Application for Tenancy

Download a printable version here.

Property Address

Applicant Name

NOTE: All occupants 18 years and over must complete an application form

Names of other applicant’s

Date Inspected

Rent $ (per week)

During my inspection of the property I found it to be in a reasonably clean condition YesNo

If NO I believe the following items should be attended to prior to the commencement of my tenancy if approved. I acknowledge that these items are subject to landlords approval.

I declare the following:

  1. That if accepted a holding deposit of one week’s rent will be paid to Harper Property Agents within 24 hours of acceptance. The holding fee is to be paid by Bank Cheque, money order or direct deposit to the trust account of Harper Property Agents.
  2. If approved I acknowledge that no key will be provided to the property until all monies owed have been paid.
  3. I acknowledge that the availability of telephone/internet/digital or cable television and the adequacy of such services at the property are the sole responsibility of the tenant.
  4. I understand and agree that should this application be rejected Harper Property Agents are not obligated to give a reason for the rejection.
  5. If approved rental payment are to be made by Direct Debit to the agents trust account in advance in accordance with the Residential Tenancy Agreement.

Applicant Full Name

Date

100 Points of identification to be included with your application

Drivers Licence/18+ Card/Passport (one of these must be provided) 30 points each
Tenant ledger/Tenancy Agreement/4 x Rent receipts/Bond receipt 20 points each
Pay slip/Vehicle Registration/Phone, Electricity or Gas account 15 points each
Bank statement/Pension or Health card/Council or Water Rates 15 points
Medicare Card/ Birth Certificate 10 points

NOTE: Incomplete applications will not be processed

Proposed Rental Property address

Postcode

Rent Per Week: $

Bond Amount: $

Have you inspected the property?

YesNo

Length of tenancy

Years

Months

Tenancy To Commence

How many tenants will occupy the property?

Adults

Dependants

Ages

Pets:

YesNo

Pet Type:

Breed/s:

Reg. No:

Outdoor only:

YesNo

If yes attach a PHOTO OF EACH pet

Pet Type:

Breed/s:

Reg. No:

Outdoor only:

YesNo

If yes attach a PHOTO OF EACH pet

Vehicle 1 Rego:

Model/Year/Colour

Vehicle 2 Rego:

Model/Year/Colour

1. First Applicant

Title

First Name

Initial

Last Name

Smoker

YesNo

Name at Birth

Place of Birth

Date of Birth

Age (Years / Months)

Drivers Licence No.

State

NSW Card no.

Passport

Medicare No.

Ref:

Pension Type (if applicable)

No

Home Ph

Mobile Ph

Email

Marital status:

2. Rental History - Applicant 1

Current Address

Suburb

Postcode

How Long at Current Address?

Years

Months

Reason for Leaving:

Rent per week: $

Landlord/ Agent Name:

Agent Ph:

Previous Address

Suburb

Postcode

Length at previous Address?

Years

Months

Reason for Leaving:

Rent per week: $

Landlord/ Agent Name:

Agent Ph:

Bond Refunded Yes / No

YesNo

If not why?

3. Employment Details - Applicant 1

Occupation

Employers Name

Employment Address

Suburb

Postcode

Employer Phone No

Contact Name

Length at current employment

Years

Months

Net Income $

Per Week $

Per Month $

Are you self employed?

YesNo

ABN:

Accountant Name:

Phone:

4. Social Security Benefits OR Centrelink Payment

Type

CRN:

Per Week $

Per Month $

5. Referees - Applicant 1 - (NOT co-applicant)

1. Reference name

Address:

Home Phone

Mobile No

2. Reference name

Address:

Home Phone

Mobile No

6. Emergency Contact Details - Not same as co-applicant

Name

Phone No

Address

Suburb

Postcode

1. Second Applicant AND/OR Partner

Title

First Name

Initial

Last Name

Smoker

YesNo

Name at Birth

Place of Birth

Date of Birth

Age (Years / Months)

Drivers Licence No.

State

NSW Card no.

Passport

Medicare No.

Ref:

Pension Type (if applicable)

No

Home Ph

Mobile Ph

Email

Marital status:

2. Rental History - Applicant 2

Current Address

Suburb

Postcode

How Long at Current Address?

