A. Agent Details
Brad Teal Real Estate
1122 Mount Alexander Road Essendon VIC 3040
03 9374 2199
03 9379 4023
This form will automatically be saved to your computer as you complete it and will only be cleared once you have submitted it to Brad Teal Real Estate.
Property Manager *
B. Property Details
What is the address of the property you would like to rent? *
Lease Start Date *
Date property inspected / viewed *
Preferred Lease Term *
Property Rental *
How many people will normally occupy the property? *
Please list the names of all other adult applicants *
** EACH ADULT
MUST FILL IN A SEPARATE APPLICATION **
C. Personal Details
Please give us your details *
Please provide your contact details *
What is your current address? *
D. Utility Connections
On The Move reduce your stress and save you time by arranging your utility connections at the property at no extra cost! We will contact you within 2 hours to confirm.
ELECTRICITY, GAS, TELEPHONE, INTERNET, FOXTEL
1300 850 360 Fax: 1300 661 160 Email: email@example.com
I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the owner I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 1997.
I acknowledge that this application is subject to the approval of the owner. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt.
I authorise the Agent to obtain personal information from:
the owner or the Agent of my current or previous residence;
my personal referees and employer/s;
any record, listing or database of defaults by tenants;
If I default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/owners of properties I may apply for in the future. I am aware that the Agent will use and disclose my personal information in order to:
communicate with the owner and select a tenant
prepare lease/tenancy documents
allow organisations/ trades people to contact me
lodge/claim/transfer to/from the Residential Tenancies Bond Authority
refer to Tribunals/Courts & Statutory Authorities (where applicable)
refer to collection agents/lawyers (where applicable)
complete a credit check with NTD (National Tenancies Database Phone
1300 563 826 – Email firstname.lastname@example.org) transfer water account details into my name
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.
If Section D is completed, I consent to the disclosure of this page of the application form to On The Move for the purpose of enabling On The Move to offer the connection and disconnection services to me. I consent to On The Move disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection or disconnection. I acknowledge that neither On The Move nor the Agent accept any responsibility for any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure.
By ticking this box I confirm that I have read, understood and agreed with the above declaration
F. Applicant History
How long have you lived at your current address? *
Please tell us about this rented property.
Owner / Agent *
Weekly rent paid *
Reason for leaving this address? *
What was your previous residential address? *
How long did you live at this address? *
Please give us further information about this rented property.
Owner / Agent *
Weekly rent paid *
Was the bond refunded in full? If NO, why not? *
If NO, why not?
G. Employment History
** PLEASE PROVIDE
PROOF OF INCOME (E.G. PAYSLIP, BANK STATEMENT OR CENTRELINK STATEMENT) **
Please provide your employment details.
What is your occupation? *
What is the nature of your employment? *
Full Time Part Time Casual
Employer’s name (inc. accountant if self-employed or institution if a student) *
Employer's Address (include accountant if self-employed, or institution if student) *
Contact Name *
Length of employment *
Weekly / Annual Income *
H. Previous Employment Details
Please provide your previous employment details.
Length of employment
I. Contacts / References
Please provide a contact (in case of emergency).
Please provide two personal references (not related to you).
J. Other Information
Please provide details of any pets
How did you hear about this property?
Board Newspaper Internet Office Other, please specify:
K. Paying Rent
I would like to pay rent using (please tick):
Direct Debit Credit Card Cheque
A credit card surcharge of 0.88% applies to Visa and MasterCard
L. Please Note
First month’s rent and bond must be made by bank cheque or money order within 24 hours after approval of application.
NO PERSONAL CHEQUES PLEASE.
Keys will not be handed over until the lease agreement has been signed by all applicants.
This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.
Please provide us with 100 points of ID from the following:
(50 Points) Your Birth Certificate
(50 Points) Your Driver’s Licence
(50 Points) Copy of Gas/Water/Electricity bill
(30 Points each) Copy of Credit Card or Other bill
(25 Points) Copy of Mobile Phone account
(20 Points) Copy of Medicare Card
(10 Points) Concession / Pension Card
* Maximum 5MB