You are required to meet a 100 point identification criteria upon submission of your application. These are to be photocopied by Raine & Horne.

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1 611 Ruthven Street Toowoomba QLD 4350 Phone: (07) Fax: (07) Property Address applying for: One Application to be completed per person You are required to meet a 100 point identification criteria upon submission of your application. These are to be photocopied by Raine & Horne. Failure to provide these documents may result in our office refusing to accept your application. Raine & Horne also reserves the right to refuse incomplete application forms. 10 Points: Medicare Card, Motor Vehicle Registration Papers 30 Points: Bank Statements, recent utility accounts eg: phone, electricity or gas. 40 Points: Drivers Licence, Passport, 18+ Card, Birth Certificate You are also required to supply the agent with proof of your income. Employed: Last TWO Pay slips Self Employed: Bank Statements, Group Certificates or Accountants Letter. Not Employed: Centrelink Statement If you are currently renting a property the last four rent receipts are required for photocopying. This application cannot be processed until it is complete with copies of supporting documents attached. Our agency staff will contact you within BUSINESS hours. If the application is approved, the General Tenancy Agreement will need to be signed by all the lease holders and a holding deposit of one weeks rent will need to be paid in cash to the office within 24 hours of acceptance. Before submitting this application you must tick off the checklist as you complete: Inspected the property both internally and externally Completed all details in full on the one application form Provided all contact details for references and employment Provided all documentation of income and identification Read and signed the Privacy Disclosure Statement By submitting your signed application, you have given your consent for our office to provide your information to and access information from the tenant database TICA (Tenancy Information Centre Australia) OFFICE USE ONLY 100 Points Of Identification sighted and photocopied Proof of Income Supplied Form Fully Completed and Signed by applicants Rental Reference Faxed to other Agent/Lessor Received by: : Time:

2 Full Name... Current Address...Suburb... Do you rent or own this property?... Phones: Work...Home... Mobile of Birth...Are you a smoker? Agent/Lessors Address: Time Period at premises: Years Months Phone:... Fax:... Mobile:... Rent per week $... Bond paid on Property $... Reason for leaving: Agent/Lessor Name: Agent/Lessors Address: Time Period at premises: Years Months Phone:... Fax:... Mobile:... Rent per week $... Reason for leaving:... Have you ever been evicted by an agent/lessor? Is there any reason known to you that would affect your ability to pay rent? Was your rental bond at your last address refunded in full? If NO, please advise what deductions were made from your bond?.... Are you in debt to another agent/lessor? Do you have any outstanding personal loans or debt? Please specify Will there be pets residing at the property? (If yes, complete Pet Application & Agreement page7)... Number:...Full Name and Ages:... How many dependants will be living at the property full time... Number of vehicles... Types:...Rego:... Full name of other people that will be living in the property other than dependants...

3 If you are a STUDENT, What University, TAFE or School do you attend?... Student Identification Number...Overseas Student, Visa Expiry date.../.../... Full time/ Casual/ Part Time/ Centrelink/ Other Occupation:... Company:... Address:... Length of Employment:... Net Weekly Income: $... Name of Employer:... Phone:... Business Name:... Occupation:... Address of Business:... Length of Self Employment:... Net Weekly Income: $... Accountant s Name:... Phone:... Full Time/ Casual/ Part Time/ Centerlink/ Other Occupation:... Company:... Address:... Length of Employment:... Name of Employer:... Phone:... Reason for Leaving:... Name of Entitlement/s: Fortnightly Payment 1 received $... Fortnightly Payment 2 received $... Will you be receiving rent assistance? Do you receive maintenance support? If yes, how much per week? $... (DO NOT INCLUDE RELATIVES AND ENSURE PHONE NUMBERS ARE DAYTIME CONTACT) Each Applicant must have different references. 1.Name Phone: Mobile: 2.Name Phone: Mobile: 1.Name Phone: Mobile: 2.Name Phone: Mobile: 1.Name Phone: Mobile: Relationship to you.. 2.Name Phone: Mobile: Relationship to you.. 1.Parent/ Guardians Name Phone: Mobile: 2. Parent/ Guardians Name Phone:.Mobile:...

