TENANCY APPLICATION FORM. CESSNOCK 51a Vincent Street, Cessnock NSW 2325 Phone: Fax:

Transcription

1 TENANCY APPLICATION FORM CESSNOCK 51a Vincent Street, Cessnock NSW 2325 Phone: Fax: APPLICANT: PROPERTY ADDRESS: NOTE: Please make payments to Ray White Cessnock by way of money order or bank cheque Applicants are required to inspect the premises prior to final approval of the application Including copies of supporting documents attached as required for 100 Points Identification Check. *This application cannot be processed until it is completed and 100 Point of ID has been submitted* Please refer to the following list of accepted documents and point value of each Mandatory documents include: A Driver s Licence or Proof of Age Card, Payslips or Centrelink Statement 100 POINTS OF IDENTIFICATION REQUIRED *Driver s license 30 Rental Ledger/tenancy 20 Telephone/electricity/gas 10 agreement accounts Passport 30 Council/water rates 20 Healthcare card 10 Proof of age card 30 Marriage Certificate 20 Medicare 10 Birth Certificate 20 Bank Statements 20 Certificate of Registration for Business *Pay slip x3 OR Centelink 20 ATO Tax Returns 20 A profit and loss Statements statement HOLDING FEE - The applicant agrees to pay a Holding Fee of equivalent to one week s rent on approval of application within 48 hours. If the applicant decides not to take the premises after the holding fee has been paid, the Agent may retain the holding fee. RENT AND BOND 2 week s Rent and Bond equivalent to four times the weekly rent is due and payable prior to or at commencement of Tenancy. Once your holding fee is paid, this will be deducted from this amount. Holding Deposit (1 weeks rent) $... I x weeks rent $... Bond $... Total $...

2 APPLICATION FOR TENANCY PROPERTY ADDRESS: APPLICANTS NAME: DEPARTMENT OF HOUSING: Will you be receiving assistance? YES / NO Failure to fully complete this application may result in the application not being processed. I, the said applicant/s declare that all of the information contained in this application is true and correct, and that the information is provided of my/our own freewill. I further authorise Ray White Cessnock to contact any of the referees or references supplied by me in this application for verification of the details provided. I inspected the above property on the day of I wish to apply to rent the above property for a period of months commencing on. I agree that the rent is $ per week/fortnight/month and that the rental bond is $. I, the applicant declare that I am not bankrupt and that I have not entered into any scheme of arrangement for payment of monies to any creditors. I further declare that I am not paying off any previous rental debt. I authorise Ray White Cessnock to access and check any information that may be listed on me on the TICA DEFAULT TENANCY DATABASE and any other tenancy database which may be available. I agree and understand that in the event of this application being rejected, there is no requirement by law for Ray White Cessnock to disclose to me any reason for such rejection. I also agree that I will not raise any objection for not being provided a reason for any rejection of this application. I agree and understand that in the event of this application being approved by Ray White Cessnock, they may report any defaults that may occur from time to time in the tenancy with TICA DEFAULT TENANCY DATABASE and any other tenancy database which may be available. I understand that in the event of a default being reported to TICA DEFAULT TENANCY DATABASE or any other tenancy database, the removal of such information is subject to the guidelines of the database companies. I agree that no keys for the property will be provided, in the event I am successful, until such time as all monies owed are paid in full. I agree that I will abide by the policies of the office of Ray White Cessnock as may be provided to me in relation to this tenancy. I agree and acknowledge that this application is subject to the Landlords approval and I agree that upon communication of acceptance by Ray White Cessnock that the tenancy shall be binding on both the Landlord and the tenant. I further agree that I will sign the Residential Tenancy Agreement and be bound by the terms and conditions of the agreement. Holding Deposit I understand that if I withdraw from my application after a holding deposit is paid I could lose part of / or the full amount of money paid. Applicant/s Signature/s Date Agents Signature

3 APPLICANTS PERSONAL DETAILS PERSONAL DETAILS Full name: Date of Birth: Contact Numbers: (Home) (Work) (Mob) ( ) Number of Occupants: Adults Children Ages Drivers Licence No: Car Rego: Owner or Financed: PROPERTY DETAILS PRESENT ADDRESS: Agent / Landlord Name: Phone: Period of Occupancy: Amount of rent paid $ p/w Reason for Leaving: PREVIOUS ADDRESS: Agent / Landlord Name: Phone: Period of Occupancy: Amount of rent paid $ p/w Reason for Leaving: Bond Refunded: YES / NO \ If no why? PREVIOUS TENANCY MATTERS PLEASE CIRCLE ONE OF THE FOLLOWING Have you ever been evicted by an Agent or Landlord? Yes / No If yes why? Do you have any outstanding payments to any previous Landlord or Agency? Yes / No If yes what for? Have you ever been to Tribunal over any tenancy matter? Yes / No If yes what did the dispute involve?

