Docstoc

AUTHORITY TO SELL

Document Sample
AUTHORITY TO SELL Powered By Docstoc
					David Jacobs Real Estate
YOUR PROPERTY IN GOOD HANDS

RENTAL APPLICATION
(All Details Must Be Completed In Full)
Property Applying For Occupation Date: D D M M Y Y Y Y Lease Period: Calendar Months

Property Address: _______________________________________________________________________________________ _______________________________________________________________________________________ No. of Occupants: No. of Animals: Adults: Children:

Specify Type: ___________________________________________________________________

1st Applicant Personal Details
Full Names: _____________________________________________________________________________________ ID/Passport No: Date of Birth: Title: _____________

Cell No.: (__________) _____________________________________ Cell No.: (__________) _____________________________________ Other Contact No.: (__________) _____________________________ E-mail: __________________________________________________ Have you broken a lease? Y N Refused to pay rent for any reason? Y N Y N Reason: __________________________________ Y N Y N

Have you ever been evicted or asked to leave a rental unit? Ever Been convicted of a crime? Y N

Ever filed for Bankruptcy?

Do you give permission for a criminal background, TPN, ITC & employment check? Y N Phone? Y N

Do you currently have in your name; Utilities?

Others? _________________________________________

Is there anything to prevent you from placing utilities or phone in your name and why? ______________________________________________ Do you know of anything which may interrupt your ability to pay rent and why? ____________________________________________________

2nd Applicant Personal Details
Full Names: _____________________________________________________________________________________ ID/Passport No: Date of Birth: Title: _____________

Cell No.: (__________) _____________________________________ Cell No.: (__________) _____________________________________ Other Contact No.: (__________) _____________________________ E-mail: __________________________________________________ Have you broken a lease? Y N Refused to pay rent for any reason? Y N Y N Reason: __________________________________ Y N Y N

Have you ever been evicted or asked to leave a rental unit? Ever Been convicted of a crime? Y N

Ever filed for Bankruptcy?

Do you give permission for a criminal background, TPN, ITC & employment check? Y N Phone? Y N

Do you currently have in your name; Utilities?

Others? _________________________________________

Is there anything to prevent you from placing utilities or phone in your name and why? ______________________________________________ Do you know of anything which may interrupt your ability to pay rent and why? ____________________________________________________

Fax: 086 618 7844 E-mail: dl@axxess.co.za

1st Applicant Residence History
Present Residential Address: ________________________________________________________ ________________________________________________________ ______________________________________ Code: ____________ Present landlord/agent: ___________________________________ Contact No.: (_______) ______________________ Period: Monthly payments? _______________ is your rent current? M Y M N

2nd Applicant Residence History
Present Residential Address: ________________________________________________________ ________________________________________________________ ______________________________________ Code: ____________ Present landlord/agent: ___________________________________ Contact No.: (_______) ______________________ Period: Monthly payments? _______________ is your rent current? M Y M N

No. of late payments: ________ Deposit paid: R_________________ Previous landlord/agent: __________________________________ Contact No.: (_______) ______________________ Period: Monthly payments? _______________ is your rent current? M Y M N

No. of late payments: ________ Deposit paid: R_________________ Previous landlord/agent: __________________________________ Contact No.: (_______) ______________________ Period: Monthly payments? _______________ is your rent current? M Y M N

Reason for moving: ________________________________________ No. of late payments: _________ Deposit paid: R________________ Was your full deposit refunded? Y N

Reason for moving: ________________________________________ No. of late payments: _________ Deposit paid: R________________ Was your full deposit refunded? Y N

Reason deposit was not refunded? ___________________________ ________________________________________________________

Reason deposit was not refunded? ___________________________ ________________________________________________________

To assist us in approving your application for the above property, please provide as much information as possible. All information is taken into consideration, and ITC checks that may show a default will not necessary rule you out from renting the property if sufficient information is supplied.

1.

Applicant’s Income History
Full Time Part Time Student Retired Self Employed Unemployed

Current employment status:

Other: _____________________________________________________________________________________________________________ PRIMARY SOURCE OF EMPLOYMENT Applicant employed by: _______________________________________________________________________________________________ Supervisor’s Name: ____________________________________ Phone: Fax: (__________) ________________________________ (__________) ________________________________ Address of Employer: ________________________________________ __________________________________________________________ __________________________________________________________ Salary: R__________________________________________________ Balance after deductions & rent: R______________________________

Position held: _________________________________________ Monthly take home: R___________________________________

Average weekly hours: _________________ Length of time at present place of employment: Years: ______________ Months: _____________

2. Additional Employment
Applicant employed by: _______________________________________________________________________________________________ Supervisor’s Name: ____________________________________ Phone: Fax: (__________) ________________________________ (__________) ________________________________ Address of Employer: ________________________________________ __________________________________________________________ __________________________________________________________ Salary: R__________________________________________________ Balance after deductions & rent: R______________________________