4 I DELCARE THAT THE INFORMATION PROVIDED IS TRUE & CORRECT. I CONSENT TO THIS APPLICATION BEING VERIFIED AND TO THE ACCESS OF THE TENANCY INFORMATION CENTRE OF AUSTRALIA AND NATIONAL TENANCY DATABASE RECORDS FOR INFORMATION ABOUT MY TENANCY HISTORY IF APPLICABLE. I APPLY FOR APPROVAL TO RENT THE PREMISES REFERRED TO IN THIS FORM AND ACKNOWLEDGE THAT MY APPLICATION WILL BE REFERRED TO THE LESSOR OF THE PROPERTY FOR HIS/HER CONSIDERATION. I DECLARE THAT I AM NOT BANKRUPT OR AN UNDISCHARGED BANKRUPT. I HAVE INSPECTED THE PREMISES AT...AND WISH TO APPLY FOR TENANCY FOR A PERIOD OF...MONTHS. AT A RENTAL OF $...PER WEEK. I WISH TO START THE LEASE ON.../.../... SIGNATURE...PHONE NUMBER... DISCLAIMER/AUTHORITY I the said applicant do solemnly and sincerely declare that the information contained in this application is true and that all of the information was given of my own free will. I further authorise the letting agent to contact and or conduct any enquiries and or searches with regard to the information and references supplied in this application. I the said applicant do solemnly and sincerely declare that I am over 16 years of age and are eligible to enter into this agreement. I the said applicant do solemnly declare; 1. I have inspected the property located at.. 2. I have of my own accord decided that I wish to rent the aforementioned property commencing../../.. for a period of 3. I have been informed, understand and agree that the rental for the aforesaid property is to be $...per week and that this rental is within my means to support. 4. I have been informed, understand and agree that the rental for the aforesaid property is to be paid on the said day nominated on the General Tenancy Agreement and is to be one week in advance at all times. 5. I have been informed, understand and agree that the bond for the aforesaid property will be $...and I further agree and undertake to pay the said bond upon signing the General Tenancy Agreement. I further authorize Raine & Horne to attend to all details regarding lodgement of the said rental bond with the appropriate authorities. 6. I have been informed, understand and agree that should the full bond and two weeks rent for the aforesaid property not be paid by the commencement date of the Tenancy Agreement, I will not be permitted to access the property. I have been informed, understand and agree that I will still be liable to pay rent from the commencement date of the Tenancy Agreement despite not being permitted to enter the premises until the aforesaid monies are paid in full to Raine & Horne. 7. I have been informed, understand and agree that the acceptance of my application is subject to a satisfactory report being obtained from information supplied on this application for tenancy submitted by me. 8. I have been informed, understand and agree that should there be a requirement to commence proceedings of recovery of rent, repairs or damages to the aforesaid property during the term or at the expiration of the Tenancy Agreement all costs associated with these proceedings shall be able to be recovered from me. 9. I have been informed, understand and agree that should this application not be accepted, Raine & Horne is not required to disclose why or supply any reason for the rejection of this application. 10. I have been informed, understand and agree that any false information I provide could jeopardise this application and any subsequent Tenancy Agreement I enter into on approval of Raine & Horne. PRIVACY ACT ACKNOWLEDGEMENT In accordance with Section 18n (1)(b) of the Privacy Act I authorise Raine & Horne to give information to and obtain information from the tenant database named on the front of the Application form, all credit providers, employers and references named in this application. I understand this can include information about my credit worthiness, credit standing, credit history or credit capacity. I understand this information may be used to assess my application. APPLICANT NAME... APPLICANT SIGNATURE...

