Tenancy Application Form

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1 Tenancy Applicatin Frm Applicatins will nly be prcessed nce this applicatin is fully cmpleted. Shuld the applicant fail t prvide the fllwing details the applicatin will nt be prcessed. If yur applicatin is successful yu must prvide 1 weeks rent fr the hlding depsit HOLDING DEPOSITS ARE NOT REFUNDABLE. When signing the Lease yu must prvide: Bnd (4 weeks rent) plus 2 weeks rent (which includes the hlding depsit) REQUIRED DOCUMENTS FOR TENANCY APPLICATION The fllwing infrmatin MUST be supplied t prcess an applicatin Drivers license r Prf Of Age card Passprt & Birth Certificate (if n drivers license r Prf f Age card is available) Passprt Number Identificatin MUST als include the fllwing: Place f Birth Name at Birth 3 Current payslips r Letter frm Emplyer Self Emplyed - Ntice f Tax Assessment (2 years) Current Centrelink Incme Statement Current Bank statement (must include accunt name details) Utility bill with current address (ie: phne, pwer, car registratin) Written reference frm Landlrd (if nt renting thrugh agent) Ntice t prspective Tenants It is the Tenants respnsibility t make their wn enquiries as t the availability and adequacy f telephne lines, internet services, digital r cable televisin. These services are nt the respnsibility f the Landlrd. Please nte it is ur jb t prcess the applicatin and the Landlrd will make the final decisin. This can take up t 3-4 wrking days. PREPARED BY: 1393 Camden Valley Way, LEPPINGTON NSW 2179 P: F: W: leppingtn.ljhker.cm.au E: rentals.leppingtn@ljhker.cm.au

2 DISCLOSURE OF MATERIALFACTS The applicant(s) / prspective tenant(s) acknwledge having been infrmed f the existence f the fllwing material fact(s): Please prvide a brief explainatin n yur current circumstances and reasns fr mving: All ther Applicants nt n the lease Relatinship t Applicant: Relatinship t Applicant: Relatinship t Applicant: Relatinship t Applicant: Relatinship t Applicant:

3 Residential Applicatin Frm Fr yur applicatin t be prcessed yu must answer all questins (Including the reverse side) A. AGENT DETAILS LJ Hker Leppingtn Address: 1393 Camden Valley Way, LEPPINGTON NSW 2179 Phne: Fax: rentals.leppingtn@ljhker.cm.au Pst: PO Bx 97 LEPPINGTON NSW 2179 Web: www. leppingtn.ljhker.cm.au B. PROPERTY DETAILS 1. What is the address f the prperty yu wuld like t rent? 4a. Please prvide details f any pets Breed/type Pstcde 2. Lease cmmencement date? Day Mnth Year 3. Lease term? Mnths 4. Hw many tenants will ccupy the prperty? Adults Children Cuncil registratin / number C. PERSONAL DETAILS 5. Please give us yur details Mr Ms Miss Mrs Other Surname Given Name/s Ages f Children D. DECLARATION PH: Fax: assistinf@ljhker.cm assist.ljhker.cm.au Mving hme? Relax, we ve gt yu cvered. A FREE* mving service t essential hme services & utilities. LJ Hker Assist takes care f cnnecting all yur hme mving needs. We ll make yur mve easier, saving yu time and effrt. All yu need t d is chse the services that best suit yur hme and lifestyle, and we ll lk after the rest. We can cnnect yur essential services including electricity, gas, hme phne, internet, and Pay TV frm a range f leading prviders. We can als rganise discnnectins at yur previus prperty and ffer a range f hme services such as cleaning, fresh fd delivery, remvalists and vehicle hire. Once we receive yur cntact request, we ll be in tuch with yu within ne business day. If yu prefer t kick things ff earlier, yu can call us n PRIVACY CONSENT AND TERMS: By signing this frm yu cnsent and agree t the fllwing: CONNECTNOW Pty Ltd (ABN ) ( LJ Hker Assist ) will cllect, use and disclse yur persnal infrmatin t cntact yu (including electrnically) abut prviding mving, cnnectin and discnnectin services and t infrm yu abut prducts and services ffered by its related cmpanies and third party suppliers. These ther cmpanies may als use yur details t cntact yu directly abut their prducts and services. See LJ Hker Assist s Privacy Plicy fr further details, including yur rights t access and crrect the infrmatin held abut yu at assist.ljhker.cm.au. Third party service prviders (wh may transfer yur data verseas) may have their wn Privacy Plicy, which yu can request frm them. Yu cnsent t LJ Hker Assist cntinuing t market t yu unless yu pt ut, including by ing privacy@cnnectnw.cm.au. T the extent permitted by law, LJ Hker Assist is nt respnsible r liable fr delayed r failed cnnectins r the service prviders cnnectin charges, which yu must pay t them directly. LJ Hker Assist may be paid a fee by service prviders and may pay a fee t real estate agents relating t services prvided t yu. If yu nminate an alternative cntact persn n this applicatin, yu authrise them t act n yur behalf t arrange mving, cnnectin and discnnectin services, including accepting third party terms. Yu warrant that yu are authrised t make this applicatin n behalf f all applicants and alternative cntact persns listed and that each persn has cnsented and agreed t the handling f their persnal infrmatin n the same terms as yu have. Date f Birth Driver s licence expiry date / State Passprt n. Pensin n. (if applicable) 6. Please prvide yur cntact details Hme phne n. Wrk phne n. Driver s licence N. / NSW Card N. Vehicle Registratin Passprt cuntry Pensin type (if applicable) Mbile phne n. Fax n. address 7. What is yur current address? Pstcde 8. Hw did yu find ut abut this prperty? Newspaper Office The Internet Office Windw Lcal Paper Sign Bard at prperty / I hereby ffer t rent the prperty frm the wner under a lease t be prepared by the Agent. Shuld this applicatin be accepted by the landlrd I agree t enter Int a Residential Tenancy Agreement. I acknwledge that this applicatin is subject t the apprval f the wner/landlrd. I declare that all infrmatin cntained in this applicatin (including the reverse side) is true and crrect and given f my wn free will. I declare that I have Inspected the premises and am nt bankrupt. I authrise the Agent t btain persnal Infrmatin frm: (a) The wner r the Agent f my current r previus residence; (b) My persnal referees and emplyer/s; (c) Any recrd listing r database f defaults by tenants such as NTD, TICA r TRA fr the purpse f checking yur tenancy histry; I am aware that I may access my persnal infrmatin by cntacting - NTD: ; TICA: ; TRA: (02) ; LJ Hker Leppingtn: (02) If I default under a rental agreement, I agree that the Agent may disclse details f any such default t a tenancy default database, and t agents/landlrds f prperties I may apply fr in the future. I am aware that the Agent will use and disclse my persnal infrmatin in rder t: (a) cmmunicate with the wner and select a tenant (b) prepare lease/tenancy dcuments (c) allw tradespeple r equivalent rganisatins t cntact me (d) ldge/claim/transfer t/frm a Bnd Authrity (e) refer t Tribunals/Curts & Statutry Authrities (where applicable) (f) refer t cllectin agents/lawyers (where applicable) (g) cmplete a credit check with NTD (Natinal Tenancies Database) (h) This frm prvides infrmatin abut hw we LJ Hker Leppingtn handle yur persnal infrmatin, as required by the natinal Privacy principles in the Privacy Act 1988, and seeks yur cnsent t disclsures t TICA Default tenancy Cntrl Pty Ltd (TICA) in specified circumstances. If yu d nt cnsent t the disclsure f yur persnal infrmatin t TICA we cannt prcess yur applicatin. As a prfessinal asset manager we cllect persnal infrmatin abut yu. The infrmatin we cllect can be accessed by yu by cntacting ur ffice n r leppingtn@ljh.cm.au I am aware that if infrmatin is nt prvided r I d nt cnsent t the uses t which persnal infrmatin is put, the Agent cannt prvide me with the lease/tenancy f the premises. Signature Date Referral Other (specify) Office use nly:- Tenant Check Cmpleted LJH Assist signed Yes, I accept the Terms. Please call me t cnnect my new hme services