Position held: _________________________________________ Monthly take home: R___________________________________

Average weekly hours: _________________ Length of time at present place of employment: Years: _____________ Months: _____________

3. Additional Income / Payment Information
In the Event of some emergency that would prevent you from paying rent when due, is there a relative, person, or agency that could assist you wit rent payments?
st

YES NO

1 emergency contact: _____________________________________________________ Address: _______________________________________________________ _______________________________________________________________ 2
nd

Relationship: ___________________________

Phone: (__________) ______________________________ Fax: (__________) ______________________________ Relationship: ___________________________

emergency contact: _____________________________________________________

Address: _______________________________________________________ _______________________________________________________________

Phone: (__________) ______________________________ Fax: (__________) ______________________________

Do you currently have a savings account, line of credit, or charge card sufficient to cover one month's rent?

YES NO

4. Additional Income (Optional)
If there are additional, verifiable sources of income you would like to consider, please list income (e.g. Self-employed, social security, benefit payments), and requested information below regarding each source. Applicant may be required to produce additional documentation or provide and sign release statements. Child support, maintenance support, need NOT be disclosed unless you desire this additional income to be considered for qualification. Additional source: __________________________________________________ Amount: R_____________________ per: ______________ Contact Name: _________________________________________ Phone: Fax: (__________) ________________________________ (__________) ________________________________ Address: __________________________________________________ __________________________________________________________ __________________________________________________________

How long have you been receiving income from this source? ___________________________________________ How long do you expect this income to continue? ________________________________________________________ Is there any reason it would stop?

YES NO

Additional source: __________________________________________________ Amount: R_____________________ per: ______________ Contact Name: _________________________________________ Phone: Fax: (__________) ________________________________ (__________) ________________________________ Address: __________________________________________________ __________________________________________________________ __________________________________________________________

How long have you been receiving income from this source? ___________________________________________ How long do you expect this income to continue? ________________________________________________________ Is there any reason it would stop?

YES NO

5. Assets / Credits / Loans
Number of Vehicles: ___________________ Do you have any commercial vehicles, campers, boats, or motorcycles that would be on the property? __________________________________________________________________________________________________________ Vehicle 1: Make _______________________________ Model __________________________ Colour _____________________ Year_______________ Please Note that only cars on the application are authorized to be on the premises. Plate Number: ___________________________________________________ Province: _________________________________________ Financed / Lease through: _____________________________________________________________________________________________ Contact Person: __________________________________________________ Phone: (__________) ______________________________ Account No.: ____________________________________________________ Vehicle 2: Make _______________________________ Model __________________________ Colour _____________________ Year_______________ Please Note that only cars on the application are authorized to be on the premises. Plate Number: ___________________________________________________ Province: _________________________________________ Financed / Lease through: _________________________________________ Account No.: ____________________________________________________ Contact Person: ____________________________________ Monthly Payments: R________________________________ Monthly Payments: R________________________________

Credit Cards / Loans (including banks, department store, fuel cards, student loans) Creditor: __________________________________________________________________________________________________________ Address: ___________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Phone: (__________) ________________________________ Account No.: _______________________________________________

Total Amount owed: R ________________________ Monthly Payment: R____________________ Are your payments current?

YES NO

Other Creditor: _____________________________________________________________________________________________________ Address: ___________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Phone: (__________) ________________________________ Account No.: _______________________________________________

Total Amount owed: R ________________________ Monthly Payment: R____________________ Are your payments current?

YES NO

6. Other Monthly Expenses
LIST ANY OTHER CURRENT MONTHLY EXPENSES? Hospital payments: R______________________ Health insurance: R______________________ Auto insurance: R______________________ Life insurance: R_________________________ Child Care: R___________________________ Tuition Fees: R_________________________ DSTV or Other: R________________________ Other: R_______________________________ Total: R_______________________________

7. Bank Reference
Name of Bank: ________________________________________________ Checking acc. no.: _____________________________________________ Branch Name: _____________________________________ Savings acc. No.: ___________________________________

How long accounts active? (C) ___________________________________________ (S) ___________________________________________ Aver. Monthly Balance: (C) ____________________________________________ (S) _____________________________________________

8. Personal / Professional Reference
Professional reference Name: _______________________________________________________ Relationship: __________________________________________________ Name of nearest living relative Name: _______________________________________________________ Relationship: __________________________________________________ Name of doctor or dentist Name: _______________________________________________________ Relationship: __________________________________________________ Phone: (__________) ______________________________ Phone: (__________) ______________________________ Phone: (__________) ______________________________

How Long? ________________________________________

How Long? ________________________________________

How Long? ________________________________________

Do you give David Jacobs Real Estate permission to contact references listed above both now and in the future for rental consideration or for collection purposes should they be deemed necessary? If management or the agent has a question regarding this application, please furnish the best contact phone number: Phone: (__________) _____________________________________

YES NO

Cell: _____________________________________________

Thank You!
Thank you for completing an application to rent from us, please sign below. Please note that a completed application requires submission of the following, which will be copied and attached to this application: 1) ID, or passport, or driver license or all. Note: Rental will not be shown without picture ID. 2) 2 months of most current pay slips of income source listed. 3) If self-employed, most current schedule tax return and proof of current income. 4) A reference from employer listed.

