1 Agency Name L J Hooker Aspley Shop 5, 1374 Gympie Road, Aspley Phone Fax OFFICE HOURS Monday to Friday 8.30am 5.00pm Saturday 8.30am 11.30am Property Applicant 1 Full Name Applicant 2 Full Name APPLICATION FOR RESIDENTIAL TENANCY (if more than 2 applicants, a second application form must be completed) Applicants must complete the following and acknowledge with a No less than 100 points of identification for all applicants has been provided Proof of income has been provided in writing (pay slips, letter from employer, Centrelink Statement or Tax/Accountant documentation if self employed) Authority to Conduct Tenant History Search on page (2) signed by all applicants and Privacy Disclosure signed by all parties applying. Application Form signed by all parties applying Direct Connect utility connection signed by all parties Pet Application Form signed Applicants must complete the following: I/We have inspected the premises and wish From / / to take tenancy For a period of At a rental of $ Number of Occupants Months 100 Point ID: Passport/Birth Certificate 50 Points Drivers Licence/Proof of Age Card/Other Photo ID from Government e.g. Pension Card 40 Points 2 Rent receipts/2 recent pay slips/tenancy Ledger 15 Points Car registration certificate/rates Notice/Electricity Account/Bank Credit Card 25 Points Statement/Telephone Account/Gas Account 25 Points If Documents are required to be photocopied a $10 fee will be incurred If Faxing or ing the application, please contact our office to ensure the application has been received Upon the application being approved, prior to depositing funds into our trust account, approved tenants must have read and agreed to the Tenancy Agreement offered and all special terms and conditions associated. APPOINTMENTS MUST BE MADE IF WISHING TO SEE A PROPERTY INVESTMENT MANAGER
2 Applicants please read carefully, complete the following and acknowledge with a I/We understand that this application is binding as soon as it is accepted by the agent for the lessor. HOWEVER we will not commence the process unless all relevant documents are attached. We acknowledge that the property is being applied for in it s current condition. I/We, the applicant(s) declare that the information provided in this application is true and correct and that I/We have supplied it of our own free will. I/We hereby authorise you as the agent for the lessor to conduct any enquiries, and/or searches, including any tenancy information databases in order to verify the information provided. I/We acknowledge that an amount equal to two weeks rent will be payable and will be receipted as the first two weeks for the tenancy of the property, within 24 hours of the application being approved. I/We acknowledge that an amount equal to four weeks rent will be payable upon collection of keys and will be disbursed to the Residential Tenancies Authority within ten days of receipt by Money Order or Bank Cheque I/We understand that all unsuccessful applications will be disposed of in accordance with the Privacy Act I/We acknowledge that a sum of two weeks rent is to be paid within 24 hours of notification of approval of this application. I/we understand that this money will be credited to the first two weeks rent of your tenancy. This means that it is nonrefundable if the tenancy does not proceed through any fault on our part. I/We the applicant(s) declare that I/we am/are not bankrupt and that the rental is within my/our means. I/We understand that in the interests of security and staff safety, L J Hooker Aspley is a cashless office and that we will provide all initial rental and bond monies in the form of a bank cheque or money order and that subsequent rental payments will be made by way of DEFT/B Pay from my bank account to L J Hooker Aspley s Trust Account. I/We acknowledge that this application for residential premises is restricted to those names listed on the application. Any other person who wishes to take up residence for any period longer than four (4) weeks at any time during the tenancy is required to make a further application to L J Hooker Aspley for approval to reside at the premises. I/We acknowledge that smoking is prohibited at all times in the property. Any other person/guest to visit the property is also to refrain from smoking inside the property. Signature of applicant/s Signature: Date: / / Witness: Signature: Date: / / Witness:
3 PRIVACY DISCLOSURE STATEMENT LJ Hooker Aspley Shop 5, 1374 Gympie Road, Aspley QLD 4034 PH: FAX: We are an independently owned and operated business and are bound by the National Privacy principles. We collect personal information about you in this form to assess your Application for Tenancy. We may need to collect information about you from your previous Lessor's or Letting Agents, your Employer and Referees. We will also check if details of Tenancy defaults by you are held on a Tenancy Database. Your consent for us to collect the information is set out below in the Privacy Consent section. COLLECTION NOTICE The personal information you provide in this Application or our Agency collects from other sources is necessary for our Agency to verify your identity, to process and evaluate the Application and to manage the Tenancy. If the Application is successful, personal information collected about you in this Application and during the course of your Tenancy, may be disclosed for the purpose for which it was collected to other parties including the Lessor, Referees, other Agents and third party operators of Tenancy Databases. Information already held on Tenancy Databases may also be disclosed to our Agency and/or the Lessor. If you enter into a General Tenancy Agreement and if you fail to comply with your obligations under the Agreement, the facts and other relevant personal information collected about you during the course of your Tenancy may also be disclosed to the Lessor, third party operators of Tenancy Databases and/or other Agents. You have the right to access personal information that we hold about you by contacting our Privacy Officer. You can also correct this information if it is inaccurate, incomplete or out of date. If your Application is not successful it will be stored securely for a period of one month only. If you decide not to collect your Application we will destroy your documents to comply with Privacy Legislation. 