4 F. APPLICANT HISTORY H. CONTACTS / REFERENCES 9. Hw lng have yu lived at yur current address? 17. Please prvide a cntact in case f emergency Surname Given name/s Mnths 10. Why are yu leaving this address? Relatinship t yu Phne n. 11. Landlrd/Agent details f this prperty (if applicable) Name f landlrd r agent 18. Please prvide 2 persnal references (nt related t yu) 1. Surname Given name/s Relatinship t yu Phne n. Landlrd/agent s phne n. Weekly Rent Paid 2. Surname Given name/s 12. What was yur previus residential address? Relatinship t yu Phne n. Pstcde 13. Hw lng did yu live at this address? Mnths 14. Landlrd/Agent details f this prperty (if applicable) Name f landlrd r agent Landlrd/agent s phne n. Weekly Rent Paid Was bnd refunded in full? If nt why nt? I. OTHER INFORMATION Disclsure f material facts The applicant(s) / prspective tenant(s) acknwledge having been infrmated f the existence f the material fact(s) attached t this applicatin. Tenant s Agent (ptinal) Yu may nminate a persn as yur appinted agent / representative t receive ntices r dcuments given under the tenancy. The appintment may be revked in writing at any time during the tenancy. Name and cntact details f tenants agent (name and address t be included in the lease) Surname Address Given Name/s Phne G. EMPLOYMENT HISTORY 15. Please prvide yur emplyment details What is yur ccupatin? What is the nature f yur emplyment? (FULL TIME/PART TIME/CASUAL) Emplyer s name (inc. accuntant if self emplyed r institutin if student) Emplyer s address J. PAYMENT DETAILS - OFFICE USE ONLY Prperty Rental per week First payment f rent in advance Rental Bnd (4 weeks rent): Sub Ttal Less: Hlding depsit (see belw) Amunt payable n signing tenancy agreement (bank cheque r mney rder nly) Payable t LJ Hker Leppingtn Pstcde Cntact name Phne n. Length f emplyment Net Incme Mnths 16. Please prvide yur previus emplyment details Occupatin? Emplyer s name Cntact name Phne n. K. HOLDING FEE The hlding fee can nly be accepted after the applicatin fr tenancy is apprved. The hlding fee (nt exceeding 1 week s rent) f... keeps the premises ff the market fr the prspective tenant fr 7 days (r lnger by agreement). In cnsideratin f the abve hlding fee paid by the prspective tenant, the landlrd s agent acknwledges that: (i) The applicatin fr tenancy has been apprved by the landlrd; and (ii) The premises will nt be let during the abve perid, pending the making f a residential tenancy agreement; and (iii) If the prspective tenant(s) decide nt t enter int such an agreement, the landlrd may retain the whle fee; and (iv) If a residential tenancy agreement is entered int, the hlding fee is t be paid twards rent fr the residential premises cncerned. (v) The whle f the fee will be refunded t the prspective tenant if: (a) the entering int f the residential tenancy agreement is cnditinal n the landlrd carrying ut repairs r ther wrk and the landlrd des nt carry ut the repairs r ther wrk during the specified perid (b) the landlrd/landlrd s agent have failed t disclse a material fact(s) r made misrepresentatin(s) befre entering int the residential tenancy agreement. Signature f Landlrds agent Date Length f emplyment Mnths Net Incme Signature f Applicant Date

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