APPLICATION FOR RESIDENTIAL TENANCY

Head ffice: 7/29 Cllier Rad, Mrley WA 6062 (08) 9207 2088 Wangara ffice: 1/7 Prindiville Dr, Wangara WA 6065 (08) 9409 7577 admin@xceedre.cm.au 1. PROPERTY DETAILS APPLICATION FOR RESIDENTIAL TENANCY PROPERTY ADDRESS RENT PER WEEK $ 2. APPLICANT DETAILS Applicants Cntact 1 N s: H) W) M) E) Applicants Cntact 2 N s: H) W) M) E) Applicants Cntact 3 N s: H) W) M) E) Applicants Cntact 4 N s: H) W) M) E) Number f Peple ccupying Premises Requested lease perid: Adults:... Ages:... Children:... Ages:... Mnths:... Cmmencing:... Expiring:... 3. GENERAL INFORMATION D yu; Intend using a Water Bed? Yes N D yu; Intend n smking inside? Yes N 4. PETS D yu; Intend having any pets; Yes N **Please Nte: Restricted Dg Breeds als apply; yu MUST state what type f dg yu have. Yu will find attached a list f the Restricted Dg Breeds Type f Pet:... Breed:... Number:... Age:... Type f Pet:... Breed:... Number:... Age:... 5. MOTOR VEHICLES Number f Vehicles t be Parked at the prperty?... Make... Clur... Reg N... Make... Clur... Reg N... 6. BOND D yu intend n applying t Ministry f Husing? Yes N If Yes, Branch:... 7. UTILITIES By submitting this applicatin, yu are acknwledging that yu will be respnsible fr the cnnectin and payment f gas, electricity and telephne. Yu will als be respnsible fr 100% f the water cnsumed at the prperty. PLEASE NOTE The applicant agrees t take the premises as it is with n alteratin, additins r extras prvided by the wner unless previusly agreed t by all parties. Applicatins will nly be prcessed if fully cmpleted and signed. All prperties are nn-smking znes, tenants are permitted t smke utside f the huse nly. Yu must prvide THREE types f Identificatin (these can be phtcpied at ur ffice). The first must be either a Passprt r driver s License. The ther tw items can be anything that displays yur name and address ther than yur Driver s License, e.g. Bankcard, Medicare r Private Health card, Student Id, Utility Accunt Page 1 f 8

APPLICANT ONE Surname: First Name: Middle Name: D.O.B: Driver s License #: Driver s License Exp: State: Passprt #: Present Previus Yur Occupatin: Incme p/w $ Emplyers Name: Emply. Perid If less than 12 mnths, PREVIOUS EMPLOYER Emplyer Name: Emply. Perid: PLEASE NOTE: If self-emplyed statements f incme must be supplied Emergency - Name Emergency - Address 1 st Character Ref - Name: 2nd Character Ref - Name: Nte: Character references cannt be anybdy related t yu. Page 2 f 8

APPLICANT TWO Surname: First Name: Middle Name: D.O.B: Driver s Licence #: Driver s Licence Exp: State: Passprt #: Present Previus Yur Occupatin: Incme p/w $ Emplyers Name: Emply. Perid If less than 12 mnths, PREVIOUS EMPLOYER Emplyer Name: Emply. Perid: PLEASE NOTE: If self-emplyed statements f incme must be supplied Emergency - Name Emergency - Address 1 st Character Ref - Name: 2nd Character Ref - Name: Nte: Character references cannt be anybdy related t yu. Page 3 f 8

APPLICANT THREE Surname: First Name: Middle Name: D.O.B: Driver s Licence #: Driver s Licence Exp: State: Passprt #: Present Previus Yur Occupatin: Incme p/w $ Emplyers Name: Emply. Perid If less than 12 mnths, PREVIOUS EMPLOYER Emplyer Name: Emply. Perid: PLEASE NOTE: If self-emplyed statements f incme must be supplied Emergency - Name Emergency - Address 1 st Character Ref - Name: 2nd Character Ref - Name: Nte: Character references cannt be anybdy related t yu. Page 4 f 8

