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Application For Tenancy

PROPERTY DETAILS

Address of the property
Move in date
Date Format: DD slash MM slash YYYY
Length of lease
Rent
Number of occupants
Adults
Children
Ages
Other occupants
Age
Relationship

PERSONAL DETAILS

Title
Given name(s)
Surname
Current Address
Home phone
Work phone
Mobile
Email
Date of Birth
Date Format: DD slash MM slash YYYY
Drivers License
State of issue
Passport Number
Passport Country
Smoker
- Y
- N
Pets
- Y
- N
Describe

NEXT OF KIN

Given name(s)
Surname
Relationship
Address
Phone
Mobile
Email

CURRENT TENANCY DETAILS

Length of occupancy
Rent paid
Reason for leaving
Name of Landlord/Agent
Phone

PREVIOUS RENTAL HISTORY

Previous address
Length of occupancy
Rent paid
Name of Landlord/Agent
Phone

CURRENT EMPLOYMENT

Occupation
- Full time
- part time
- Casual
Length
Salary
Employer
Employer's address
Contact name
Contact number

PREVIOUS EMPLOYMENT

Occupation
- Full time
- part time
- Casual
Length
Employer
Employer's address
Contact name
Contact number

REFEREES

Business referee (1)
Relationship
Phone
Mobile
Personal referee (1)
Relationship
Phone
Mobile

PLEASE ANSWER THE FOLLOWING

Have any of your previous tenancies been terminated
- YES
- NO
Are you in debt to another lessor or Agent
- YES
- NO
Is there an existing reason that may affect your rent payment
- YES
- NO
If yes to any, please provide details
I, the applicant, do solemnly and sincerely declare that I am not bankrupt or an undischarged bankrupt and affirm that the information given in this application is true and correct.
Signature of Applicant
Date
Date Format: DD slash MM slash YYYY

PRIVACY POLICY

The personal information the prospective tenant provided 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. Person information collected about the Applicant is this application and during the course of the tenancy, if the application is successful, may be disclosed for the purpose for which it was collected to other parties including to the landlord, referees, other agents and third party operators of tenancy reference databases.

Information already held on tenancy databases may also be disclosed to the Agent and/or Landlord. If the Applicant enters into a Residential Tenancy Agreement, and if the Applicant fails to comply with their obligations under that agreement, that fact and other relevant personal information collected about the Applicant during the course of the tenancy may also be disclosed to the Landlord, third party operators of tenancy reference databases and/or other agents.

If the Applicant would like to access the personal information the Agent holds, they can do so by contacting the Agent at the address and contact numbers contained in this application. The Applicant can also correct this information if it is inaccurate, incomplete or out-of-date.

If the information is not provided, the Agent may not be able to process the application and manage the tenancy.
Applicant's Signature
Date
Date Format: DD slash MM slash YYYY
Applicant Name
Current Address

RENTAL PAYMENT

I/we acknowledge that rent must always be paid in advance.
I/we acknowledge that Samyak Properties requires rent to be paid by Direct Deposit / transfer.
I/we acknowledge that Samyak Properties do not accept cash, and should not have to chase us for rental payment.
Contact name
Applicant's signature
Employer
Date
Date Format: DD slash MM slash YYYY

With your application, you are required to provide photocopies of…

Photo identification – driver’s license or passport

Rental Ledger or rent receipts – showing a history of your rental payments. If you have sold your home, lease provide a copy of your rates notice or water bill and the selling agent’s details.

Evidence of Income – pay slip or letter from employer. If self-employed a letter from your accountant or your last tax return. If unemployed a letter from Dept. of Social Security confirming your payments.

Photocopies of current bank account statement.

Proof of address – Photocopy of current phone/mobile bill, electricity bill, etc

Photocopy of Medicare Card

References – a written rental reference and any other written references.

Non residents must provide a copy of their immigration Visa.
** IMPORTANT NOTICE TO ALL APPLICANTS**

ALL APPLICATIONS TO BE SUBMITTED BY 10AM MONDAY MORNING

Applications that are incomplete will not be processed. Should you have any questions whilst completing the form, please contact our office on 0419 694 172.

