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Application Form

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Date
08 Sep 2010
Property ID
Address of Premises
Suburb
Rent Per Week ($)
Rent PCM ($)
Bond ($)
Commencement Date (dd/mm/yy)
 date picker
Term of Lease (In Months)
Where did you hear about the property?
Board Internet The Age Rental List Other
Personal Details
Title
Full Name
Date of Birth
Address Details
Current Address
Suburb
Postcode
State
Are you the...
Email Address
Phone (BH)
Phone (AH)
Mobile
Current Rent Paid ($)
Length of Rental
Occupied from to
Reason for Leaving
Present Landlord / Agent
Present Landlord / Agent BH
Previous Rental Address
Were you the...
Reason for Leaving Previous Address
Previous Landlord / Agent
Previous Landlord / Agent BH
Previous Length of Rental
Occupied from to
Employment Details
Occupation
Employer's Name
Employer's Address
Employer's Suburb
Contact Name
Phone
Period of Employment
Y M
Net Income $ (PW)
Other Income
Previous Employment Details
Occupation
Employer's Name
Employer's Address
Employer's Suburb
Contact Name
Phone
Period of Employment
Y M
Net Income $ (PW)
Other Income
Self Employed Details
Company Name
Company Address
ABN
Business Type
Position Held
Accountant's Name
Accountant's Phone
Solicitor's Name
Solicitor's Phone
Professional Reference
1. Reference Name
Occupation / Relationship
Phone (BH)
Phone (AH)
2. Reference Name
Occupation / Relationship
Phone (BH)
Phone (AH)
Emergency Contact (Parents / Siblings - Must be a relative)
1. Name
Relationship
Address
Suburb
Postcode
State
Phone (BH)
Phone (AH)
Mobile
2. Name
Relationship
Address
Suburb
Postcode
State
Phone (BH)
Phone (AH)
Mobile
Personal References
Passport No
Drivers Licence No
Drivers Licence State
Drivers Licence Expiry Date
Car Make
Model
Vehicle Registration No
Student ID (If Applicable)
Next of Kin
Phone
Number of Persons who will occupy the premises
Adults
Children
Ages of Children
Pets
Yes No
I confirm the following:
1. During my inspection of this property I found it to be in relatively clean condition. OR
2. I believe the following items should be attended to prior to my tenancy commencing.
I acknowledge that these items are subject to the owner’s approval. OR
3. I require the following items and additional amendments to the property:
I acknowledge that my application is subject to the owners’ approval and the availability of the premises on the due date. No action will be taken against the Landlord or Agent if the applicant is unsuccessful or upon acceptance should the premises not be ready for occupation on this date, for whatever reason. I agree, unless otherwise noted upon commencement the property will be in the same condition as upon my inspection. Biggin & Scott make no representation to the availability of parking permits, enquiries must be made by me as a prospective tenant to the local council. I agree that if this application is successful, I am required to pay one month’s rent prior to the signing of the Lease Agreement within 24-48 hours of approval. The commencement date of this lease agreement indicates my rental pay date and after this first payment, I am obliged to pay each monthly rental payment in advance to that specified and agreed rental payment date. I am also required to pay the equivalent of one (1) month’s rent on or prior to the signing of the Lease Agreement which will be considered as the bond and will be forwarded to the Residential Tenancies Bond Authority until the termination of the Lease Agreement. I, the above-mentioned applicant solemnly declare that the information contained in this application form is true and correct. I understand that making false statements is punishable by law and I shall notify the agent of any changes to this information immediately. I understand my reponsibilities to arrange for the connection and payment of gas, electricity, telephone, and water consumption. I hereby acknowledge and authorise Biggin & Scott Pty. Ltd. to conduct independent reference checks and to provide my information to the Landlord for the purposes of assessing my eligibility to rent the property.
TENANCY PRIVACY STATEMENT
Due to the changes in the Privacy Laws from December 21, 2001, all property managers must ensure that you fully understand the National Privacy Principles and the manner in which we must use your private information in order to carry out our role as professional property managers. Please take the time to read this Privacy Statement carefully and once completed return to this office with your tenancy application.
As professional property managers, Biggin & Scott collects personal information about you. To ascertain what personal information we have about you, please contact our office.
Primary Purpose
As professional property managers, we collect personal information to assess the risk in providing you with the lease / tenancy of the premises you have requested, and if the risk is considered acceptable, to providing you with the lease / tenancy, of the premises. To carry out this role and during the term of your tenancy, we will disclose your personal information to:
• The Landlord • Organisations / Traders people required to
• The Landlord’s lawyer carry out maintenance to the premises
• The Landlord’s mortgagee • National Tenancy Database Pty Ltd.
• Referees you have nominated (ABN 65 079 105 025) (‘NTD’)
• Rental Bond Authorities • Other Real Estate Agents and Landlords
• Residential Tenancy Tribunals / Courts • Collection Agents Secondary Purpose
We also collect your personal information to:
1. Enable us, or the Landlord’s lawyers, to prepare the lease / tenancy documents on the premises
2. Allow organisations / trades people to contact you in relation to maintenance matters relating to the premises.
3. Pay / release rental bonds to / from Rental Bond Authorities (where applicable).
4. Refer to Tribunals, Courts and Statutory Authorities (where necessary).
5. Refer to Collection Agents / Lawyers (where default / enforcement action is required)
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Terms & Conditions - By ticking this box, you are consenting to On The Move contacting you to arrange your services.
On The Move may need to disclose personal information about you to utility companies to arrange your services.
On The Move and your Agent do not accept responsibility for any delay or failure to connect/disconnect your services.
On The Move and your Agent may receive a benefit for arranging your services.
We will provide your new telephone number to your agent unless you ask us not to.
Standard connection fees and bonds may apply.
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 incurred in undertaking collection action to recover his/her losses.
Yes No