APPLICATION FOR TENANCY
IMPORTANT PLEASE READ BEFORE PROCEEDING
DEAR PROSPECTIVE TENANTS
We can not accept an application without it being fully completed
All phone numbers and addresses of references and all sections of the application must be completed before we can accept the application and begin processing. We also require the 100point ID check and proof of income. Once you have applied for one of our residential properties and your application to tenant the proposed property is accepted, we must have the full bond within two working days after approval OR the property can not be held for you and other applications may be accepted. During the two days, an appointment must be made in order for you to pay your bond, complete the Entry Condition Report and sign the Tenancy Agreement. TWO WORKING DAYS ARE REQUIRED TO APPROVE / DECLINE YOUR APPLICATION 100 Point Identification Checklist
Identification
Last four rent receipts (Real Estate) Last four rent receipts (other) Drivers Licence Photo Id/Passport Reference from Landlord Bank or Credit Statement Phone, Electricity or Gas Accounts Birth Certificate Current Registration Papers Eftpos or Medicare Cards **Pay Slip or Centre Link Statement **Current Tax Assessment or Payg Summary (group certificate)
Points
50 points 20 points 40 points 30 Points 10 Points 10 Points each 10 Points each 10 points 10 points 10 points each 10 points each 10 points
Please note Proof of Income is required before we can process your application
We will phone you on completion of application being processed – please provide a phone number that we can contact you on between 9am and 5pm Please be advised that we are a cashless office & do not accept rental payments over the counter. Payments can only be made in the following way:
DIRECT DEBIT MONEY ORDER CHEQUE
100 points of ID is needed for each applicant if married.
Thank you for choosing Harcourts
APPLICATION FOR TENANCY
ITEM A: PROPERTY ADDRESS: _____________________________________________________________________________ Rent: $_______________________ Lease Term your are requesting: (How long)_________________________________ Approx Commencement date: _________________________________________________________________________
ITEM B:
Full Name: ______________________________________________________________D.O.B.__________________________________ Current Address: ___________________________________________Email:_________________________________________________ Please note your Phone numbers and at what time you are contactable at these numbers. You must be contactable or application will be delayed. Phone: (H)________________________ (W)_______________________________(M)____________________________________ What times_____________ what times_________________ What Times ________________________ Email__________________________________________________________________________________________________________ How long have you lived at this current address: ______________________What rent were you paying $___________________________ Reason for leaving: _______________________________________________________________________________________________ Who is your current Lessor or Agent: _________________________________________________________________________________ Lessor/Agent’s Address: ______________________________________________________Phone: _______________________________
ITEM C: PREVIOUS ADDRESS (Only complete if you lived at the previous address for less than 4 years)
Previous Address_________________________________________________________________________________________________ How long have you lived at this current address: ______________________What rent were you paying $___________________________ Reason for leaving: _______________________________________________________________________________________________ Who was your previous Lessor or Agent: ________________________________________________________________________________________________________________ Previous Lessor/Agent’s Address: _________________________________________________Phone: _____________________________ Was Bond Refunded in Full? ________________________________If Not Why Not:: _________________________________________
ITEM D: Pets: YES/NO Number of Pets:_____________ Are they registered with an organization or Council Yes/No If Yes, with who ________________________________Breed/Type: _______________________________________________
Marital Status:_________________________Number of Children:______________ Ages: ______________________________________ Car Reg: ____________________State: _______________ Drivers Lic. / 18+ Card No. _________________________________________ Passport No:_______________________Country: _______________________Pension No.: _____________________________________ Are you now or have you ever been bankrupt YES / NO If Yes When:_________________________________
ONLY COMPLETE IF MARRIED (SECOND APPLICANT TO COMPLETE)
ITEM A: PROPERTY ADDRESS: _____________________________________________________________________________ Rent: $_______________________ Lease Term your are requesting: (How long)_________________________________ Approx Commencement date: _________________________________________________________________________
ITEM B:
Full Name: ______________________________________________________________D.O.B.__________________________________ Current Address: ___________________________________________Email:_________________________________________________ Please note your Phone numbers and at what time you are contactable at these numbers. You must be contactable or application will be delayed. Phone: (H)________________________ (W)_______________________________(M)____________________________________ What times_____________ what times_________________ What Times ________________________ Email__________________________________________________________________________________________________________ How long have you lived at this current address: ______________________What rent were you paying $___________________________ Reason for leaving: _______________________________________________________________________________________________ Who is your current Lessor or Agent: _________________________________________________________________________________ Lessor/Agent’s Address: ______________________________________________________Phone: _______________________________
ITEM C: PREVIOUS ADDRESS (Only complete if you lived at the previous address for less than 4 years)