If you are in a shared arrangement and not all are to be listed on the lease, it is essential that each person who wishes to reside in the premises complete additional application forms in full.

Every person over the age of 18 must complete an application form and provide references.

Holding deposits are not accepted until applications are approved.

Once a holding deposit is paid, and if the tenant wishes to withdraw from the application, they forfeit the deposit.

We do not accept transfers of bonds.

If your application is unsuccessful, your application and all of its attachments will be put through the shredder.

The agent of behalf of the owner reserves the right to deny or accept this application. No further correspondence will be entered into.

The property will remain on the market until an application has been approved.

If the application is accepted we require – two (2) weeks or one (1) month’s rent and bond (4 weeks rent), made payable to Samyak Properties by bank cheque or direct deposit.

We will not accept cash under any circumstances.

Our office hours are Monday to Friday 9.30am to 5.30pm. Saturday by appointment only.

DIRECT CONNECT

Direct Connect can help arrange for the connection or provision of the following utilities and other services:
- Electricity
- Gas
- Phone
- Internet
- Pay TV
- Insurance
- Removalist
- Truck or van hire
- Cleaners
- Water
- Please tick this box if you would like Direct Connect to contact you in relation to any of the above utilities and other services.

Please provide your personal details

Title
First Name
Last Name
Date of Birth
Date Format: MM slash DD slash YYYY
Licence/Passport/Medicare No
State/Country

Please provide your contact details

Home phone no
Mobile phone no
Work phone
Fax phone no
Email address

Connection date
Date Format: MM slash DD slash YYYY

Property for connection

Unit/Floor No
Street No
Street Name
Suburb
State
Post Code

Postal address

Unit/Floor No
Street No
Street Name
Suburb
State
Post Code

This is a FREE service that connects all your utilities and other services.

We guarantee that when you connect with one of our market leading electricity and gas suppliers, your services will be connected on the day you move in. Please refer to Direct Connect’s Terms & Conditions for further information.

Once Direct Connect has received this application Direct Connect will call you to confirm your details. Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working day on receipt of this application to confirm your information and explain the details of the services offered. Direct Connect is a one stop connection service. Direct Connect’s services are free. However, the relevant service providers may charge you a standard connection fee as well as ongoing service charges.

DECLARATION AND EXECUTION: By signing this application, you:
1. Acknowledge and accept Direct Connect’s Terms and Conditions (which are included with this application).
2. Invite Direct Connect to contact you by any means (including by telephone or SMS even if the Customer’s telephone number is on the Do Not Call Register) in order to provide Direct Connect’s services to you, to enter into negotiations with you relating to the supply of relevant services as an agent for the service providers, and to market or promote any of the services listed above. This consent will continue for a period of 1 year from the date the Customer enters into the Agreement
3. Consent to Direct Connect using the information provided by you in this application to arrange for the nominated services, including by providing that information to service providers for this purpose. Where service providers are engaged by you, they may use this information to connect, supply and charge you for their services.
4. Authorise Direct Connect to obtain the National Metering Identifier and / or the Meter Installation Reference Number for the premises you are moving to.
5. Agree that, except to the extent provided in the Terms and Conditions, Direct Connect has no responsibility to you for the connection or supply (or the failure to connect or supply) any of the services.
6. Acknowledge that Direct Connect may receive a fee from service providers, part of which may be paid to the real estate agent or to another person, and that you are not entitled to any part of any such fee.
By signing this application form, I warrant that I am authorised to make this application and to provide the invitations, consents, acknowledgements, authorisations and other undertakings set out in this application on behalf of all applicants listed on this application.
Signature
Date
Date Format: MM slash DD slash YYYY

Website by Estate Agents Co-operative Ltd

Application For Tenancy

** IMPORTANT NOTICE TO ALL APPLICANTS**

We will not accept cash under any circumstances.

This is a FREE service that connects all your utilities and other services.

IMPORTANT NOTICE TO ALL APPLICANTS