APPLICATION FORM CENTURY 21 CONOLLY HAY GROUP

Century 21 Conolly Hay Group 35 Noosa Drive, Noosa QLD 4567 07 5447 2451 Fax: 07 5447 5160 Email: rentals@c21noosa.com APPLICATION FORM CENTURY 21 CONOLLY HAY GROUP PROPERTY ADDRESS: PROPOSED TENANCY TERM: WEEKLY RENT: $ MONTHS START DATE: APPLICANT #1 Mobile: Work: Home: Email: Drivers licence number: State: Passport number: Vehicle registration number: Pets: Number: Type/ breed: Pet Registered With Which Council: Date of Birth: NAMES & AGES OF ALL PERSONS TO OCCUPY PREMISES Every person living in the property over the age of 18 needs to full in an application form FULL NAME AGE PRESENT ADDRESS Weekly rent/repayments: $ per week. Name of Current Real Estate / Landlord: Tenancy Period: months. Reason for Leaving: PREVIOUS ADDRESS Weekly rent/repayments: $ per week. Name of Current Real Estate / Landlord: Tenancy Period: months. Reason for Leaving: RENTED / OWNED RENTED / OWNED DECLARATIONS: Applicant to complete and provide details as required Have you ever been evicted by any Lessor or Agent? Are you in debt to another Lessor or Agent? Is there any reason known to you that would affect your ability to pay rent when due? Was your Bond at your last address refunded in full? Was the property in satisfactory condition when you inspected? If not please list of items for request: Signed by the applicants: YES / NO YES / NO YES / NO YES / NO YES / NO Signature: Date: Signature: Date: Let On The Move reduce your stress and save you time by arranging your utility connections at the property... at no extra cost! We will contact you within 2 hours to confirm. Ph: 1300 850 360 Fax: 1300 661 160 Email: sales@onthemove.com.au ELECTRICITY, GAS, TELEPHONE, BROADBAND, FOXTEL YES!! I would like On The Move to contact me! Terms & Conditions - By ticking the box above, you are consenting to On The Move contacting you to arrange your services. On The Move may need to disclose personal information to utility companies to arrange your services. Please see On The Move s Privacy Policy at www.onthemove.com.au. On The Move and your Agent may receive a benefit for arranging your services. On The Move & your agent do not accept responsibility for any delay or failure to connect your services. Standard connection fees & bonds may apply.

PROFESSIONAL REFERENCES Please provide 2 professional references Century 21 Conolly Hay Group 35 Noosa Drive, Noosa QLD 4567 07 5447 2451 Fax: 07 5447 5160 Email: rentals@c21noosa.com NEXT OF KIN OR EMERGENCY CONTACT EMPLOYMENT DETAILS Occupation: Employer: Full-Time / Part-Time / Casual Employment Period: Net Income (p/wk): $ OTHER Are you studying full-time? Name of Education Institution: Total Income (p/wk): $ SELF EMPLOYED Name of Business: Date Commenced: Accountant's Total Income (p/wk): $ ABN#: PERSONAL REFERENCES Please provide 2 personal references Please do not list relatives or another applicant and provide business hours contact numbers I declare that the information provided is true and correct. I consent to verify details via TICA and the provided details given to Century 21 in the application form. I declare I am not bankrupt or an undischarged bankrupt. I understand that if this application is approved, the General Tenancy Agreement will be signed within 2 business days and a deposit of 2 weeks of rent has to be paid into the Century 21 Rental Trust Account. I have received a copy of the RTA Terms and Conditions and I have read and understood these conditions. I understand that my rent has to be 1 week in advance and I understand that it can take up to 3 days to get the electricity connected to my rental property. Signed by the applicants: Signature: Date: Signature: Date:

