 1: Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Applicant 2: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant 1: Current Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Current Agent & Contact details - If owned fill in your own details. First Name* Last Name* Email* Phone Number*
Applicant 2: Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Current Agent & Contact details - If owned fill in your own details. First Name Last Name Email Phone Number
Applicant 1: Previous Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Current Agent & Contact details - If owned fill in your own details. First Name* Last Name* Email* Phone Number*
Applicant 2: Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Current Agent & Contact details - If owned fill in your own details. First Name Last Name Email Phone Number
YesNo
YesNo
Applicant 1: Current Employer*
Applicant 2: Current Employer
Applicant 1: Employer Details *
Applicant 2: Employer Details
Applicant 1: Length of Employment*
Applicant 2: Length of Employment
Applicant 1: Weekly Salary (AUD)*
Applicant 2: Weekly Salary (AUD)
You are required to supply the Agent/Lessor with proof of your income upon submission of your application:

Employed: Two of your most recent payslips

Self Employed: Bank Statements, Group Certificates, Tax Return or Accounts Letter

Unemployed: Bank Statements, Centrelink Statement
UPLOAD PROOF OF INCOME HERE APPLICANT 1: *

Cancelof
UPLOAD PROOF OF INCOME HERE APPLICANT 2:

Cancelof
Applicant 1: Previous Employer
IF CURRENT EMPLOYMENT IS LESS THAN 1 YEAR
Applicant 2: Previous Employer
IF CURRENT EMPLOYMENT IS LESS THAN 1 YEAR
Property Details: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Rental Terms:*
DRIVERS LICENCE FRONT AND BACK: *

Cancelof
PASSPORT:

Cancelof
ELECTRICITY/ PHONE OR REGISTRATION BILL DISPLAYING CURRENT ADDRESS : *

Cancelof
BANK CARD OR MEDICARE CARD : *

Cancelof
Personal Reference for Applicant 1:
Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference for Applicant 2:
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
If so how many?
Please describe all pets
YesNo
YesNo
If so how many times?*
YesNo
YesNo
YesNo
YesNo
YesNo
Child's Name

First NameLast Name
Child's Name

First NameLast Name
YesNo
YesNoClaims against bond, please provide details below
YesNo
Please provide more info to these questions here if required:
EMERGENCY CONTACT APPLICANT 1:
Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
EMERGENCY CONTACT APPLICANT 2:
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Privacy and Consent Statement for Online Rental Application.

Thank you for submitting your rental application online. We take your privacy seriously and are committed to handling your personal information in accordance with applicable privacy laws. By submitting your application, you agree to the terms outlined in this Privacy and Consent Statement.

1. Collection of Personal Information
As part of the rental application process, we collect personal information to evaluate your suitability as a tenant. This may include, but is not limited to:

Full name, date of birth, and contact details (address, phone number, email).
Identification documents (e.g., driver's license, passport).
Financial details (e.g., proof of income, bank statements, credit reports).
Rental history and references.

2. Purpose of Collection
Your personal information is collected for the following purposes:

Assessing your application and verifying the accuracy of the information provided.
Conducting background checks, including credit checks, rental history, and employment verification.
Communicating with you during the application process.
Ensuring compliance with legal, regulatory, or contractual obligations.

3. Disclosure of Information
We may share your personal information with third parties for the purposes outlined above, including:

Credit reporting agencies.
Employers, landlords, and personal references.
Property owners or managers involved in the rental property.
Legal or regulatory authorities, as required by law.
We will not sell, rent, or disclose your information for marketing purposes without your explicit consent.

4. Security of Information
We use reasonable administrative, technical, and physical safeguards to protect the personal information you provide. However, no method of electronic transmission or storage is 100% secure, and we cannot guarantee absolute security.

5. Retention of Information
Your personal information will be retained only as long as necessary for the purposes outlined in this statement or as required by law. Once no longer needed, it will be securely destroyed or anonymized.

6. Consent
By submitting your rental application and associated documents online, you:

Consent to the collection, use, and disclosure of your personal information as outlined in this statement.
Acknowledge that you understand the purposes for which your information is being collected.
Authorize us to contact references, previous landlords, employers, and other relevant parties to verify the information provided.

7. Your Rights
You have the right to:

Access and correct your personal information.
Withdraw consent for the processing of your information, subject to legal or contractual restrictions.
File a complaint if you believe your privacy rights have been violated.
To exercise these rights, please contact us at:
chris@samsproperty.com.au, 0434 707 661 ,PO BOX 571 Lutwyche QLD 4030

8. Updates to This Statement
We reserve the right to update this Privacy and Consent Statement from time to time. Any changes will be effective immediately upon posting on our website or notifying you directly.

By submitting your application, you confirm that you have read, understood, and agreed to this Privacy and Consent Statement.
I Agree
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