APPLICATION FOR TENANCY Please complete this application and supply supporting documentation. Incomplete applications will not be processed.

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CALLBLUE PTY. LTD. A.B.N. 25 063 816 991 trading as Name of Applicant/s 248 Beach Rd, Batehaven PO Box 3005, Batehaven NSW 2536 Ph: 02 4472 5722 FAX: 02 4472 4249 e: rentals@burdettrealestate.com.au www.burdettrealestate.com.au APPLICATION FOR TENANCY Please complete this application and supply supporting documentation. Incomplete applications will not be processed. Number Applicant 1 Number Applicant 2 Address of Premises of Interest/Type of Property (eg 3 bedroom house, unit etc) Price Range of Rental Property Sought Number of people to reside in property? 1 2 3 4 5 6 Before applications will be considered, each applicant must provide at least one photo ID from the following list Drivers License Passport Proof of Age Card Each applicant must provide the following Birth Certificate Pension/Health Care Card (if applicable) Medicare Card Each applicant must supply at least one document of evidence of rental payments for their current rental property (where applicable) Current rental ledger Current lease Payment receipts Each applicant must provide at least one document of evidence for proof of income from the following list: 3 Pay Slips (most recent and consecutive) Centrelink statement (no more than 1 month old) Letter from employer Other proof of Income (eg. bank statement) Pets to reside at the property? (eg 1 dog, 2 cats) Each applicant must supply at least one document of proof of current address from the following list: Bank statement Electricity bill Telephone bill Important notice to applicants Applications will not be retained after 28 days. Applications are subject to an affordability assessment. A reference check will be carried out on all applicants. Payment of rent can be made in a variety of ways. Our preference is through direct debit, however we do accept eftpos, cash and bank cheques. Please Note: We will do our best to process your application as soon as possible, usually within 2 4 working days. To expedite the process, please ensure that you have completed the application and signed the Disclaimer Authority.

Personal Details Applicant 1 Title Surname First Name Date of Birth Daytime Number Mobile Number Current Address Previous Employer Number Personal Details Applicant 2 Title Surname First Name Date of Birth Daytime Number Mobile Number Current Address If less than 3yrs, previous address If less than 3yrs, previous address Employment Details Employer Name Self Employed Y/N Employer Address Employer Number Employment Details Employer Name Self Employed Y/N Employer Address Occupation/Position Period employed in business Income (Please circle) week/f night/mth Centrelink Income (if applicable) f night If less than 3yrs, previous employer Employer Number Occupation/Position Period employed in business Weekly Income (Please circle) week/f night/mth

Centrelink Income (if applicable) If less that 3yrs, previous employer Previous Employer Number f night Reference 4 Tenancy Details Names of people who will occupy the premises Adults (Indicate if smoker) Y/N Use of Premises Will the premises be used for business purposes? Yes No Children (Include Date of Birth) Y/N Privacy Policy The personal information the Applicant provides in this application or collected from other sources, is necessary for the Agent to verify the Applicant s identity, to process and evaluate the application and to manage the tenancy. Pets Type of pets including breed and size Emergency Contact Name of next of kin of next of kin References Reference 1 Reference 2 Reference 3 The personal information collected about the Applicant in this application and during the course of the tenancy (if the applicant is successful) 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 tenancy reference databases may also be disclosed to the Agent, the landlord or other agents. If the information is not provided, the Agent may not be able to process the application and manage the tenancy. The Applicant I have read the requirements of establishing a tenancy on page one of this application. I have read the privacy policy and l acknowledge that the information supplied herein is true and correct. I consent to the use of my personal information as detailed in the privacy policy. I authorise Burdett Real Estate to contact the references, employers and agents listed herein for the purpose of verifying this information. Name of Applicant 1 Signature of Applicant 1 Date

Name of Applicant 2 Signature of Applicant 2 Date REQUEST FOR RENTAL REFERENCE To: The Property Manager : 02 4472 5722 From: Callblue Pty Ltd T/as Burdett Real Estate Fax: 02 4472 4249 Email: rentals@burdettrealestate.com.au The Property Manager of (Managing Agency) We have received a signed Application for Tenancy from: Who resided at: It would be greatly appreciated if you could (subject to the provisions of the Privacy Act 1988 and the Residential Tenancies Act 2010) complete the following questionnaire and return it to us by fax or email, along with the rental ledger, at your earliest convenience. Names on the Lease Please provide dates of tenancy: What was/is the rental price payable at the property? Did the tenants/s keep pets? If yes, please make comments During the tenancy was there any problem with arrears? Is there a Termination Notice in place? If yes, what are the issues? How did the property present on routine inspections? Did/will the tenant/s receive a full bond refund? If no, please detail reasons Would you rent to this tenant/s again? If no, why? Name and Signature of Property Manager completing this reference Tenancy Applicants Authorisation and Consent

I/we authorize the Agent to forward this questionnaire to all previous Managing Agents and/or landlords where l have rented, and request the previous Agent and/or landlord to honestly complete the survey as quickly as possible so that l will not be delayed in finding accommodation. Signature Applicant 1 Signature Applicant 2