APPLICANT FOUR Surname: First Name: Middle Name: D.O.B: Driver s Licence #: Driver s Licence Exp: State: Passprt #: Present Previus Yur Occupatin: Incme p/w $ Emplyers Name: Emply. Perid If less than 12 mnths, PREVIOUS EMPLOYER: Emplyer Name: Emply. Perid: PLEASE NOTE: If self-emplyed statements f incme must be supplied Emergency - Name Emergency - Address 1 st Character Ref - Name: 2nd Character Ref - Name: Nte: Character references cannt be anybdy related t yu. Page 5 f 8

NTD & TICA DISCLOSURE STATEMENT Yu can cntact Natinal Tenancy Database Pty Ltd (ABN 60 079 105 025) ( NTD ) by: Telephne: (03) 9416 2366 Facsimile: (03) 9416 1640 Email: kim@ntd.au Website: www.ntd.net.au In Persn: 1/191 Jhnstne Street, Fitzry, VIC. 3055 TICA DISCLOSURE STATEMENT Yu can cntact TICA (ABN 84 087 400 379) by: Telephne: 02 97433266 Email: enquiries@tica.cm.au By Mail: P.O. Bx 120, Cncrd NSW 2137 PRIMARY PURPOSE NTD & TICA cllects yur persnal infrmatin t prvide t its Members and thers listed belw, histrical tenancy and public recrd infrmatin n individuals and cmpanies wh/which lease residential and cmmercial prperty frm r thrugh licensed real estate agent members f NTD and TICA. NTD & TICA als prvide credit infrmatin n cmpanies/directrs applying fr cmmercial leases. The real estate agent /prperty manager will advertise NTD & TICA f yur cnduct thrughut the lease/tenancy, and that infrmatin will frm part f yur tenant histry. NTD & TICA usually disclses infrmatin t: Licensed real estate agent members NTD s parent cmpany, Cllectin Huse Limited ABN 74 010 230 716 and its subsidiaries and related entities Credit Bureaus If yur persnal infrmatin is nt prvided t NTD & TICA the real estate agent/prperty manager will nt be able t carry ut their prfessinal respnsibilities and will nt be able t prvide a lease/tenancy f the premises. I acknwledge that this is an applicatin t lease this prperty and that my applicatin is subject t the wner s apprval and the availability f the premises n the due date. N actin will be taken against the Landlrd r Agent if the applicatin is unsuccessful r upn acceptance shuld the premises nt be ready fr ccupatin n this date, fr whatever reasn App.1 Signature Print App.2 Signature Print App.3 Signature Print 1. The amunts referred t in the Inging Cst Schedule are payable upn the Applicant signing the Lease prir t taking pssessin f the Prperty. 2. The Applicant will nt be entitled t ccupatin f the Prperty until vacant pssessin is prvided by the current ccupant f the Prperty; the Lease is signed by the Applicant; and the payment f all mnies due t be paid by the Applicant being paid by the Applicant prir t ccupatin f the Prperty. 4. Upn the exercise f the ptin by the Applicant, the Applicant will execute the Lease. The Lease shall be the Xceed Real Estate including the special cnditins attached t this Applicatin and the payment f all mnies amunts referred t in the Inging Cst Schedule. 5. The Applicant agrees t pay the rent in advance 6. The Applicant acknwledges that they are respnsible fr their wn cntents. The Applicant shuld arrange their wn insurance t cver their cntents. 7. The Applicant agrees fr Xceed Real Estate, t cntact any f the persn(s) given as referee(s) by the Applicant fr the purpse f the fllwing up any arrears wing by the Applicant t the Owner. 8. The Applicant acknwledges having been advised that in the event f a breach f the Lease by the Applicant, items f persnal infrmatin cntained in this Applicatin may be recrded in a Tenancy Database by r n behalf f the Owner and may be disclsed in cnnectin with ther residential tenancy applicatins by the applicant. 9. The Applicant makes this Applicatin and Offer jintly and severally. Service f any ntice t any ne Applicant shall be deemed t be service n them all. This dcument is nt a residential tenancy agreement and des nt grant any right t ccupy the Prperty. Special cnditins that will apply t the lease if Applicatin is accepted, and ptin exercised are attached. PLEASE NOTE OWNERS INSURANCE DOES NOT COVER TENANTS CONTENTS PLEASE NOTE THE FOLLOWING: 1. Applicants will nt be given pssessin until this applicatin has been checked and apprved and the Tenancy Agreement signed and the ttal amunt f mney paid. 2. It is imprtant t remember that this applicatin is NOT the lease agreement. 3. The purpse f this frm is: T infrm the wner f yur details and yur requirements fr the lease. Fr example, if yu wish t have pets at the premises. T infrm yu f the mney that is required t be paid prir t taking pssessin f the premises. Fr example, the value f the security bnd, the initial rent payment and the letting fee. T make yu aware f the cnditins assciated with making the applicatin. Fr example, if yur applicatin is accepted, when yu can take pssessin. The Applicant acknwledges having inspected the Prperty and is submitting this applicatin t lease the prperty in the same cnditin that it was inspected, unless therwise listed under Special Cnditins SUMMARY Yur Actin: Cmplete Applicatin Submit Applicatin Owners Applicatin Accept r reject applicatin If applicatin is rejected by the wner then the ptin fee is returned. Yur Actin: If applicatin is accepted then yu have a perid f time t enter int the lease. If yu withdraw after acceptance by the wner, then yu will frfeit the ptin fee. Page 6 f 8