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, due to insufficient information to assess the Application. PRIVACY CONSENT I acknowledge that I have read the above Privacy Disclosure Statement and Collection Notice of LJ Hooker Aspley. I authorise LJ Hooker Aspley to collect information about me from: My previous letting Agents and/or Lessor s; My personal referees, employers and all other references on this application; Tenancy Databases to which LJ Hooker Aspley subscribes. I can refer to their Privacy Disclosure Statements via: and I authorise LJ Hooker Aspley to refer my name and contact details to an arranger or service provider including tradespeople (to attend to work required at this Property), salespeople (primary and secondary Agents), valuers, the Lessor, other Agents, database operators, other Property Managers, Body Corporate, Insurance companies, Financial services, if required in the future, and to Authorities as required by law. ELECTRONIC TRANSMISSION It is agreed by ticking this box, consent is given to receive any documentation relevant to the Tenancy by electronic communication methods such as or facsimile and the method of receiving advice or notification by SMS is accepted. UTILITY CONNECTIONS If my Application for Tenancy is accepted I would like assistance at no additional charge, with the connection of telephone, electricity or gas to the property. LJ Hooker Aspley is authorised to contact me direct regarding the connection of these utility services. ACKNOWLEDGEMENT AND CONSENT BY APPLICANT Applicant (1) Name Applicant (1) Signature Applicant (2) Name Applicant (2) Signature Date Time
4 Full Name APPLICANT 1 APPLICANT 2 Full Name Date of Birth Drivers Licence No. Passport Number Phone Home Phone Work Mobile Date of Birth Drivers Licence No. Passport Number Phone Home Phone Work Mobile Emergency Contact (who will not be residing with you) Current : RESIDENTIAL HISTORY Emergency Contact (who will not be residing with you) Current : RESIDENTIAL HISTORY Agent/Owner If less than 3 years please complete the following Previous #1: Previous #1: Previous #2: Previous #2:
5 APPLICANT 1 APPLICANT 2 INCOME/EMPLOYMENT DETAILS INCOME/EMPLOYMENT DETAILS Occupation Occupation Employer Employer Employers Employers Name of contact person Gross Weekly Income Period with Employer If less than 3 years please complete the following Occupation Employer Employers Name of contact person Gross Weekly Income Period with Employer If less than 3 years please complete the following Occupation Employer Employers Name of contact person Gross Weekly Income If Self Employed, please complete the following Registered Name of Business Name of contact person Gross Weekly Income If Self Employed, please complete the following Registered Name of Business Type of Type of Industry/Business Industry/Business Business Business ABN ABN Name of Accountant Name of Accountant Phone Business Hours & Phone Business Hours & Personal Referees (Do not include relatives) Personal Referees (Do not include relatives) Name Referee 1 Name Referee 1 Phone Business Hours Phone Business Hours Phone After Hours Phone After Hours Relationship Relationship Name Referee 2 Name Referee 2 Phone Business Hours Phone Business Hours Phone After Hours Phone After Hours Relationship Relationship
6 APPLICANT 1 APPLICANT 2 CHILDREN OR DEPENDANTS CHILDREN OR DEPENDANTS PETS TO BE KEPT AT THE PREMISES Type (including breed) Type (including breed) PETS TO BE KEPT AT THE PREMISES Period of ownership Registration No. Local Authority VEHICLES TO BE KEPT AT THE PREMISES Type and Model Period of ownership Registration No. Local Authority Type and Model VEHICLES TO BE KEPT AT THE PREMISES Registration Number Registration Number Tenancy History please circle the correct answer. If any question is answered YES, please state details in the space provided Have you ever been evicted by any lessor or agent? Have you ever been evicted by any lessor or agent? Have you ever been refused another property by and lessor or agent? Are you in debt to another lessor or agent? Is there any reason known to you that might affect your rental payment, now or in the future? Was your rental bond at your last address refunded in full? Have you ever been refused another property by and lessor or agent? Are you in debt to another lessor or agent? Is there any reason known to you that might affect your rental payment, now or in the future? Was your rental bond at your last address refunded in full?
7 AGENCY DETAILS PET APPLICATION AND AGREEMENT LJ Hooker Aspley Shop 5, 1374 Gympie Road, Aspley QLD 4034 PROPERTY ADDRESS TENANT NAME GENERAL PET DETAILS If more than 2 pets, print and complete separate Pet Agreement. Use this form only for Properties where the Lessor has indicated that pets may be accepted. If unsure please contact our Agency prior to completing this application form. ITEM PET 1 PET 2 TYPE OF PET/S NAME/S AGE DESEXED YES / NO YES / NO COUNCIL REG # DESCRIPTION PHOTO PROVIDED YES (copy for file) / NO YES (copy for file) / NO TERMS AND CONDITIONS Acknowledgment by applicant/agent The Tenant/s 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 other than the approved pet/s specified in the General Tenancy Agreement and this Pet Agreement must first be requested by Tenant/s in writing 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 pets on the Property, whether they are the pet of a Tenant or guest, 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. 6. The pet/s are to be outside at all times, unless specified otherwise in the General Tenancy Agreement or this Pet Agreement. 7. 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. 8. If approved, you are required to, at the time of signing the Tenancy Agreement and associated paperwork, sign the Tenant Agreement section. Applicant Name Signature Date Agent Name Signature Date