Rental Application Form

Property Details

Address of property you are applying For:

Length of Lease Requested:

Rent ($) Per Week:

Your Personal Details

First Name:

Middle Name:

Surname:

Work Telephone No:

Home Telephone No:

Mobile No:

Email:

Date of Birth:

Place of Birth:

Your Motor Vehicle Details

Driver's Licence Number:

Make of Your Motor Vehicle/Motor Cycle:

State of Issue:

Your Residential History

Current Address:

Date Moved In:

Rent Paid:

$ pw

Owner/Agent Details:

Owner/Agent Phone:

Reason for Leaving:

Previous Address 1:

Date Moved In:

Rent Paid:

$ pw

Owner/Agent Details:

Owner/Agent Phone:

Reason for leaving:

Previous Address 2:

Date Moved In:

Rent Paid:

$ pw

Owner/Agent Details:

Owner/Agent Phone:

Reason for Leaving:

Details of Pets that will Reside with You

Do you have, or intend to have, any pets reside in the premises you have applied for?

Type of Pet(s):

Age of those pet(s):

Are the pets de-sexed?:

Your Employment Details

Present Company/Organisation:

Address:

Your Position or Occupation:

Employer Phone:

Period of Employment

Previous 1 Company/Organisation

Address:

Your Position or Occupation:

Employer Phone:

Period of Employment:

Previous 2 Company/Organisation

Address:

Your Position or Occupation:

Employer Phone:

Period of Employment:

Personal References (Persons not related to you)

Referee 1 Names

Telephone Numbers

How Long Accquainted

Relationship

Referee 2 Names

Telephone Numbers

How Long Accquainted

Relationship:

Occupants under the age of 18 that will Reside in the property

Name 1

age

Name 2

age

Name 3

age

Name 4

age

In Case of Emergency Notify...

Nearest Relative (not living with you)

Name:

Relationship:

Address:

Telephone:

Your Next of Kin

Name:

Relationship:

Address:

Telephone:

Your comments:

Your Declaration & Release of Your Credit Information

I/we the applicants declare that the information provided on my/our application for Residential Tenancy is true and correct and that I/we have supplied it of my/our own free will. I/we hereby authorise you as letting agent, to conduct any enquiries and/or searches, including any tenancy information database in order to verify the above information.

I/we acknowledge and accept that if this application is not successful, the agent is not legally obliged to give a reason.

I/we the applicant(s) declare that I/we am/are not bankrupt and that the rental is within my/our means.

NOTE: WE DO NOT ACCEPT BOND TRANSFERS OR PERSONAL/BUSINESS CHEQUES

It is agreed that immediately upon communication of acceptance of this application by the lessor or lessor’s agent that the tenant will pay a non refundable deposit equal to one weeks rent within 24 hours.

Click here to read the terms and conditions

Click here to read the tenancy conditions

Please confirm the following:

	I/we give my/our consent to Arundel Parkwood Real Estate to access my/our credit information.
	I/we have read and agree to the terms and conditions linked to above and here.
	I/we have read and agreed to the tenancy conditions linked to above and here.
If you consent to the items above and declare that all information provided in this form is true and correct to the best of your knowledge, please write the word "YES" in the following box: