Mint Real Estate East Fremantle - Tenancy Application Form

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rows	Full Name
Applicant 1
Applicant 2
Applicant 3
Applicant 4

NOTE: This document is not a Residential Tenancy Agreement and does not grant any right to occupy the Premises

The Lessor is not obliged to accept any of Your Special Conditions.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rows	Enter
Card Number
Reference Number
Card Colour
Expiry Date

Rows	Enter
Vehicle Make
Vehicle Model
Registration Number

Rows	Name	Number
Reference 1
Reference 2

Rows	Enter
Name of current Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Name of Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Occupation
Employer
Contact Number
Period of Employment
Salary

Rows	Enter
Employer
Contact Number

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rows	Enter
Card Number
Reference Number
Card Colour
Expiry Date

Rows	Enter
Vehicle Make
Vehicle Model
Registration Number

Rows	Name	Number
Reference 1
Reference 2

Rows	Enter
Name of current Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Name of Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Occupation
Employer
Contact Number
Period of Employment
Salary

Rows	Enter
Employer
Contact Number

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rows	Enter
Card Number
Reference Number
Card Colour
Expiry Date

Rows	Enter
Vehicle Make
Vehicle Model
Registration Number

Rows	Name	Number
Reference 1
Reference 2

Rows	Enter
Name of current Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Name of Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Occupation
Employer
Contact Number
Period of Employment
Salary

Rows	Enter
Employer
Contact Number

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rows	Enter
Card Number
Reference Number
Card Colour
Expiry Date

Rows	Enter
Vehicle Make
Vehicle Model
Registration Number

Rows	Name	Number
Reference 1
Reference 2

Rows	Enter
Name of current Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Name of Landlord or Managing Agency
Contact Number
Premises Address
Rent Amount Paid
Date Range
Reason for Leaving

Rows	Enter
Occupation
Employer
Contact Number
Period of Employment
Salary

Rows	Enter
Employer
Contact Number

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Rows	Name	Number	Address
First Next of Kin
Second Next of Kin

Please upload copies of payslips and ID for each applicant (including 1 form of Photo ID)

By signing this document you are making an application to enter into a Residential Tenancy Agreement in relation to the Premises. Your application may or may not be successful.

Acknowledgement

Tenancy Details

Occupants

Pets

Bank account details for refund of Option Fee (if applicable)

If your application is accepted how can we reach you?

Acknowledgement

Personal Details

Personal Details

Personal Details

Personal Details

Upload Supporting Documents

Submission Acknowledgement