Residential Tenancy
Application Form
10/60 Simpson Street
Beerwah, Qld, 4519
(T) 5494 6588
(f) 54940404
(e) [email protected]
Important Information
In order for Laurie Evans Real Estate to begin processing your Tenancy
Application and to avoid unwanted delays please check you have completed
the following:
Have you inspected the property?
Have you fully completed the Tenancy Application Form?
Read the terms and conditions
Completed the 100 points of ID
Provided proof of income
If employed-Two most recent pay slips
Not Employed-Centrelink income tax statement
Self Employed- Bank Statements, group certificate, Tax Return or
accountant’s letter.
References
Two Personal References (Not relatives, another applicant, or partner)
Two Personal Representatives (Emergency contacts can be relatives)
Pets
Please complete if you are intending to have pet/s at the property
Registration Number & Location of registration (if registered)
Photo of pet
Pet Referee (A person who can verify the pet’s behaviour)
All Applicants have signed the “Pet Acknowledgement Section”
A
l
Please
note the application must be complete with supporting information
l
for us to proceed with your application. Please note an application takes
approx. 48 hours to process.
Tenancy Application
You must read and fully understand the information below:
1.
2.
3.
4.
5.
6.
7.
One application must be completed.
Applications that are not correctly completed, will not be processed and this will create delays, which
we are not responsible for.
Applicants must inspect the inside of the property prior to being approved.
If your application is approved and you are successful, you will be required to pay a bond equal to
four weeks rent together with the first two weeks’ rent to secure the property. A bank transfer; Direct
Deposit or DEFT Payment are the only approved methods of payment accepted.
All parties will be required to attend a sign-up appointment within 24-48 hours of acceptance.
No Applications will be accepted after 4:00pm
Your application must contain copies of current proof of identification and current proof of income.
Outlined below are examples of suitable proof. Suitable proof needs to be presented for your
application to be processed;
A. Identification
You as the applicant, are required to provide 100 points of identification as outlined in part twelve
and the Terms and Conditions.
B.
Proof of income
You as the applicant, are required to provide a current copy of any one of the following:
Your last two payslips
Employment Contract
Letter of Parental Support (if insufficient independent income)
Bank statements showing regular lump sum deposits from your employer
Your disclosure required by the Act
I, the applicant, declare that the information provided in this document is true and that I have supplied it on my own free will. I authorise
you as the Letting Agent, to conduct any enquiries and/ or searches, including any tenancy information databases in order to verify the
information I have provided in this document.
I acknowledge that any false information I provide in this application could jeopardise this application and any subsequent tenancy
agreement I enter into, and approval by the Lessor or Agent. Information already held on tenancy reference databases may also be
disclosed to the Agent and/or Lessor. I acknowledge and accept that if this application is rejected, the Agent is not legally obligated to give
reasons for the rejection. I, the Applicant, declare that I am not bankrupt and that the rental is within my means of income.
Applicant’s Name_____________________________________________________________________________________
Signature____________________________________________________________________________________________
Date___________________________________
TERMS AND CONDITIONS
1. I agree to provide proof of income as part of this application, such as recent income
verification pay slip, accountant letter or Centrelink statement.
2. I understand that should my application to be accepted, that the Agency (On behalf
of the lessor) will require a General Tenancy Agreement signed, monies-rent and
bond paid within 24-48 hours of that acceptance.
3. I consent to the use of email or fax before the tenancy commences and during the
tenancy (if the application is accepted by the lessor) - I understand that the tenancy
agreement and required tenancy information may be emailed to me if I am unable to
attend the office at an agreed appointment time. (If you do not consent to the use of
email or fax, please cross this term out and initial the paragraph plus insert the date).
4. I understand that should my application be denied by the lessor, that there is not a
legal requirement to disclose reasons as to why.
5. I understand that if I have any questions about the tenancy or the application
process, that the agency welcomes and encourages enquiries prior to applications
being made. I further understand that I can request a copy of the Tenancy
Information Statement (Form 17a) prior to making the application. A copy shall be
provided if the tenancy application is successful before any monies (rent or bond are
taken)
6. I understand that I will be required to pay a full bond equal to four week’s rent and
two weeks rent in advance within 24-48 hours of acceptance. (Please ask the
property manager if you are unsure of the total amount required to be paid if the
application is accepted by the lessor).
7. I provide consent for the agency as part of the application processing to contact all
necessary people (such as referees, other agents, tenancy databases) to verify the
application information provided and understand that the Privacy Act requirements
will be adhered to by the Agency. A full copy of the Privacy Act is available on
request.
8. I consent to my information being passed on during the tenancy (should it
commence) to other third parties such as the lessor, trades-people/contractors,
sales people, bodies corporate, tenancy databases and other relevant parties in full
compliance with the Privacy Act and any other relevant information.
9. Under the Privacy Act, we are obliged to inform you should your application not be
successful, your tenancy application form will be shredded within four weeks of
advice to you that your application was not successful.
Applicants Name__________________________________________________________
Signature________________________________________________________________
Date________________
Applications for Residential Tenancy
PART ONE
RENTAL PROPERTY DETAILS
Property Address
Rental Price
$
$
$
1.
2.
3.
Requested move in date
Length of Lease
PART TWO CONTACT DETAILS
Applicant 1
Full Name:
Contact Numbers:
(H)
Email Address:
Drivers Licence Number
Vehicle Registration Number/s
Date of Birth:
(W)
Number of Vehicles
Applicant 2
Full Name:
Contact Numbers:
(H)
Email Address:
Drivers Licence Number
Vehicle Registration Number/s
PART THREE DEPENDANTS
Do you have any dependants?
Dependant Full Name
Relationship to Applicant
PART FOUR SMOKING
Are you or any of the dependants living with you a
smoker?
(M)
Date of Birth:
(W)
(M)
Number of Vehicles
Yes
Dependant Date of Birth
No
Age
Yes
No
PART FIVE
PETS
Do you intend to keep pets at the property?
Yes
(If yes, please complete pet application form. One application per pet)
No
PART SIX
ADDRESS HISTORY
Current residential address
Period of occupancy
Type of occupancy Rent
Current Agent/Lessor (if renting)
Agent/Lessor phone
Current rent $
A week
Owner
Other
A fortnight
A month
Owner
Other
A fortnight
A month
Previous residential address
Period of occupancy
Type of occupancy Rent
Current Agent/Lessor (if renting)
Agent/Lessor phone
Current rent $
A week
PART SEVEN EMPLOYMENT DETAILS
Are you employed? Yes
Employment Status Full Time
Part Time
Date commenced employment (approx.)
No
Casual
Date
Contract
Self Employed
Business Name
Address
Business phone number
If self-employed, Accountant’s Name
Accountant’s phone number
PART EIGHT CENTRE LINK PAYMENTS
Are you receiving any regular Centrelink payments?
Yes
Total Income (per week) $
Date payments commenced
PART NINE
STUDENT DETAILS
Are you studying full time?
Name of education institute you are currently attending
Student Identification Number
Are you an overseas student Yes
No
Yes
If yes, Visa
expiry date
No
No
PART TEN-
PERSONAL REFERENCES
Please do not list relatives, another applicant or partners and provide business hours
contact telephone numbers.
Referee 1
Name
Relationship
Address
Phone/Mobile
Referee 2
Name
Address
Relationship
Phone/Mobile
PART ELEVEN PERSONAL REPRESENTATIVES
I.e. preferred person/s to be contacted in the event of an emergency
Representative 1
Name
Address
Relationship
Phone/Mobile
Representative 2
Name
Address
Relationship
Phone/Mobile
PART TWELVE SUPPORTING DOCUMENTS
Identification
You are required to meet a 100 point identification criterion upon submission of your application.