5 Ph: (07) Fax: (07) RENTAL REFERENCE REQUEST ATTENTION: Property Manager : Agency: Tenant/s Name: Rental Property: Period of Rental: From: To: Rent P/W $ PLEASE FAX BACK WITH A RENTAL LEDGER Is/was the above applicant the actual lessee at the provided address? Yes No Is the above applicant currently on a fixed term agreement? Yes No Did you office terminate the tenancy? Yes No During the tenancy was the applicant ever in arrears? Yes No During the tenancy was the applicant issued with arrears notices? Yes No If so, how many Notice to Remedy Breaches were issued for rent arrears?... During the tenancy was the applicant served with Notices to Remedy? Yes No Was the applicant ever served with a Notice to Leave? Yes No Were periodic inspections carried out? Yes No Were the periodic inspections... Excellent Good Satisfactory Unsatisfactory Were there any complaints received during the tenancy? Yes No Were there any reasons to report any defaults to TICA or Barclays? Yes No Were Pets kept on the premises? Yes No If yes, were there any issues or damages? Yes No Were there any deductions from the Rental Bond? Yes No If YES, please advise of the reasons for the deductions: Would your agency rent to this applicant again? Yes No Reference: Signed on behalf of the previous agency: Position: I/We the tenants named above, agree that the above information be provided to Raine & Horne Toowoomba to allow processing of my Application for Tenancy We Appreciate your Assistance.

6 I hereby agree that all rent monies will be paid to Raine & Horne Toowoomba by BPay, Internet Transfer or Direct Credit and that no cash transactions will be accepted by the Raine & Horne office for payments of rent. (Please be aware that charges may apply depending on your bank and the payment method of your choice.) I accept that the bond (4 weeks) and the first 2 weeks rent must be paid in cash at the Raine & Horne office, before receiving the keys and entering the property. I hereby give consent to receive any documentation and communication relevant to the tenancy by electronic communication methods such as or facsimile. It is also agreed that the method of receiving advice or notification by SMS is accepted. Standard Terms and Conditions I have read all of Raine & Horne Toowoomba s Standard Terms and Conditions, I have understood the Standard Terms and Conditions that apply to the residential rental property.

7 PROPERTY ADDRESS TENANT NAME Use this form only for Properties where the Lessor has indicated that pet/s may be accepted. If unsure please contact our Agency prior to completing this application form. If more than 2 pets, print and complete a separate Pet Agreement form. TYPE OF PET/S BREED NAME/S AGE DESEXED YES / NO YES / NO COUNCIL REG # DESCRIPTION COLOUR PHOTO PROVIDED YES (copy for file) / NO YES (copy for file) / NO The Tenant acknowledges and agrees to the following terms: 1. The Lessor has agreed to permit pet/s at the Premises as specified in the General Tenancy Agreement and this Pet Agreement. 2. Any pet/s other than the approved pet/s specified in the General Tenancy Agreement and this Pet Agreement must first be requested by the Tenant in writing via a separate Pet Application giving full details and then be approved in writing by the Lessor PRIOR to the pet/s being allowed onto the Premises. Pet approval may be subject to specific criteria and must be complied with. Approval is NOT guaranteed. 3. The Tenant shall be liable for any damage or injury whatsoever caused by the pet/s on the Property, whether they are the Tenant s pets or their guests pets and regardless of their approval status. 4. The Tenant accepts full responsibility and indemnifies the Lessor for any claims by or injuries to third parties or their Property caused by, or as result of actions by their pet/s or their guests pet/s, and regardless of their approval status. 5. The Tenant agrees to arrange for Flea Fumigation at the end of the Tenancy or at a time during the Tenancy as required or requested by the Lessor / Lessor s Agent to be carried out by a Company complying with Australian Standards.

8 6. The pet/s are to be outside at all times, unless specified otherwise in the General Tenancy Agreement or this Pet Agreement. Guide dogs are an exception. 7. If the pet is a dog, the Tenant agrees to restrain or remove the dog from the premises for the duration of inspections arranged by the Agent with the required notice given. 8. By signing below you are only asking for approval of the above-mentioned pet/s to be accepted at the Property for which you are applying. 9. If approved, you are required to, at the time of signing the General Tenancy Agreement and associated paperwork, sign the Tenant Agreement section. Applicant Name Applicant Name APPLICATION RESULT PROCESSING APPLICATION Application for Pet/s DECLINED Application for Pet/s APPROVED The above mentioned pet/s is/are approved by the Lessor of the Property stated in this Agreement. This Agreement now forms part of the General Tenancy Agreement which includes additional terms related to the pet/s and the Tenant are now bound by the Agreement set out in the Application above as well as the General Tenancy Agreement. Agency Name To be signed only if pet/s are approved. Tenant Name Tenant Name

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