Declaration. Copy of previous Phone, Electricity, Gas accounts Current Motor Vehicle Registration papers

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1 Rental Domain Goodna Smiths Road, Goodna 4300 Property Management Ph: Fax: Business Hours: 9.00am 5.00pm Monday Friday 9.00am 1.00pm Saturday RESIDENTIAL TENANCY APPLICATION Applications will not be processed unless the following is provided: 1. Photo identification Passport, Drivers Licence or 18+ Card. 2. References from previous lessor/agents. 3. Supporting proof of income payslip or Centrelink income statement. Declaration 1. I/We have viewed the premises and acknowledge that in the event I am approved for the Tenancy I/We have a 24hour option period to accept or decline the property and must notify Rental Domain of this decision. 2. Once I/We have accepted the property, I/We will be required to collect, read, sign and return the lease to Rental Domain within 48hrs along with payment of the first weeks rent. The second weeks rent and bond must be paid in cleared funds by money order or bank cheque to our office prior to the collection of the keys at lease commencement date. I/We understand that after the set 48hrs that it would be early termination of the set lease agreement if I/We decide to not continue with the tenancy and fees will apply. 3. I agree that no keys for the property will be provided to me by the rental agent at the commencement of the lease until a value, equivalent to six weeks rent is received in form of money order or bank cheque (first two weeks rent and equivalent to four weeks rent to be paid as the bond) and the lease and bond lodgement signed by all parties. 100 POINTS PROOF OF IDENTITY YOU WILL BE REQUIRED TO PROVIDE PHOTOCOPIES OF YOUR IDENTIFICATION AND PROOF OF INCOME, WHEN APPLYING FOR A PROPERTY. Tenant ledger (on letterhead) 50 points Photo ID (Drivers Licence / 18+ Card / Passport) 40 points Copy of Birth Certificate 40 points Health Care / Pension Card 40 points Proof of Income - pay slips/centrelink 30 points Medicare Card 25 points Copy of previous, Electricity, Gas accounts 10 points Current Motor Vehicle Registration papers 10 points Please note that it is your RESPONSIBILITY to provide photocopies, we do not photocopy in the office Should you not be able to meet the 100 points please speak to the Property Manager Please note: BOND TRANSFERES ARE NOT ACCEPTED BY THIS OFFICE. SMOKING IS NOT PERMITTED INSIDE ANY OF OUR PROPERTIES. AS OF THE 1ST APRIL 2008 THE NEW LEGISLATION FOR WATER CHARGES WERE PASSED - NOTE: TENANTS TO PAY ALL WATER!

2 TENANCY APPROVAL Minimum Criteria It is Company policy that no tenancy application shall be considered for approval if it does not pass the following minimum criteria; Item Applicant(s) Income Criteria The rent on the property must not exceed 30% of the applicant(s) verified income. Income and employment status must be confirmed by the employer or if self-employed by the applicants certified accountant. Rental History Quantifiable history from the last two landlords/agents for the last two years. Agent/owner contact details, Tenant ledger or receipts. Owner Occupier history / Sale Copy of rates notice identifying ownership of the property. Confirmation of presentation and condition of property at time of sale. TICA The applicant(s) must not have any outstanding listing on any of the tenancy databases.

3 A. PROPERTY DETAILS Address of Property applying for: Application for Tenancy Lease Commencement date / / Lease Term months Rent $ per week Bond $ I/We have viewed the premises : Yes No Will the premises be used for business purposes i.e.; Child Care, Internet based business, home based business : Yes No B. PERSONAL DETAILS APPLICANT 1 B. PERSONAL DETAILS APPLICANT 2 Surname Given name/s Surname Given name/s Previous (if applicable) Previous (if applicable) Date of Birth / / Date of Birth / / (H) (W) (M) Car Registration Number Driver s License Number / 18+ Card / Passport Number (H) (W) (M) Car Registration Number Driver s License Number / 18+ Card / Passport Number C. APPLICANT HISTORY C. APPLICANT HISTORY What is your CURRENT address? What is your CURRENT address? Other Situation Other Situation of Landlord/Agent of this Property of Landlord/Agent of this Property Rent $ per week Rent $ per week Reason for Leaving Reason for Leaving

4 PREVIOUS residential address? PREVIOUS residential address? Other Situation Other Situation of Landlord/Agent of this Property of Landlord/Agent of this Property Rent $ per week Rent $ per week Reason for leaving Reason for Leaving 3.3. Have you ever been evicted from a premise? 3.3. Have you ever been evicted from a premise? Yes No Yes No 3.4. Are you currently in debt to any landlord or agent? 3.4. Are you currently in debt to any landlord or agent? Yes No Yes No D. Current Occupation D. Current Occupation Employer s / Centrelink details or Business + ABN if self employed Employer s Address Employer s / Centrelink details or Business + ABN if self employed Employer s Address Contact Person Employment Type: Full Time / Part Time / Casual Duration Contact Person Employment Type: Full Time / Part Time / Casual Duration Weekly / Fortnightly Income$ Weekly / Fortnightly Income $ Are you a student? Yes No Are you a student? Yes No If yes, Course name If yes, Course name Duration Duration