4 OCCUPATION DETAILS Occupation: Employer/Company Name: Address: Phone: Nett Income $ Period of Employment: Contact Name: Previous employer Period: Address: Phone: Contact: CENTRELINK/ ADDITIONAL INCOME CENTRELINK/ ADDITIONAL INCOME Addition Income or Benefits Received: Nett Amount $ Addition Income or Benefits Received: Nett Amount $ SELF EMPLOYMENT If self-employed evidence will be required such as Tax or Annual Returns, please advise of details: Business name: ACN or Business registration number: Address Lessor/Agent: Date Formed: Accountant: Contact: Address: Phone: PETS Number of Pets Owned: Type (e.g. cat dog bird): Breed: Registered: Yes / No

5 NEXT OF KIN DETAILS (PERSON TO CONTACT IN EMERGENCY) Name: Relationship: Address: Phone: NEAREST RELATIVE NOT LIVING WITH YOU (OTHER THAN THE ABOVE) Name: Relationship: Address: Phone: PERSONAL REFERENCES Personal references cannot be relatives. So that our applications can be accurate with truthful information we ask that the following types of personal/character references be given. Examples of personal references are: * Teacher * Neighbour * Work mate * Boss, supervisor * Former boss, work mates etc **PLEASE NOTE You can put down any person who you have had dealings with who is preferably not a friend or relative Name: Relationship: Phone: Name: Relationship: Phone: Name: Relationship: Phone: **Please attach any written references you way have

6 PRIVACY STATEMENT Ray White Cessnock is independently owned and operated. We are bound by the National Privacy Principals. The personal information you provide in this application or we collect from other sources is necessary for us to verify your identity, to process and evaluate the application and to manage the tenancy. Personal information collected about the applicant in this application and during the course of the tenancy, if your application is successful may be disclosed to service providers relevant to the tenancy relationship including maintenance contractors, landlords and their advisers, referee, other agents and third party operators. You have the right to access personal information that we hold about you by contacting the office. If you do not complete this form or do not sign the consent below then your application for tenancy may not be considered by the owner of the relevant property or if considered may be rejected. PRIVACY DISCLOSURE STATEMENT FOR TENANT RELATED DATABASES Ray White Cessnock will disclose your tenancy information to any defaulting tenant databases that we use as part of the normal processing of this application I the applicant acknowledge that I have read the Privacy Notice of Ray White Cessnock and authorise Ray White Cessnock to collect information about me from the following: 1) My current and/or previous letting agents or landlords 2) My personal referees 3) My employer 4) Any Tenancy Default Database which may contain information about me I also authorise Ray White Cessnock to disclose details about any defaults by me under the Tenancy to which this application relates, to any tenancy default database to which it subscribes including Tenancy Information Centre of Australia (TICA), National Tenancy Database (NTD) and/or Trading Reference Australia (TRA). I also authorise Ray White Cessnock to disclose the personal information about me to the owner of the property, even if the owner is a resident outside Australia and to a third parties valuers, contractors, sales people, insurance companies, body corporate, other agents and tenancy default databases. Tenant Name Signature Date

7 CONNECT NOW A Free Service - Connecting Your Utilities Has Never Been Easier! Ray White Connect is a simple and convenient time saving service assisting with your Telephone, Electricity & Gas connections. Ray White Connect also provide a range of additional services to compliment your household utilities, such as Internet &Pay TV. This is a value-added service independent of your tenancy application - you are not obligated to use Ray White Connect. If you would like Ray White Connect to contact you to discuss any of the above services please tick the box and a Ray White Connect representative will make all reasonable efforts to contact you within one working day of receiving an application. If we are unable to contact you within this period please contact Ray White Connect on to ensure connection can be completed by your requested date. It is the responsibility of the Tenant to ensure that the Main Electricity Switch is in the Off Position between 7am & 7pm on the day connection is required and that there is easy access to the property. While the connectnow service is FREE, standard service provider connection fees and charges still apply. You pay NO extra charges as a result of using the Ray White Connect service Disclaimer: Connection of your utilities will only be initiated once a representative has discussed your details with you and obtained your consent to the terms and conditions of supply of the relevant utility service provider(s). The privacy of our customers is of vital importance to Ray White Connect. I consent to the collection of my personal information by Ray White Connect Pty Ltd ACN for the purposes of arranging for the connection and or disconnection of the nominated moving and connections services and related services, and to providing my personal information contained in this application to the relevant service providers, in accordance with Ray White Connect s Privacy Policy (which is available for my inspection at Ray White Connect and those service providers may contact me from time to time (including by electronic means) to let me know about new or existing products or services. I understand that I can contact Ray White Connect at any time if I do not want to receive that information from Ray White Connect or if I want to update my personal information. I agree that neither Ray White Connect nor the Agent accepts liability for loss caused by delay in, or failure to connect/disconnect or provide the nominated services. The service will be activated according to the applicable regulations, service provider time frames, terms and conditions once agreeing to use the chosen service provider. I authorise the obtaining of a National Metering Identifier and or a Metering Installation Registration Number on my residential address to obtain supply details. It is the responsibility of the customer/homeowner to ensure that the electricity main switch is in the Off Position for the required timeframe on the day of connection and that there is easy access to the meters. I acknowledge that the terms and conditions of the service provider bind me and that after hours connections may incur additional service fees from service providers. I acknowledge that Ray White Connect may be paid a fee by the service provider and may pay a fee to the Agent in respect of the provision of the service provided to me by Ray White Connect. Call me to connect Yes Signed: Date / / / Property Manager: