Rental Application Form

Rental Application Form
Property Address and Postal Code*
Lease Commencement Date*
Lease Term*
How many Adult/Children occupy the property*
Name of Resident 1*
Name of Resident 2
Name of Resident 3
Name of Resident 4
Age of Resident 1*
Age of Resident 2
Age of Resident 3
Age of Resident 4
Applicant 1
Surname*
Middle Name
Given Name*
Date of Birth*
Drivers Licence No.*
Licence State*
Applicant 1 Current Address
Your Current Address
Mobile Phone Number
Work Phone Number
Email
How long have you lived at your current address?*
How much is your current weekly Rent?*
Are your Rent payments currently up to date?*
Current Landlord/Agent Name?*
Current Landlord/Agent Phone Number?*
Address of Landlord/Agent?*
Applicant1 Employment History
What is your occupation
Employment Type
Employer's Name*
Employers Email Address*
Employer's Address*
Length of Employment*
Weekly Net Income*
Contact Name*
Contact Phone*
PLEASE USE THE FOLLOWING TO PROVIDE YOUR 100 POINT INFORMATION.

• Last 4 rent receipts (50 pts)• Driver’s license (40pts)• Photo ID (30 pts)• Passport (30 pts)• 2 references from owner/landlord (20 pts)• bank statements (10 pts)• Current MV rego (10 pts) • Copy birth certificates (10 pts)
File Upload

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Applicant 2
Surname
Middle Name
Given Name
Date of Birth
Drivers Licence No.
Licence State
Applicant 2 Current Address
Your Current Address
Mobile Phone Number
Work Phone Number
Email
For Applicant 2 - How long have you lived at your current address?
For Applicant 2 - How much is your current weekly Rent?
For Applicant 2 - Are your Rent payments currently up to date?
For Applicant 2 - Current Landlord/Agent Name?
For Applicant 2 - Current Landlord/Agent Phone Number?
For Applicant 2 - Address of Landlord/Agent?
Applicant2 Employment History
What is your occupation
Employment Type
Employer's Name
Employers Email Address
Employer's Address
Length of Employment
Weekly Net Income
Contact Name
Contact Phone
PLEASE USE THE FOLLOWING TO PROVIDE YOUR 100 POINT INFORMATION.

• Last 4 rent receipts (50 pts)• Driver’s license (40pts)• Photo ID (30 pts)• Passport (30 pts)• 2 references from owner/landlord (20 pts)• bank statements (10 pts)• Current MV rego (10 pts) • Copy birth certificates (10 pts)
File Upload

Cancelof
Applicant 3
Surname
Middle Name
Given Name
Date of Birth
Drivers Licence No.
Licence State
Applicant 3 Current Address
Mobile Phone Number
Work Phone Number
Email
Applicant3 Employment History
What is your occupation
Employment Type
Employer's Name
Employer's Email Address
Employer's Address
Length of Employment
Weekly Net Income
Contact Name
Contact Phone
Applicant 4
Surname
Middle Name
Given Name
Drivers Licencse No.
Drivers License State
Date of Birth
Applicant 4 Current Address
Your Current Address
Mobile Phone Number
Work Phone Number
Email
Applicant 4 Employment History
What is your occupation
Employment Type
Employer's Name
Employers Email Address
Employer's Address
Length of Employment
Weekly Net Income
Contact Name
Contact Phone
Pet Details
Pet 1-Type
What breed is your pet ?
Pet 1-Name
Pet 1-Age
Pet 1-Color
Pet 2-Type
Pet 2-Name
Pet 2-Age
Pet 2-Color
Emergency Contact
Name
Phone Number
References (non relation)
Reference 1
Phone Number
Relation to you
Reference 2
Phone Number
Relation to you
Declaration
I hereby offer to rent the property from the owner under a lease prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancy Agreement. I acknowledge that this application is subject to the approval of the Landlord. I declare that all information contained in this application is true and correct and given of my own free will. I declare that I am not bankrupt. I authorise the Agent to obtain personal information about me from; o The owner or agent of my current or previous residences; o My personal referees for this application o My current and past employers; o Any person who maintains any record, listing or database of defaults by tenants; and I authorise and consent to each of those persons providing requested personal information about me to the Agent. If I default under a rental agreement, I agree that 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 within this application in order to: o communicate with referees, employees, landlords, third party operators of tenancy reference databases, other Agents and select a tenant o communicate with the owner and select a tenant o prepare lease/tenancy documents o allow tradespeople or equivalent organisations to contact me o lodge/claim/transfer to/from a Bond Authority o refer to Tribunals/Court & Statutory Authorities (where applicable) o refer to collection agents/lawyers (where applicable) o complete a credit check with a tenancy default database 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 the contact details above and that I may be able to correct this information if it is inaccurate, incomplete or out-of-date. The applicant acknowledges: o that the landlord’s insurance will not cover the tenant’s contents and it is advised that the tenant should obtain contents and public liability insurance. o that the terms and conditions were available at the time of applying as these form part of the tenancy agreement and the tenant agrees with these terms and conditions. o that upon being advised of approval of this application by the landlord a legal tenancy agreement is created and if the tenant(s) choose not to proceed, the agent will begin procedures to relet the property and MAY choose to recover costs incurred from the reletting as set down by the Residential Tenancies Act 1995. o that the tenant shall be liable for water usage ( Quarterly Supply Charge ), pertaining to the property as per SA Water calculations. o that the landlord has the right to increase rent during the term of a fixed tenancy in accordance with the Residential Tenancy Act 1995. False Information from Tenant (Residential Tenancies Act 1995-Version 1.4.2014, Section 51) A Tenant must not give the Landlord False information about the Tenants identity or place of occupation. Maximum Penalty: $1,250.00
By printing your name here you are bound electronically by signature
Applicant 1 Full Name*
Applicant 2 Full Name
Date
Identification
PLEASE USE THE FOLLOWING TO PROVIDE YOUR 100 POINT INFORMATION.

