Rent

Tenancy Application

Date	09 Sep 2010

Property Applying For


Address *
Suburb *
Rent per week $ *
Bond $ *

Your Details


Full Name *

Email Address *

Date of Birth *

Status	Single
	Married
	Solo
	Defacto

Please state who else will be residing with you


Name
Relationship
Age

Name
Relationship
Age

Name
Relationship
Age

Are you, or any of the above stated, smokers?	Yes No

Your current address *

Your contact phone numbers


Home *
Work
Mobile

Previous Address

Your Occupation *

Currently employed with *


Do you have rental references?	Yes No



What type of accomodation do you require? (eg. House, Flat? No of Bedrooms? Garage?)
Maximum rent you can afford	$

When do you need a place by?

Have you any pets?	Yes No

Drivers Licence Number

Name of next of kin

Contact Ph No

Additional Comments



By pushing the submit button below, I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the residential Tenancies Act, that I will pay the Landlord's costs's incurred in undertaking collection action to recover his/her losses.


	* Indicates mandatory fields

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