5 E. PERSONAL REFERENCES E. PERSONAL REFERENCES Personal Referee 1. (No Relatives to be used) Personal Referee 1. (No Relatives to be used) Day Time Personal Referee 2 (No Relatives to be used) Day Time Personal Referee 2. (No Relatives to be used) Day Time Day Time F. EMERGENCY CONTACT F. EMERGENCY CONTACT Please provide a contact in case of an emergency (Relative) Please provide a contact in case of an emergency (Relative) Number Number G. of all persons and their ages (including children) other than the applicants who will be occupying these premises H. Details of any pets: Breed / Type pet application to be completed Breed / Type Council Registration Number Breed / Type Council Registration Number The tenant agrees that no unauthorised pets will be kept at the property, even on a short-term or temporary basis PRIVACY DISCLOSURE STATEMENT OF GRANTMAN PTY LTD TRADING AS RENTAL DOMAIN GOODNA OF SMITHS ROAD, GOODNA PHONE We are 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 previous landlords or letting agents, your current employer and your personal referees. We will also check whether any details of tenancy defaults by you are held on a tenancy default database. We use the database operated by TICA Default Tenancy Control Pty Ltd. You can find out more information about this database on its website or (cost of $5.45 per minute inclusive of GST) Your consent to us collecting this information is set out below. I/we the said applicants declare that I/we give my/our permission to the agent to collect my/our information and pass such information onto TICA Default Tenancy Control Pty Ltd. I/we further give my/our permission for my/our information to be provided to any other tenancy information database for the member of the database company to contact any of my/our referees by me/our in my/our tenancy application. I/we agree and understand that once a tenancy application has been lodged with a member of a tenancy database and an inquiry made with a tenancy database my/our information may be recorded as making an inquiry I/we agree that in the event of a default occurring under a tenancy agreement I/we give my/our permission to the member of a tenancy database to register any of my details of such a breach with a tenancy database. I/we further agree and understand that the removal of such information from a database is subject to the condition of the database company. We may disclose personal information about you to the owner of the property to which this application relates. We may also send personal information about you to the owners of any other property at your request. You have the right to access personal information that we hold about you by contacting our Privacy Officer (see contact details above). If you do not complete this form or do not sign the consent below then your application for a residential tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected.

6 PRIVACY CONSENT I/we, the applicant/s acknowledge that I have read the Privacy Notice of Grantman Pty Ltd trading as Rental Domain Goodna. I authorise Rental Domain Goodna to collect information about me from: a) My previous letting agents and/or landlords b) My personal referees; and c) Any Tenancy Default Database (including TICA) which may contain personal information about me. I also authorise Rental Domain Goodna to disclose details about any defaults by me under the tenancy to which this application related to any tenancy default to which it subscribes including TICA. I authorise Rental Domain Goodna to disclose the personal information it collects about me to the owner of the property, even if the owner is a resident outside of Australia. Declaration 1. I/We have viewed the premises and acknowledge that in the event I am approved for the Tenancy I/We have a 24 Hour option period to accept or decline the property and must notify Rental Domain of this decision. 2. Once I/We have accepted the property, I/We will be required to collect, read, sign and return the lease to Rental Domain within 48hrs along with payment of the first weeks rent. The second weeks rent and bond must be paid in cleared funds by money order or bank cheque to our office prior to the collection of the keys at lease commencement date. I/We understand that after the set 48hrs that it would be early termination of the set lease agreement if I/We decide to not continue with the tenancy and fees will apply. 3. I/We have the knowledge that upon approval, Connect Now will be in contact with us to help with my/our moving needs and to let Rental Domain know if you do not want use this service. 4. Tenants to pay all water. SIGNATURES Applicant 1.Signature: Agent Signature: Applicant 2 Signature: Agent Signature: We get things sorted. Moving home has never been easier PH: connectnow.com.au Connectnow is dedicated to helping you move 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 disconnection and offer a range of additional services, such as cleaning and food services, removalists and vehicle hire. What s more, you pay no extra as a result of using 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. DECLARATION AND EXECUTION/PRIVACY NOITCE: 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 purpose of contacting me to talk about arranging the connection and disconnection of moving 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 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 Policy 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 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 fee from utility providers; authorise the obtaining of the 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 metres; 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 consents, acknowledgments 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 the other products and services to suit my home or lifestyle needs Signed:

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