The tenancy agreement will not be processed until 100 points has been provided by the applicant.

Last 4 Pay Slips or 4 weeks proof of income. (50 pts)

Last 4 rent receipts (40 pts)

Drivers license (40pts)

Photo ID (30 pts)

Passport (40 pts)

references from owner/landlord (10 pts)

Utility bills/bank statements (10 pts)

Current MV rego (10 pts)

Copy birth certificates (50 pts)
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SURNAME
GIVEN NAME
CONNECTION ADDRESS
SUBURB
P/CODE
STATE
DISCONNECTION ADDRESS
SUBURB
P/CODE
STATE
HOME PHONE
WORK PHONE
MOBILE PHONE
Email
Lease commencement date

MonthDayYear
Date
SIGNED
Date
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We will make all reasonable effort to contact you within 1 working day of receiving this application to explain the details of services offered. If we are unable to contact you within this period please call 1300 554 323 to ensure your service can be addressed by required date.

DECLARATION AND EXECUTION/PRIVACY NOTICE: By signing this application form I consent to the collection of my personal information by ConnectNow Pty. Ltd. (ABN 79 097 398 662) ("ConnectNow") for the purposes of contacting me to talk about arranging the connection and disconnection of moving and utility services and related services and to inform me about other products and services that may complement my home/lifestyle needs. Consent to disclosure by connectnow of my personal information contained in this application to other parties other products and services that may complement my home/lifestyle needs, consent to the disclosure by connectnow of my personal information contained in this application to other parties including the relevant third party service providers, connectnow's related companies and third parties who provide connectnow with services in connection with the ordinary operation and administration of connectnow's business or where otherwise required or authorized by law, understand that protecting my privacy is important to connectnow and that I can obtain further details about how connectnow manages my personal information, including how I may access and correct my personal information, how I may complain about a breach of my privacy and how connectnow will deal with that complaint, by viewing Connectnow's privacy policy at www.connectnow.com.au or contacting their privacy officer at info@connectnow.com.au, understand that whilst connectnow is unlikely to disclose my personal information to recipients located overseas, connectnow is now responsible for the privacy practices of third party service providers and
Should be Empty:

Rental Application Form

Applicant 1

Applicant 1 Current Address

Applicant1 Employment History

PLEASE USE THE FOLLOWING TO PROVIDE YOUR 100 POINT INFORMATION.

Applicant 2

Applicant 2 Current Address

Applicant2 Employment History

PLEASE USE THE FOLLOWING TO PROVIDE YOUR 100 POINT INFORMATION.

Applicant 3

Applicant3 Employment History

Applicant 4

Applicant 4 Current Address

Applicant 4 Employment History

Pet Details

Emergency Contact

References (non relation)

Identification

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