Previous Address_________________________________________________________________________________________________ How long have you lived at this current address: ______________________What rent were you paying $___________________________ Reason for leaving: _______________________________________________________________________________________________ Who was your previous Lessor or Agent: ________________________________________________________________________________________________________________ Previous Lessor/Agent’s Address: _________________________________________________Phone: _____________________________ Was Bond Refunded in Full? ________________________________If Not Why Not:: _________________________________________
ITEM D: Pets: YES/NO Number of Pets:_____________ Are they registered with an organization or Council Yes/No If Yes, with who ________________________________Breed/Type: _______________________________________________
Marital Status:_________________________Number of Children:______________ Ages: ______________________________________ Car Reg: ____________________State: _______________ Drivers Lic. / 18+ Card No. _________________________________________ Passport No:_______________________Country: _______________________Pension No.: _____________________________________ Are you now or have you ever been bankrupt YES / NO If Yes When:_________________________________
(APPLICANT ONE)
ITEM E: If Student:
Name of College, TAFE or University: ________________________________________________________________________________ Faculty / Course: _________________________________________________________________________________________________ Student Union No. _______________________________________Student ID No. ____________________________________________
ITEM F: If Currently Employed
What is your occupation: ___________________________________________________________________________________________ What is the name of your current employer: ____________________________________________________________________________ Address of employer: ______________________________________________________________________________________________ Phone: ____________________________ Fax: ______________________ Email: ___________________________________________ Period of employment: ____________________Gross Weekly Salary: ________________________Nett: __________________________
Please have your employer complete the form “Employment Confirmation Form” and attach to your application. You will need to have this form signed and returned for your application to be processed. We want to process your application as quickly as possible so please help us help you by returning the form ASAP. If Employed for Less Than 6 Months Please complete the following:
Previous Employer: ______________________________________________________________ Address of previous Employer: ______________________________________________________________________________________ Phone: ____________________________ Fax: _______________________ Email: __________________________________________ Period of employment with previous employer: ___________________
ITEM G: If Currently Unemployed
Current Centrelink Payment___________________________Nett Weekly (approximately) $_____________________________________
You will need to provide from Centrelink a Statement of Income. This will need to be attached to your application. ITEM H: If Currently Self Employed
What is your occupation: ___________________________________________________________________________________________ What is the name of your Business: _____________________________________________________________________________ Address of your Business: __________________________________________________________________________________________ ABN: _________________________ Phone: ____________________________ Fax: ______________________ Email: ___________________________________________ How long have you operated this business: _____________Average Gross Weekly Earnings: ____________________
Please have your accountant complete the form “Self Employment Confirmation Form” and attach to your application. We want to process your application as quickly as possible so please help us help you by returning the form ASAP.
(IF MARRIED SECOND APPLICANT TO COMPLETE)
ITEM E: If Student:
Name of College, TAFE or University: ________________________________________________________________________________ Faculty / Course: _________________________________________________________________________________________________ Student Union No. _______________________________________Student ID No. ____________________________________________
ITEM F: If Currently Employed
What is your occupation: ___________________________________________________________________________________________ What is the name of your current employer: ____________________________________________________________________________ Address of employer: ______________________________________________________________________________________________ Phone: ____________________________ Fax: ______________________ Email: ___________________________________________ Period of employment: ____________________Gross Weekly Salary: ________________________Nett: __________________________
Please have your employer complete the form “Employment Confirmation Form” and attach to your application. You will need to have this form signed and returned for your application to be processed. We want to process your application as quickly as possible so please help us help you by returning the form ASAP. If Employed for Less Than 6 Months Please complete the following:
Previous Employer: ______________________________________________________________ Address of previous Employer: ______________________________________________________________________________________ Phone: ____________________________ Fax: _______________________ Email: __________________________________________ Period of employment with previous employer: ___________________
ITEM G: If Currently Unemployed
Current Centrelink Payment___________________________Nett Weekly (approximately) $_____________________________________
You will need to provide from Centrelink a Statement of Income. This will need to be attached to your application. ITEM H: If Currently Self Employed
What is your occupation: ___________________________________________________________________________________________ What is the name of your Business: _____________________________________________________________________________ Address of your Business: __________________________________________________________________________________________ ABN: _________________________ Phone: ____________________________ Fax: ______________________ Email: ___________________________________________ How long have you operated this business: _____________Average Gross Weekly Earnings: ____________________
Please have your accountant complete the form “Self Employment Confirmation Form” and attach to your application. We want to process your application as quickly as possible so please help us help you by returning the form ASAP.
ITEM I: REFERENCES (must not be related) Personal References 1. Name _______________________________________________________________________ Address _____________________________________________________________________ Relationship__________________________________________________________________ Please note all phone numbers and at what time your referees are contactable at these number. You must arrange for your referees to be available at the nominated times or your application will be delayed.
Phone: (H)________________________ (W)_______________________________(M)________________________________________ What times_____________ What times_________________ What Times ________________________ Email_________________________________________________________________________________________________
2.
Name _______________________________________________________________________ Address _____________________________________________________________________ Relationship__________________________________________________________________ Please note all phone numbers and at what time your referees are contactable at these number. You must arrange for your referees to be available at the nominated times or your application will be delayed.
What times_________________ What Times ________________________
Phone: (H)________________________ (W)_______________________________(M)________________________________________ What times_____________
Email_________________________________________________________________________________ 3. Name _______________________________________________________________________ Address _____________________________________________________________________ Relationship__________________________________________________________________ Please note all phone numbers and at what time your referees are contactable at these number. You must arrange for your referees to be available at the nominated times or your application will be delayed.
Phone: (H)________________________ (W)_______________________________(M)________________________________________ What times_____________ What times_________________ What Times ________________________
ITEM J: Other Relative Not Living with you (must be different contact to Emergency Contact) Name _______________________________________________________________________ Address _____________________________________________________________________ Relationship__________________________________________________________________ Please note all phone numbers and at what time your referees are contactable at these number. You must arrange for your referees to be available at the nominated times or your application will be delayed.
Phone: (H)________________________ (W)_______________________________(M)________________________________________ What times_____________ What times_________________ What Times ________________________ Email_________________________________________________________________________________________________
ITEM K: Parents/Guardians or Emergency Contact (Must be different to Other Relative) Name _______________________________________________________________________ Address _____________________________________________________________________ Relationship__________________________________________________________________ Please note all phone numbers and at what time your referees are contactable at these number. You must arrange for your referees to be available at the nominated times or your application will be delayed.
Phone: (H)________________________ (W)_______________________________(M)_______________________________________ What times_____________ What times_________________ What Times ________________________ Email_________________________________________________________________________________________________
ITEM L: DISCLAIMER / AUTHORITY
I, the said applicant, do solemnly and sincerely declare that the information contained in this application is true and correct and that all the information was given of my own free will. I further authorise the letting agent to contact and/or conduct any inquiries and/or searches with regard to the information and references supplied in this application. I, the said applicant, do solemnly and sincerely declare that I am in a stable/secure financial position and eligible to enter into this agreement. I, the said applicant, do solemnly and sincerely declare:1. I have inspected the property located at: ___________________________________________________________ 2. I have, of my own accord, decided that I wish to rent the aforementioned property commencing _____/_____/_____ for a period of __________________. 3. I have been informed, understand and agree that the rental for the aforesaid property is to be $_____________ per week and that this rental is within my means to support. 4. I have been informed, understand and agree that the rental for the said property is to be paid every _____________ and is to be ___________________ weeks in advance at all times. 5. I have been informed, understand and agree that the bond for the aforesaid property will be $ _____________ and I further agree and undertake to pay the said bond on/before signing the tenancy agreement. I further authorise the letting agent to attend to all details regarding the lodgement of the said rental bond with the appropriate authority. 6. I have been informed, understand and agree that the acceptance of my application is subject to a satisfactory report being obtained from information supplied on the Tenancy Application submitted by me. 7. I have been informed, understand and agree that should there be a requirement to commence proceedings for recovery of rent, repairs and or damage to the aforesaid property during the term or at the expiration of the tenancy agreement all costs associated with these proceedings shall be able to be recovered from me. 8. I have been informed and understand that this property is covered by Barclay MIS Landlord Protection Plan. 9. I have been informed, understand and agree that should this application not be accepted, the agent is NOT required or obligated to disclose why or supply any reason for the rejection of this application. Upon receipt, this Tenancy Application Form will take approximately 24 to 48 hours to process. I understand that this Tenancy Application Form cannot be processed until all details are completed and sufficient identification is provided for the 100 point check. 10. This Tenancy Application Form remains the property of Harcourts Rockhampton / Capricorn Coast Applicant Name: Applicant Signature: Applicant Name: Applicant Signature:
Tenancy Information Centre of Australia WHAT IS A DEFAULT WITH TICA
Arrears of rent – A tenant can be reported to TICA from the time of arrears Breaking a tenancy agreement – A tenant can be reported to TICA for breaking a tenancy agreement Absconding - A tenant can be reported to TICA for leaving without providing any notice Breaches of Body Corporate By-Laws – A tenant can be reported to TICA for not complying with body corporate by-laws Dishonoured Cheques – Where a rental payment is made and is dishonoured it can be reported to TICA Tribunal or court orders – Any orders made against a tenant can be reported to TICA Poor periodic inspections – If a property is not kept in a reasonable state the matter can be reported to TICA Rental bond claims - An agent can report any bond claims to TICA Unauthorized pets – If a tenant keeps any unauthorized pets it can be reported to TICA Subletting without consent – If a tenant sublets without consent the matter can be listed with TICA Bankruptcy – If a tenant wishes to list their bankruptcy details with TICA, they can do so Schemes of arrangement – Where a tenant agrees to pay off a previous debt the matter can be listed with TICA Noise and nuisance - If a tenant or their guests behaviour causes obstruction to another persons peaceful enjoyment the matter can be listed with TICA Damage to property – Any damage (other than fair wear and tear) caused by a tenant or their guests can be reported to TICA Taking possession without consent – Where a person takes possession of a property without consent the matter can be listed with TICA
YOU CAN CONTACT TICA ON 190 222 0346 calls charge at a rate of $5.45 per minute inclusive of GST
ITEM M: Pro - forma Disclosure Statement & Consent to be attached to your "Application for Residential Tenancy" Applicable for use by Harcourts Rockhampton / Capricorn Coast PRIVACY DISCLOSURE STATEMENT OF SCIA PTY LTD ATF THE SCIA UNIT TRUST ACN: 100 702 243 T/A HARCOURTS ROCKHAMPTON / CAPRICORN COAST ABN: 43 585 161 531 CENTRAL QUEENSLAND (07)49 399199 or (07) 49230900.
We are an independently owned and operated business. We are bound by the National Privacy Principals. We collect personal information about you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or letting agents, your current employer and your referees. We will also check whether any details of tenancy defaults by your are held on a tenancy default database. We use the database operated by TICA default Tenancy Control Pty Ltd. You can find out more information about this database its website at www.tica.com.au. Your consent to us collecting this information is set out below. We may disclose personal information about you to the owner of the property to which this application relates. If this application is successful we may disclose your details to service providers relevant to the tenancy relationship including maintenance contractors and the landlord's insurers. We may also send personal information about you to the owners of any other properties at your request. You have the right to access personal information that we hold about you by contacting our privacy officer (see contact details above). If you do not complete this form or do not sign the consent below then your application for a residential tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected. PRIVACY CONSENT I, the Applicant acknowledge that I have read the Privacy Notice of SCIA PTY LTD ATF THE SCIA UNIT TRUST ACN:100702243 T/A HARCOURTS ROCKHAMPTON / CAPRICORN COAST ABN: 43 585 161 531 OF 4 AQUATIC PLACE, NORTH ROCKHAMPTON, QLD 4701. I authorise Harcourts Rockhampton / Capricorn Coast to collect information about me from: (a) My previous letting agents and/or landlords; (b) My personal referees; and (c) Any Tenancy Default Database (including TICA) which may contain personal information about me. I also authorise Harcourts Central Queensland to disclose details about any defaults by me under the tenancy to which this application relates to any tenancy default database to which it subscribes including TICA. I authorise Harcourts C Rockhampton / Capricorn Coast to disclose the personal information it collects about me to the owner of the property, even if the owner is a resident outside Australia. I also authorise Harcourts Rockhampton / Capricorn Coast to refer my details to an arranger of: (Optional - tick to indicate consent) financial service products (to assist with a home loan application insurance services (for contents insurance and other insurance products) and utilities (to arrange connection or transfer of telephone, gas, electricity etc ) Date: Date: ………………………… …………………………
Signed ……………………………………………………………………………... ( Applicant one) Signed ………………………………………………………………….………….. ( Applicant two)
ITEM N: Rental Reference – Previous Rental History This form is to be completed by your current/previous lessor/rental agent to confirm your tenancy details. Failure to return this form will result in a delay in processing your application. We understand how important getting a response is to you, so please help us to help you and return the reference with your application form. The following applicants have completed and signed an Application Form and signed a Privacy Statement which is attached. Applicant(s) Name___________________________________________________________ Current/Previous Address________________________________________________ Were they a tenant on the lease or an approved occupant? ________________________ Commencement Date___________________ Lease Expiry Date_________________ Amount of rent paid?____________ How many people were approved on the lease?_______________________________ Did your office terminate the agreement? During the tenancy was the tenant ever in arrears? During the tenancy was the tenant issued a Notice to Remedy Breach? Was the rent paid in a satisfactory manner? Have the General Inspections been satisfactory? Did the tenants keep pets at the property Were pets ever a concern during the tenancy If vacated – was the bond refunded in full? Would the Company rent to the tenant again? Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No (please attach tenant ledger) No No No No No
If yes, reason for the Breach___________________________________________________________
If no, what was the problem?_____________________________________________________________________________
If deductions were made what were they for?______________________________________________ General Comments_______________________________________________________________________________________ _______________________________________________________________________________________________________
To be completed & stamped by the lessor/agent with ledger report & faxed to 07 4920 4004
The information provided is completed to the best of my knowledge Agency/Lessor_________________________________________________(Please use agency Stamp if available) Signed______________________________________ Phone______________________________________
through Harcourts Rockhampton / Capricorn Coast.
Date___________________________ Fax___________________________
Address______________________________________________________ THANK YOU FOR YOUR CO OPERATIONThis form is used only for the purpose of confirming current or previous rental history for people applying to rent a property
PLEASE RETURN FAX THIS FORM TO HARCOURTS ROCKHAMPTON REAL ESTATE ON: 4920 4004 OR CALL 4923 0900
(Applicant one)
ITEM O: Employment Confirmation This form is to be completed by your employer to confirm your income details. Failure to return this form will result in a delay in processing your application. We understand how important getting a response is to you, so please help us help you and return the letter ASAP.
Name of Applicant_____________________________________________________ Name of Employer ____________________________________________________ Address of Employer __________________________________________________ Phone_____________________________Fax_______________________________ Email________________________________________________________________ I, _________________________________________________________ being the Owner/Manager (please circle) of the above business hereby certify that the above applicant is currently employed by this business/company and has been employed for a period of ___________________________________________. The applicant currently earns $_______________ gross per week $______________ nett per week. They are employed – CASUAL / FULLTIME (please circle).
Signature Dated
Please Print Name
This form is used only for the purposes of confirming employment for persons applying to rent a property through Harcourts Rockhampton / Capricorn Coast.
(If married applicant two)
ITEM O: Employment Confirmation This form is to be completed by your employer to confirm your income details. Failure to return this form will result in a delay in processing your application. We understand how important getting a response is to you, so please help us help you and return the letter ASAP.
Name of Applicant_____________________________________________________ Name of Employer ____________________________________________________ Address of Employer __________________________________________________ Phone_____________________________Fax_______________________________ Email________________________________________________________________ I, _________________________________________________________ being the Owner/Manager (please circle) of the above business hereby certify that the above applicant is currently employed by this business/company and has been employed for a period of ___________________________________________. The applicant currently earns $_______________ gross per week $______________ nett per week. They are employed – CASUAL / FULLTIME (please circle).
Signature Dated
Please Print Name
This form is used only for the purposes of confirming employment for persons applying to rent a property through Harcourts Rockhampton / Capricorn Coast.
(Applicant one)
ITEM P: Self Employment Confirmation Accountant Details Name______________________________________________________ Address ___________________________________________________ Phone_____________________________________________________ Email______________________________________________________ Fax________________________________________________________
Business Name ______________________________________
Please confirm the following details relating to the above business Business ABN No ______________________________________ Approximate Gross Weekly income $________________________
Signature Dated
Please Print Name
This form is to be completed by your Accountant to confirm your income details and attached to your application form. Your application will be delayed if this form is not attached to your application.
(If married applicant two)
ITEM P: Self Employment Confirmation Accountant Details Name______________________________________________________ Address ___________________________________________________ Phone_____________________________________________________ Email______________________________________________________ Fax________________________________________________________
Business Name ______________________________________
Please confirm the following details relating to the above business Business ABN No ______________________________________ Approximate Gross Weekly income $________________________
Signature Dated
Please Print Name