A documentation fee is charged for the purpose of verifying the information furnished on the application. By signing below, application hereby represents all information on this application is true, complete, and hereby authorizes annual verification of information, references, and credit history for continual rental consideration or for collection purposes should that become necessary. This fee is non refundable. Documentation Fee Breakdown for R400.00 charge on a twelve month contract. Module Name Experian Individual Enquiry TPN Individual Enquiry Criminal Check Investigation Faxes and Emails Cost R 37.80 R 12.50 R 42.50 R 20.00 Module Name TPN Bank Code on Individual ITC Individual Enquiry Staff Cost Hawk Enquiry Cost R 37.80 R 37.80 R 50.00 R 11.60 Module Name Travelling and Inspection Cost Seminars on Rentals Phone Calls Total Cost Cost R 65.00 R 75.00 R 10.00 R 400.00

An additional fee is charged for lease agreements less than twelve (12) calendar months of R150.00 making the Documentation Fee R550.00; this is for additional inspections and advertising. This fee is not applicable if a lease agreement of six (6) calendar months is requested by the Landlord.

9. Conditions
9.1 9.2 You have to be over eighteen (18) years of age to sign the lease agreement. All parties to the lease agreement will have to fill in an application and sign the agreement.

10. Monetary Consideration
10.0 10.1 10.2 10.3 10.4 10.5 On acceptance of application a deposit of R____________________ is to be paid into the account of David Jacobs Real Estate cc, First National Bank, Cresta, Branch Code 254905, Cheque Account 6210 2990 414. Fax the deposit slip to (086) 618 7844 or email EFT to dl@axxess.co.za Note! That until the deposit is paid; the property will continue to be marketed. A cash deposit fee will be charged for all cash payments. Revenue Stamps cost will include all monies that are collected on behalf of the owner (water, refuse & etc). You do not pay for Revenue Stamps if less than R200.00 (Two Hundred Rand).

11. Expiration
On acceptance hereof by the agent of the application to rent, the acceptance becomes irrevocable by the Applicant’s twenty four (24) hours after notification and deposit is to be paid by the agreed date, as per the lease agreement.

12. Acceptance
The applicant or applicants is made aware that the Lease Agreement signed with Landlord’s is accepted as is, that Landlord’s will not accept a Lease Agreement that has been altered, no crossed out, should the applicant or applicants not agree with the contract then the applicant or applicants forfeit the property. Applicant or Applicants acknowledge this application will form part of the lease agreement when approved. If any information found to be incorrect, the application will be rejected and any subsequent rental agreement becomes void. False and misleading statements will be sufficient reason for immediate eviction and loss of deposit. The Applicant or Applicants further declares that the details furnished herein and on all pages of the application are to the best of their knowledge and belief correct and that, if their application is approved, accept full st responsibility for payment of the rent in advance on or before the 1 day of each calendar month from date of occupation as per the lease agreement. The Applicant or Applicants hereby confirms that they have personally inspected the premises applied for and accept that in the event of their failure to assume tenancy of this application, they shall forfeit to the Agent an amount equal to one months rent and all costs incurred in finalizing the application, including the cost of a written agreement of lease having been prepared pursuant to their signing this application. No agreement of lease shall be deemed to exist between the Owner and his Agent and the Applicant or Applicants until the lease has been duly signed by, or on behalf of the Owner, and deposit paid, or arrangements made to pay the deposit. The By signing this Application the Applicant or Applicants accepts and is bound by the conditions of this application.

Signed by the Applicant or Applicants at ______________________________________________________________ (place). On this ______________ day of ____________________________________________ (month) 20 _______________ (year).

________________________________________ 1St Applicant

________________________________________ 2nd Applicant

Signed by the Agent on behalf of the Owner at _______________________________________________________ (place). On this ______________ day of ____________________________________________ (month) 20 _______________ (year).

________________________________________

Agent on behalf of Owner


				
DOCUMENT INFO
Shared By:
Tags: AUTHORITY, SELL
Stats:
views:716
posted:12/16/2009
language:English
pages:5
Description: AUTHORITY TO SELL