Bond: $ 4 weeks rent Holding Deposit: $ 1 weeks rent Total Due: $ Signboard Referral Other

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1 Tenancy Application Form all round property management Phone: /114 William Street Millissa Shaw Mobile: Port Macquarie NSW 2444 Tanille Jackson Mobile: Thank you for applying for an all round rental property. Please complete this application thoroughly and ensure all contact numbers are correct. Applications will not be processed unless all information is supplied. Rental application for Lease Commencement Date: Lease Term: Months Number of occupants: Adults Children Children (Name(s) & Ages) Do you propose to keep pets at the property pets: Yes/No Type/Breed Number of vehicles to be kept at premises: Rent: $ Per Week Bond: $ 4 weeks rent Holding Deposit: $ 1 weeks rent Total Due: $ How did you hear about this property: Newspaper Internet Signboard Referral Other Please provide non-returnable copies of the following documentation with your application. - A minimum of 100 Check Points is required for each applicant - Points must be made up from each of sections A, B & C A) Proof of Identity (30 points) You must provide one of the following: Please Check Drivers Licence Or Passport Or Birth Certificate 30 points B) Proof of Income (30 points) You must provide at least one of the following: Last 2 pay advices Or Current Centrelink Statement Or Current Bank Statement (Must show sufficient funds to meet rental payments) 30 points C) Supporting documentation You must provide at least 40 points from the following documentation: 40 points Medicare card (current) 30 Points Recent Rates Notice 30 Points Last 2 Rent Receipts 20 Points Vehicle Registration Papers 10 Points Pension, healthcare card 30 Points Current Electricity/Phone Account 10 Points I confirm the following 1. I have inspected the property that I am applying for and wish to apply to rent the property in the condition as inspected. 2. I understand that should my application be successful, I am required to pay a Holding Deposit equivalent to 1 weeks rent within 24 hours of my application being approved, which will become the initial week s rent. Should I elect not to pay a Holding Deposit, I understand that the landlord will withdraw the offer to rent the property and that it will continue to be marketed and offered to other prospective tenants. I further understand this holding deposit is non-refundable if I withdraw my application. 3. I understand and agree the Agency will conduct the necessary tenant checks with TICA Default Tenancy Control Pty Ltd a data base company that allow its member s access to information accumulated from other members about tenants who have breached their tenancy agreements. 4. I understand and agree, the rent for the property is $ per week and the rental bond is 4 weeks rent $. 5. I understand and agree the rental for the property is to be paid every week/fortnight and is to be paid by the due date at all times. I understand I will be required to pay two weeks rent at the commencement of the tenancy. Are you thinking about purchasing a home in the near future and want to know how much you can borrow? Yes No Are you happy to be contacted by All Round Home Loans? Yes No Do you want to receive our monthly News Letter? Yes No All applicant(s) Name(s) All applicant(s) signature(s) Date:

2 Applicant 1 Full Name: Date of Birth: Medicare No: Home Phone Number: Mobile: Drivers Licence No: State: Car Registration: Other ID (18+ card no) _ Current address: Period of Occupancy: Years Months Weekly rent paid: $ Reason for leaving this address? Name of Landlord Agent Phone Number: Fax: Do you expect the bond to be refunded in full Yes/No If no why? Previous address: Period of Occupancy: Years Months Weekly rent paid:$ Was the bond refunded in full Yes/No If no why? Name of Landlord Agent: Phone Number: Fax: Occupation: Full-time/Part-time/Casual/Self Employed Hours per week: Employers Name : Phone No: Contact Name: Previous Occupation: Full-time/Part-time/Casual/Self Employed Hours per week: Employers Name : Phone No: Contact Name: If self employed, Name of business: Type of Business: Period Operating Accountant/Bookeeper Name Phone No: Additional Income/Benefits(i.e. Centrelink, child support, saving Pension) Amount $ Please provide two references Emergency contacts cannot be other applicants for the property Address: Name: Relationship: Phone No: Address: Please note we may contact these people to assist you should your rent fall into arrears

3 Applicant 2 Full Name: Date of Birth: Medicare No: Home Phone Number: Mobile: Drivers Licence No: State: Car Registration: Other ID (18+ card no) _ Current address: Period of Occupancy: Years Months Weekly rent paid: $ Reason for leaving this address? Name of Landlord Agent Phone Number: Fax: Do you expect the bond to be refunded in full Yes/No If no why? Previous address: Period of Occupancy: Years Months Weekly rent paid:$ Was the bond refunded in full Yes/No If no why? Name of Landlord Agent: Phone Number: Fax: Occupation: Full-time/Part-time/Casual/Self Employed Hours per week: Employers Name : Phone No: Contact Name: Previous Occupation: Full-time/Part-time/Casual/Self Employed Hours per week: Employers Name : Phone No: Contact Name: If self employed, Name of business: Type of Business: Period Operating Accountant/Bookeeper Name Phone No: Additional Income/Benefits (i.e. Centrelink, child support, saving Pension) Amount $ Please provide two references Emergency contacts cannot be other applicants for the property Address: Name: Relationship: Phone No: Address: Please note we may contact these people to assist you should your rent fall into arrears