I/We are aware that the agent will carry ut ALL inspectins between the nrmal business hurs at the Agent s discretin. I/We hereby agree that the acceptance f this applicatin is subject t apprval by the Owner/Agent. The tenant is aware the wner has the right t increase the rent at six mnthly intervals. I am/we are ver 18 years f age, nt bankrupt and declare that the abve infrmatin is true and crrect. I/We understand and agree that by submitting this applicatin, and upn its apprval, we agree t the full terms and cnditins f the Lease Agreement and als agree that Rutine Inspectins may be cnducted at the prperty withut myself/us being present. We als understand and agree that phts will be taken at all Rutine Inspectins f the interir and exterir f the prperty. I/We agree t pay (if ptin exercised and lease entered int): INGOING COST SCHEDULE Security Bnd (equivalent f 4 weeks rent) $. Pet Bnd ($260 if required) $. Initial Rent (minimum f 2 week) $. Ttal Due $. BALANCE OWING $. **This is payable in cash r bank cheque nly I hereby acknwledge that by signing belw, I have read and understd all the cnditins set ut in this applicatin Applicant 1 Signature: Date: / / Applicant 2 Signature: Date: / / Applicant 3 Signature: Date: / / Applicant 4 Signature: Date: / / Agent s Signature: Date / / SPECIAL CONDITIONS Page 7 f 8

RESTRICTED DOG BREEDS - NOTICE TO ALL TENANTS AND PROSPECTIVE TENANTS The State Gvernment has intrduced a set f new regulatins t regulate the cntrl f varius breeds f dangerus dgs. Under sectin 53 (1) f the Dg Act, 1976 the gvernr is given the pwer t make regulatins when the Minister is f the view f a specific breed r a mixed-breed f dgs is a ptential danger. Previusly, the Dg Regulatins, 1976 cntained varius prvisins relating t the cntrl f dgs. Thse prvisins have nw been supplemented by the Dg (Restricted Breed) Regulatins, 2002. These new regulatins have applied since 22 April 2009. The new regulatins, by their terms, include the fllwing breeds f dg r any dg f a mixed breed which visibly cntains any f these breeds: (a) Dg Argentin (b) Fila Brasileir (c) Japanese Tsa (d) American Pitbull Terrier (e) Pitbull Terrier (f) Any ther breed f dg the imprtatin f which is prhibited abslutely by the Custmers (Prhibited Imprts) Regulatins, 1956 (Cmmnwealth). It is the plicy f Xceed Real Estate that under n circumstances whatsever, will any dg that is either a breed r crss breed f ne f the dgs listed abve, be permitted t be kept n the premises. This als extends t any visitrs f the tenants wh will nt be permitted t bring any f the abve listed breeds r crss breed dgs t the premises. Page 8 f 8