The agent/lessor may photocopy any item and retain as part of your application.
Please tick the identifying the documents you have provided with your application.
IMPORTANT: At least one form of Photo Identification MUST be provided.
70 Points
Passport
Full Birth Certificate
Citizenship certificate
Student Photo ID
Proof of Age Card
Department of Veteran Affairs Card
State/Federal Gov Photo ID
Medicare Card
Council Rates Notice
Motor Vehicle Registration
Telephone Bill
Electricity Bill
Gas Bill
Tenancy History Ledger
Bank Statement
Credit Card Statement
Last FOUR rent receipts
Rent Bond Receipt
Previous Tenancy Card
40 Points
Australian Drivers Licence
Centrelink Card
25 Points
PART THIRTEEN
PROOF OF INCOME
You are also required to supply the agent/lessor with proof of your income upon submission of your
application.
Employed:
Last TWO pay slips.
Self employed: Bank Statements, Group Certificate, Tax Return or Accountant’s letter.
Not employed: Centrelink Statement.
PART FOURTEEN
DECLARATION
Please declare the following by selecting either TRUE or FALSE
I, the Applicant,
1. Have never been evicted by an agent/lessor
2. Have no known reasons that would affect my ability to pay rent
3. Was refunded the rental bond for my last address in full (if applicable)
True
True
True
False
False
False
If false, please advise what deductions were made from your last bond?
Ssss
4. Have no outstanding debt to another agent/lessor?
True
False
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If false, why are you in debt to your past agent/lessor?
PART FIFTEEN ACKNOWLEDGEMENT
Please acknowledge the following by selecting either Yes or No
I, the Applicant,
1. Acknowledge that my personal contents insurance is not covered under any lessor
insurance policy/s and understand that it is my responsibility to insure my own personal
belongings.
2. Understand that you as the agent/lessor have collected this information for the purpose of
determining whether I am a suitable tenant for the property- in particular to check my
identification, my ability to care for the property, my character and my creditworthiness.
2.1 For such purposes, I authorise you to contact the persons named in this application, and
to undertake such enquires and searches (Including tenancy databases searches) as you
consider reasonably necessary.
2.2 In doing so, I understand that information provided by me may be disclosed to, and
further information obtained from, referees named in this application and other relevant
third parties.
3. Acknowledge and accept that if this application is denied, the agent is not legally obliged to
provide reasons as to why.
4. Consent and understand that should my tenancy be accepted and upon commencement of
the tenancy agreement, there may be cause for the agent/lessor to pass my details onto
others which may include (but is not limited to) insurance companies, body corporates,
contractors, other real estate agents, salespeople and tenancy default databases.
5. Acknowledge that I have received and reviewed the General Tenancy Agreement (Form
18a). The standard terms and any special terms before completing this application.
6. Acknowledge that I have received or have available the Information Statement (Form 17a).
Body corporate by-laws (if applicable) before completing this application.
7. Acknowledge that I have been made aware of the Agency’s Privacy Policy. (This is also
available on our website in full).
8. Acknowledge that the lessor and applicant (tenant) are bound by this agreement
immediately upon communication of either the lessor or the agent’s acceptance of the
application.
9. Consent to the use of email, fax and SMS in accordance with the provisions set out in
Chapter 2 of the Electronic Transmissions (Queensland) Act 2001 (QLD) and the Electronic
Transactions Act 1999 (Cth);
10. Declare that the above information is true & correct and that I have supplied it of my own
free will.
Yes
No
Yes
No
Yes
No
Yes
No
Name of Applicant
Signature
Date
PTO
PET APPLICATION FORM
This form is to be completed when the owner of the property has indicated pets may be
approved to reside at the property. One application per pet.
Property Address:
Town
Postcode
Type Pet
(Example, Cat, Dog, Bird
Breed of Pet
Name of Pet
Age of Pet (approx.)