4 TERMS & CONDITIONS I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application is true and correct and given my own free will. I declare that I have inspected the premises that I am applying for. I declare that I am not bankrupt and that I have not entered into any scheme or arrangement for the payment of money to any creditors. I further declare I am not paying off any previous rent debt. I authorize the agent to obtain personal information form: (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 If I default under the rental agreement, the agent may disclose details of any such default to tenancy default databases, and to agents/landlords of properties I may apply for in the future. I understand that this agent is a member of TICA tenancy default database and that the Agent may conduct a reference check with this organisations. I authorise this agent to provide any information about me to these databases for the purpose of conducting the checks and acknowledge that such information may be kept and recorded by these organisations. I acknowledge that if I default on my tenancy or rental obligations I may be listed with the above tenancy default databases TICA until such time as the problem giving rise to the listing is resolved to the satisfaction of the agent. I acknowledge and understand that TICA Default Tenancy Control Pty Ltd can be contacted on 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 organisations/ tradespersons to collect me (d) Lodge/claim/transfer to/from the Residential Tenancies Bond Authority (e) Refer to Tribunals/Courts & Statutory Authorities (f) TICA (Default Tenancy Control Pty Ltd) (g) Other Real Estate Agents (h) Referees you have nominated to validate information supplied on your application form. (i) Facilitate the sale of the property should it be placed on the market (j) Refer to collection agents and lawyers (if applicable) I understand that I am under no obligation to sign this consent form, but the failure to do so may result in my application being refused. 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 may not provide me with the lease/tenancy of the premises. Calls are charged at $5.45 per minute inclusive of GST (higher charges from mobiles any pay phones) PRIVACY STATEMENT The personal information you provide in this application or collected by us from other sources is necessary for us to verify your identity, to process and evaluate your application and to manage the tenancy. If your application is successful, your information may be disclosed for the purpose for which it was collected to other parties including the Landlord, referees, other agents and third party operators of tenancy reference databases. Information already held on these databases may also be disclosed to us and the Landlord. If you enter into a Residential Tenancy Agreement and you fail to comply with your obligations under the Agreement, the fact and other relevant personal information collected during the course of your tenancy may also be disclosed to the Landlord, third party operators of information we hold about you. You can also correct this information if it is inaccurate, incomplete or out of date. If the information required from you is not provided by you, we may not be able to process your application and manage your tenancy. Applicant 1 Name Signature: Date: Applicant 2 Name Signature: Date: all round Property Management Signature: Date:

5 A Free Service - Moving home has never been easier Connectnow is dedicated to helping you move home more easily. We can connect your utilities including electricity, gas, phone, internet and pay TV to a broad choice of leading providers. We can also organise your disconnections and offer a range of additional services, such as cleaning and food services, removalists and vehicle hire. What s more, you pay no extra charges as a result of using the connectnow service. We will make all reasonable efforts to contact you within 1 working day of receiving this application to explain the details of the services offered. If we are unable to contact you within this period please call to ensure your services can be addressed by the required date. Please note, although the connectnow service is FREE to you, standard service provider connection fees and charges still apply. You pay no extra charges as a result of using the connectnow services. DECLARATION AND EXECUTION/PRIVACY NOTICE: By signing this application and ticking the YES box below, I: consent to the collection of my personal information by Connectnow Pty Ltd (ABN ) ( connectnow ) for the purposes of contacting me to talk about arranging the connection and disconnection of moving and utility services and related services and to inform me about other products and services that may compliment my home/lifestyle needs; consent to the disclosure by connectnow of my personal information contained in this application to other parties, including the relevant third party service providers, connectnow s related companies and third parties who provide connectnow with services in connection with the ordinary operation and administration of connectnow s business or where otherwise required or authorised by law; understand that protecting my privacy is important to connectnow and that I can obtain further details about how connectnow manages my personal information, including how I may access and seek correction of my personal information, how I may complain about a breach of my privacy and how connectnow will deal with that complaint, by viewing connectnow s Privacy Policy at or contacting their Privacy Officer at understand that whilst connectnow is unlikely to disclose my personal information to recipients located overseas, connectnow is not responsible for the privacy practices of any third party service providers, and accordingly, I accept that it is my responsibility to check the privacy policies of the relevant service providers if I wish to obtain further information about how they manage personal information (including whether or not they are likely to disclose such information to overseas recipients); understand that my consent to receive such marketing materials will continue until I opt-out by contacting understand that the connection and disconnection of moving and utility services and related services (collectively referred to as the nominated services ) will only be initiated once a connectnow representative has discussed the details with me and obtained my consent to the terms and conditions of supply of the relevant service providers; acknowledge that, to the extent permitted by law, neither connectnow nor my real estate agent accepts liability for loss caused by delay in, or failure to, connect and disconnect or provide the nominated services; acknowledge that the nominated services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated service providers bind me and that after hours connections may incur additional service fees from utility providers; authorise the obtaining of a National Metering Identifier or a Metering Installation Registration Number for my residential address to obtain supply details; understand that 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 of the nominated utility services and that there is easy access to the meters; understand that connectnow may be paid a fee by the service provider and may pay a fee to a real estate agent in respect of the provision of the services provided to me by connectnow. By signing this application form, I warrant that I am authorised to make this application and to provide the consents, acknowledgements and other undertakings set out in this application form on behalf of all applicants listed on this application form. Where I have nominated an alternative contact person on this application, I authorise connectnow to speak to them about my move and connection and disconnection needs if connectnow is unable to contact me directly. Yes, I consent to connectnow contacting me to organise my move home services and other products and services to suit my home or lifestyle needs. Signed Date

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