Years

Months

Reason for Leaving:

Rent per week: $

Landlord/ Agent Name:

Agent Ph:

Previous Address

Suburb

Postcode

Length at previous Address?

Years

Months

Reason for Leaving:

Rent per week: $

Landlord/ Agent Name:

Agent Ph:

Bond Refunded Yes / No

YesNo

If not why?

3. Employment Details - Applicant 2

Occupation

Employers Name

Employment Address

Suburb

Postcode

Employer Phone No

Contact Name

Length at current employment

Years

Months

Net Income $

Per Week $

Per Month $

Are you self employed?

YesNo

ABN:

Accountant Name:

Phone:

4. Social Security Benefits OR Centrelink Payment

Type

CRN:

Per Week $

Per Month $

5. Referees - Applicant 2 - (NOT co-applicant)

1. Reference name

Address:

Home Phone

Mobile No

2. Reference name

Address:

Home Phone

Mobile No

6. Emergency Contact Details - Not same as co-applicant

Name

Phone No

Address

Suburb

Postcode

7. The Following Documents Should Be Enclosed with your Application - Bring originals for verification

ALL DOCUMENTS ARE TO BE COPIED AND ATTACHED TO YOUR APPLICATION BEFORE SUBMITTING IT.

Copy of Drivers Licence

Copy of Bank Statement

Copy of Passport

Copy of Tenant Ledger

Copy of Pay Slips

References

Copy of Medicare

8. FREE Utillities Connections User Consent Form
reducemybills.com.au

By signing this application, I/we give consent to ReduceMyBills to make contact by phone, email or sms for the purpose of arranging connections and disconnections of approved utility services. I/we authorise ReduceMyBills to supply collected information to other household service providers for the services including Cleaning, Removal, Insurance and Appliances.

I/we authorise ReduceMyBills to contact us via these means even if the telephone numbers supplied are listed on the Do Not Call Register. I/we understand that ReduceMyBills may also send related emails promoting
other services provided by ReduceMyBills.

I/we acknowledge that all information supplied in the application is true and correct to be best of my/our knowledge and that we have not falsely represented our identity in any manner.

I/we understand that ReduceMyBills treat any personal information it collects, uses or discloses in accordance with the Privacy Act 1988.

I/We authorise ReduceMyBills to supply collected information to nominated suppliers and/or potential suppliers for the connection and disconnection of nominated utilities or to assist with my obtaining other services including appliances, removalists, cleaners and insurance.

I/we understand that in the course of connecting utilities, ReduceMyBills may need to obtain an NMI (National Meter Identifier) for electrical points or MIRN (Meter Installation Registration Number) for Natural Gas connections. I/we authorise ReduceMyBills to collect these identifiers and consent to those numbers being supplied to utility providers.

I/We acknowledge that whilst ReduceMyBills is a free service, I/we are solely responsible for any and all amounts payable in relation to deposits, connections/disconnections or ongoing supply of the connected services and amounts payable for other services including appliance, removalist, cleaners and insurance.

I/we acknowledge that ReduceMyBills, to the extent permitted by law, shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us as a result of the provision of any service. Nor shall ReduceMyBills be liable for any act or omission by any utility provider for any loss caused by failure to provide nominated services.

I/we acknowledge that the nominated real estate entity along with ReduceMyBills may receive a benefit from suppliers for the provision of connections.

I/we declare that we have read and understand the above declaration and wish to be contacted by ReduceMyBills.

9. Declaration of Authority

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter Into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have Inspected the premises and am not bankrupt.

I authorise the Agent to obtain personal Information from:

(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 such as NTD, TICA or TRA for the purpose of checking your tenancy history;

I am aware that I may access my personal information by contacting - • NTD: 1300 563 826 • TRA: (02) 9363 9244 • TICA: 1902 220 346

If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

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 tradespeople or equivalent organisations to contact me
(d) lodge/claim/transfer to/from a Bond Authority
(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
(f) refer to collection agents/lawyers (where applicable)
(g) complete a credit check with NTD (National Tenancies Database)

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 cannot provide me with the lease/tenancy of the premises.

Name

Date