Tenancy Application Property Address Postcode Rent per week Bond Amount Have you inspected the Property? Yes No Length of tenancy YearLength of tenancy MonthTenancy to commence How many tenants will occupy the propertyAdultsDependantsAgesPets? Yes No Pet type Breed Reg no Outdoor only Yes No Vehicle 1 Rego Model/Year/Colour 1. Personal DetailsName Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Initial Last Name at birth Place of birth Date of birth MM slash DD slash YYYY AgeDrivers licence No State NSW Card No Passport Medicare No. Ref Pension type (if applicable) Home phoneMobile PhoneEmail Marital status 2. Rental HistoryCurrent AddressNoStreet Suburb Post code How long at current address? YearsHow long at current address? MonthReason for leaving Rent per week Landlord/agent name Contact name Email PhonePrevious AddressNoStreet Suburb Post code How long at current address? MonthHow long at current address? YearsReason for leaving Rent per week Landlord/agent name Contact name Email PhoneBond refunded Yes No If no, why? 3. Employment DetailsOccupation Employers name Employment address Suburb Employer phone no Contact name Length at current employmentYearsLength at current employmentMonthsNet income Per week Per month Are you self employed? Yes No ABN Accountant name Phone4. Social Security / Centrelink DetailsType CRN $ per week$ per month5. Referees1. Reference name Address Home PhoneMobile phone2. Reference name Address Home PhoneMobile phone6. Emergency Contact DetailsName PhoneAddress Suburb Postcode Email 7. Please Provide the Following Documents (as Indicated)Section 1 (40) Drivers licence (70) Birth Certificate (70) Passport (must be current) Section 2 (25) Latest 3 current pay slips AND current bank statements (25) Centrelink income statement AND current bank statements Section 3 (25) Motor Vehicle Registration (25) Medicare Card (25) Home owner must supply a recent rates notice (25) Property Lease Agreement (25) Credit/Debit Card (25) Seniors Card (25) Utility Bill (25) Telephone Bill 8. Free Utilities Connections User Consent FormMove me in will send you a personal invitation to connect via email and text once you have been approved to rent a property. Once you receive it, please click on the link and take 3 minutes to sign up online. Move Me In is a FREE utilities connection service that offers you great discounted deals, saving you money right from the start! Other companies may have only ever offered you the standard off the shelf utility plans but Move Me In presents you with a selection of utility providers to choose from on our quick and easyonline portal, so you can pick the discounted plan that suits you best.9. Declaration of AuthorityI herby offer to rent the property from the owner under a lease to be 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 owner/landlord. 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: a) The owner or the Agent of my current or previous residence, b) My personal referees and employer/s: c) Any record listing or database of defaults by tenants such as NTD, TICA or TRA for the purpose of checking your tenancy history. I am aware that I may access my personal information by contacting NTĐ 1300 563826 TRA: (02) 9363 9244 TICA: 1902 220 346 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 the agents/landlords of properties 1 may apply for in the future. I am aware that the Agent will use and disclose my personal information in order to: a) Communicate with the owner and select a tenant b) Prepare lease/tenancy documents c) Allow tradespeople or equivalent organisation to contact me d) Lodge/claim/transfer to/froma Bond Authority e) Refer to Tribunals/Courts & Statutory Authorities (where applicable) f) Refer to collection agents/lawyers (where applicable) g) Complete a credit check with NTD (National Tenancy 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/We understand that if my/our Application is accepted I/we agree that a non-refundable holding deposit of one week’s rent is payable to hold the property, If 1/we then decide not to proceed. 1/we agree that we forfeit the holding deposit which will be paid to the Landlord.10. Payment DetailsProperty Rental Per Week 1 week rent/holding deposit Rent in Advance Rental Bond (4 weeks rent) Total money due to be paid at signing lease Δ