PLEASE NOTE: YOU MUST INCLUDE AT LEAST TWO ITEMS FROM EACH SECTION.

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1 104A River Hills Road, Eagleby Qld 4207 Mobile: The following information and checklist will help you in completing this application. Please read before completing your application. 1. Please have copies of documents listed below to make up your 150-point identification check. 2. This application cannot be processed unless it is complete with copies of documents attached. PLEASE NOTE: YOU MUST INCLUDE AT LEAST TWO ITEMS FROM EACH SECTION. = Once this application is approved 2 weeks rent is required, within 24 hours of approval. If application is withdrawn after acceptance, the rent will be forfeited. Section One * Drivers Licence 40 * Passport 40 * Other Photo ID 30 * Home Owner- recent rate Notice 20 Section Two * Last Three Current Pay Slips 30 * Current Bank Statement 20 * CentreLink Payment 20 * Medicare Card 20 Section Three * Previous Tenancy Reference 20 * Previous Two (2) rent receipts 20 * Motor vehicle registration 10 * Birth Certificate 10 * Telephone account 10 * Electricity account 10 TOTAL POINTS =========================================================================== Application Checklist Collection of documents to meet the required 150 points. Completed the application in full and signed by all applicants. Provided all contact details required to confirm income and last 3 payslips. Have read and signed all the Privacy Disclosure Statements and Privacy Consent. A copy of the Tenant Acknowledgment to be signed along with the lease is available from the office Page 1 of 5

2 104A River Hills Road, Eagleby, Qld 4207 Mobile: APPLICATION FOR RESIDENTIAL TENANCY Unit./104A River Hills Road, Eagleby, Qld 4207 I have inspected the above property on.. /.. / 2017 and wish to apply for the tenancy of the premises for a period of 6.. Months, at a rental of $...per week. Commencing on.. /.. / 2017 In order to process this application all questions must be answered in full. The completion of this application is not an acceptance. Failure to complete all sections of this application may result in the application not being processed. I / We acknowledge that this is an application to rent this property and my application is subject to the lessor s approval and understand that there is no legal obligation for a reason to be given, should this application be declined. I / We declare the information provided is true and correct and consent to this application being verified with a reference check with the Tenancy Information Centre of Australia. (TICA) I / We agree that no keys for the property will be provided by the agent to me/us until such time all monies owed are paid in full. Two (2) weeks rent and Four (4) weeks rent as Bond. I / We agree to allow the agent to photocopy the information supplied by me/us for their records in order to process this application. I / We the applicant/s apply for approval to rent the premises referred to in this form and acknowledge that my application will be forwarded to the lessor for consideration. I / We the applicant/s declare that I / we are not bankrupt or undischarged from bankruptcy and that the information provided by me/us is true and correct # If this application is approved by the owner: Arrangements will be made for all applicants to sign the general tenancy agreement within 24 hours of approval, plus Two (2) weeks rent is to be paid. If withdrawn after acceptance I acknowledge that the rent will be forfeited. Bond equal to Four (4) weeks rent and the Two (2) weeks rent- WILL BE PAID BY CASH - NO BUSINESS or PERSONAL / CHEQUES ACCEPTED Applicant One Name print. Applicant Two Name print. Page 2 of 5

3 APPLICATION FOR RESIDENTIAL TENANCY APPLICANT ONE Full Name Have you ever been known by any other name (Maiden) Date of Birth.././.. Drivers Licence Number.. Phones: Mobile. Home.. Work Address APPLICANT TWO Full Name. Have you ever been known by any other name (Maiden) Date of Birth../.. / Drivers Licence Phones: Mobile. Home.. Work Address Full Names of all other persons who will occupy the property (show ages of all children) (All applicants, other than those named in 1 & 2 must complete an application) APPLICANT ONE continued Current Address Phone. Period of occupancy Reason for leaving... Rent paid $.per week Name & Address of agent or owner. Phone.. Fax.. Previous Address. Period of occupancy.. Reason for leaving Rent paid $ per week. Name & address of agent or owner Occupation..Net weekly income (after tax)... Employer.. Period with current employer. Employers Address.. Phone.. Weekly Expenses Credit Cards $. Personal Loans $. Outstanding Debts $ Others $. Car Loans $ If Self Employed Name of Business.. A B N... Address. How long self employed.phone Name of Accountant Phone. Page 3 of 5

4 APPLICANT ONE continued Personal Reference (Do Not Include Relatives) 1) Name & Address.. Phone.. 2) Name & Address.. Phone.. Person to contact in case of Emergency (Not Living with You) 1) Name & Address.. Relationship. Phone... APPLICANT TWO continued Present Address Phone. Period of occupancy Reason for leaving... Rent paid $.per week Name & Address of agent or owner. Phone.. Fax.. Previous Address. Period of occupancy.. Reason for leaving Rent paid $ per week. Name & address of agent or owner Occupation..Net weekly income (after tax)... Employer.. Period with current employer. Employers Address.. Phone.. Weekly Expenses Credit Cards $. Personal Loans $. Outstanding Debts $ Others $. Car Loans $ If Self Employed Name of Business.. A B N... Address. How long self employed.phone Name of Accountant Phone. APPLICANT TWO continued Personal Reference (Do Not Include Relatives) 3) Name & Address.. Phone.. 4) Name & Address.. Phone.. Name of Relatives or other persons in case of emergency 1) Name & Address Relationship. Phone Total Number of Vehicles to be kept at premises. Car Registration No. Model/ Year. Owned /Company Car Registration No. Model/ Year. Owned /Company Page 4 of 5

5 THE APPLICATION PROCESS ~YOUR QUESTIONS ANSWERED The tenant accepts that DOES NOT accept bond transfers and agrees to pay full bond (4 weeks rent) in Cash (3) days prior to collecting keys. The tenant is aware that even after verbal acceptance of their application the property will remain on the rental list until the holding deposit of the first two (2) weeks rent has been received. The signing of a Residential Tenancy Agreement is a legally binding document Applicant One Name print. Applicant Two Name print. PRIVACY DISCLOSURE STATEMENT OF 104A River Hills Road, Eagleby, Qld 4207 Phone We are an independently owned and operated business. We are bound by the National Privacy Principals. We collect personal information about you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or letting agents, your current employer and your referees. We will also check whether any details of tenancy default by you are held on a tenancy default database. We use the database operated by Default Tenancy Control Pty Ltd (TICA).You can find out more information on this database at Your consent to us collecting this information is set out below. We may disclose personal information about you to the owner of the property to which this application relates. If this application is successful we may disclose your details to service providers relevant to the tenancy relationship including maintenance contractors and the landlord s insurer. We may also send personal information about you to the owner. PRIVACY CONSENT I / We the applicant acknowledge that I / we have read the Privacy Disclosure Statement of River Hills Grange. I / We authorise to collect information about me from: (a) My previous letting agent and/or landlord (b) My personal referees I / We authorise to disclose the personal information it collects about me to the owner of the property. I / We also authorise to refer my details to an arranger of: Insurance service products (for content insurance and other insurance products) Utilities (to arrange connection or transfer of telephone, gas, electricity). Applicant One Name print. Applicant Two Name print. Page 5 of 5