Century 21 Conolly Hay Group 35 Noosa Drive, Noosa QLD 4567 07 5447 2451 Fax: 07 5447 5160 Email: rentals@c21noosa.com APPLICANT #2 Date of Birth: Mobile: Work: Home: Email: Drivers licences number: State: Passport number: Vehicle registration number: Pets: Number: Type/ breed: Pet Registered With Which Council: PRESENT ADDRESS Please fill in if different from applicant #1 Weekly rent/repayments: $ per week. Name of Current Real Estate / Landlord: Tenancy Period: months. Reason for Leaving: RENTED / OWNED PROFESSIONAL REFERENCE NEXT OF KIN OR EMERGENCY CONTACT EMPLOYMENT DETAILS Occupation: Employer: Full-Time / Part-Time / Casual Employment Period: Net Income (p/wk): $ OTHER Are you studying full-time? Name of Education Institution: Total Income (p/wk): $ SELF EMPLOYED Name of Business: Date Commenced: Accountant's Total Income (p/wk): $ ABN#: PERSONAL REFERENCES Please do not list relatives or another applicant and provide business hours contact numbers

ADDITIONAL INFORMATION FOR APPLICANTS Century 21 Conolly Hay Group 35 Noosa Drive, Noosa QLD 4567 07 5447 2451 Fax: 07 5447 5160 Email: rentals@c21noosa.com "PLEASE ENSURE THAT ALL PAGES ARE COMPLETED, SIGNED AND SUPPORTING DOCUMENTATION ATTACHED Incomplete applications will not be processed Identification Identification: Each applicant must provide at least 100 points of identification and supply supporting documents for PART I and PART II. Please tick the identifying documents you have provided with your application. SUPPORTING DOCUMENTS - PART I ONE OF EACH CATEGORY 30 POINTS Driver's Licence Student Photo ID/Passport NOT AUSTRALIAN Full Birth Certificate Centrelink Card 18+ Card 25 POINTS Medicare Card Council Rates Notice Vehicle Registration Telephone Bill Electricity Bill Bank Statement Credit Card Statement Last FOUR Rent Receipts Rental Bond Receipt Previous Tenancy Agreement SUPPORTING DOCUMENTS - PART II - ONE OF EACH CATEGORY Proof of income Employed - Please provide us with your TWO Last Pay Slips Self Employed - "Bank statements, Group Certificate, Tax Return or Accountant's Letter Not Employed - Centrelink Statement / Retirement Funds Please ensure that all pages including the Rental Reference Request form is completed and signed to allow us to conduct reference checks through your current and/or past agent/landlord. Please allow at least 2 working days to process the application. If your application is successful we require the equivalent to 2 weeks rent within 24 hours to secure the property in your name. Please provide our office with copies of all necessary documents; we can t assist with supplying copies. Please note we are a CASHLESS OFFICE. All funds paid for rent and/or bond must be direct deposited into our account or via internet banking. We can assist you with setting up internet banking to allow for a smooth direct transfer of your rent each week. "On the day you move into your new property keys can be collected from our office between 09:00am and 05:00pm Monday to Friday. We are unable to issue keys for move-ins on Saturday and Sunday, unless prior arrangements have been made. Please note that we do NOT accept bond transfers unless you are already renting through our office.

Previous Real Estate Agency : Email/Fax : ATTENTION: Rentals Department RENTAL REFERENCE REQUEST Century 21 Conolly Hay Group 35 Noosa Drive, Noosa QLD 4567 07 5447 2451 Fax: 07 5447 5160 Email: rentals@c21noosa.com APPLICANTS - Please ensure this section is NOT filled in The tenant/s listed above have submitted a tenancy application with Century 21 Conolly Hay Group. To assist us in processing the application information please complete the form below and return to our office within 24 hours. Confirm the applicant/s were on the lease: Dates of applicants tenancy at the above property: / / To / / Was the tenancy terminated: If YES, why: What was the weekly rent: $ Was rent paid on time: Were any Form 11 or 12 notices issued at any time during the tenancy: If YES, why: Were there any complaints received by your office during the tenancy: If YES, why: Were there any pets kept on the property: If yes; were the pets kept with permission? Was the tenant approachable during the lease agreement? Was the property clean and presented during routine inspections? Was the bond refunded in full: Please list any deductions: Would you rent a property to the tenant/s again in the future: Additional Comments: Print name: Signature: Date: Please email this reference back to rentals@c21noosa.com. Or fax back to: 07 5447 5160. Please provide us with the tenant ledger, thank you. Previous Rental "I understand that as the agent for the lessor you have collected this information for the purpose of checking identification, creditworthiness and determining if the applicant will be a suitable tenant for the property. I understand that acceptance of this application is subject to a satisfactory report as to the applicant's creditworthiness. I understand that you are bound by the Privact Act and the National Privacy Principles. Authority is given to the agent to check credit references, employment details, previous rental references, database agencies (TICA), personal references and any other searches to verify the information I have provided. I also give the agent authority to give information to the lessor of the property for the purpose of processing the application." Signed by the applicants: Signature: Date: Signature: Date:

TICA Privacy Disclosure Form This form provides information about how your personal information is handled, as required by the Australian Privacy Principles in the Privacy Act 1988, and seeks your consent to disclosures to the TICA Group of companies (TICA) in specified circumstances. If you do not consent to the disclosure of your personal information to TICA we can not process your application. As a professional asset manager we collect personal information about you. The information we collect can be accessed by you by contacting our office. Primary Purpose: Before a tenancy is accepted we collect your information to assess the risk to our clients in providing you with a property you have requested to rent and if considered acceptable provide you with a tenancy for the property. In order to assess your application we disclose your personal information to: The Lessor / Owners for approval or rejection of your application, TICA Default Tenancy Control Pty Ltd and TICA Assist Pty Ltd to assess the risk to our clients and verify the details provided in your tenancy application, Referees to validate information supplied in your application and Other Real Estate Agents to assess the risk to our clients The Agent may also take into account any information that is disclosed to us by TICA relating to attempts by Debt Collection Agencies, Credit Providers and related person to contact or locate you. Secondary Purpose: During and after the tenancy we may disclose your personal information to: Trades people to contact you for repairs and maintenance of the property, Tribunals or Courts having jurisdiction seeking orders or remedies, Debt Collection Agencies and affiliated industries, TICA Default Tenancy Control Pty Ltd to record details of your tenancy history, Lessors / Owners insurer in the event of an insurance claim and Future rental references to other asset managers / owners. In the event of a successful tenancy application the applicant s personal information maybe recorded in the Agent s TICA Virtual Manager System, which will allow the Agent to be advised of any future tenancy applications you make. Information regarding our data deletion practices can be advised should you wish. The TICA Virtual Manager program will monitor your tenancy applications as part of our Risk Management procedures to protect our landlord s exposure. The monitoring of your tenancy applications is not a listing on the TICA Tenancy History database. This information is information that would be available to the Agent on a truthfully completed tenancy application form. TICA Statement As the TICA Group may collect personal information about you, the following information about the TICA Group is provided in accordance with the Australian Privacy Principles in the Privacy Act 1988. TICA Default Tenancy Control Pty Ltd (ABN 84 087 400 379) is a tenancy database that records tenants personal information from its members including tenancy application inquiries and tenancy history. TICA Assist Pty Ltd (ABN 28137 488 503) is a database company that records information from mercantile agents and associated industries. In accordance with the Australian Privacy Principles you are entitled to have access to any personal information that we may hold on any of our databases. To obtain your information from the TICA Group proof of identity will be required and can be made by mail to: TICA Public Inquiries PO BOX 120, CONCORD NSW 2137 a fee of $19.80 TICA Primary Purpose The TICA Group collects information from its members and provides such information to other members as a risk management system for the purpose of assessing a tenancy application. The TICA Group does not provide any information that it collects to any other individual or organization other than its own group of companies for any other purpose other than assessing a tenancy application or risk management system or locating system other than government departments and or agencies allowed by law to obtain information from the TICA Group. The personal information that the TICA Group may hold is as follows: Name, date of birth, drivers license number, proof of age card number and or passport number (except Australian) and address at time of making a tenancy application, comments made by a TICA member in relation to your tenancy, which members you rented through and which members you applied to and which members are seeking you. Signed by the applicant: Signature: Date: Signature: Date:

Century 21 Conolly Hay Group - 35 Noosa Drive - Noosa Heads - QLD 4567 Phone 07 5447 2451 Fax 07 5447 5160 - Email: rentals@c21noosa.com