Is the pet de-sexed
Council Registration number of Pet
Name of Council where the Pet is registered
Description of Pet
(Please be descriptive as possible)
Please supply Photo of pet with this application
Yes
No
Photo Supplied
Yes
No
Name of Emergency Pet Carer
(In case of emergency)
Address of Emergency Pet Carer
Phone Number of Emergency Pet Carer
Mobile Number of Emergency Pet Carer
Pet Referee Name
(Please supply name and contact details of a
person who can provide a reference regarding the
pet)
Pet referee Phone Number
Pet Referee Mobile Number
Pet Acknowledgement
The pet/s (Separate form for each pet to be provided) are to be outside at all times. The tenant/s shall be
liable for any damage caused by the pet/s whilst residing in the property. If damage occurs during the tenancy,
our agency is to be advised as per the terms of the tenancy agreement and the damage rectified within a
reasonable timeframe. The tenant/s understand and agree that a full FLEA fumigation must take place at the
end of the tenancy (And during the tenancy if necessary); and upon vacation of the property a receipt must be
provided from a reputable pest company.
We can provide you with details of our preferred suppliers.
Tenant Name
Tenant Signature
Date
1
2
3
Agency Use Only
Is photo of Pet attached?
Are all required areas completed by the applicant and form signed?
Yes/No
Yes/No
Privacy Notice and Consent
Consent
I,
(Full name)
of
(Residential Address)
have read and understood the attached information. I authorise employees of Laurie Evans
Real Estate, and independent contractors of Laurie Evans Real Estate including their directors,
officers and employees, to obtain relevant information from, and release relevant information to,
the parties described on page 2 to assist with my involvement with Laurie Evans Real Estate. I
understand that I can revoke my authority at any time. I acknowledge that if I revoke my
authority, or if I decline to provide information as requested by Laurie Evans Real Estate, Laurie
Evans Real Estate may be unable to provide the products or services I have requested.
Signed:
Date:
/
/
2
0
Parent/Guardian Signature
(if under 18 years of age)
Privacy
Bernardes Services Pty Ltd (ACN 165 684 195) trading as Laurie Evans Real Estate is committed
to protecting your privacy in compliance with the Privacy Act 1988 (Cth) and the Australian Privacy
Principles (APPs). This document sets out Laurie Evans Real Estate’s condensed Privacy Notice.
Laurie Evans Real Estate also has a full Privacy Policy, which contains information about how you
can complain about any breach by Laurie Evans Real Estate of the APPs or an applicable APP Code.
A full copy of our Privacy Policy can be accessed at our office or on our website laurieevans.com.au .
Information Collection, Use and Disclosure
During the course of your involvement with Laurie Evans Real Estate, we may collect, use or disclose
personal information about you for the following purposes:
 Assisting you to sell your property;
 Assisting you to purchase a property;
 Assisting you to lease a property (either as lessor or lessee);
 Assisting you to obtain a loan;
 Assisting you with payment or refund of a bond;
 Assisting you with tenancy disputes;
 Coordinating repairs or maintenance of a property owned or leased by you;
 Recording or accessing information at the Titles Registry Office or other government agency;
 Recording or accessing information at the Residential Tenancies Authority;
 Recording or accessing information on tenancy information services or databases;
 Client and business relationship management;
 Marketing of products and services to you;
The types of personal information we may collect, use or disclose about you includes but is not limited
to:
 Your full name;
 Your date of birth;
 Your residential address;
 Your postal address;
 Your email address;
 Your home telephone number;
 Your work telephone number;
 Your mobile telephone number;
 Your occupation and business address;
 Financial information including details of your employer, income, name of bank or financial
institution;
 Details of your spouse, de facto, dependent children, and roommates;
 Details of properties owned by you;
 Details of Family Members and / or Referees that you have provided.
In order to provide products and services to you, we may disclose your personal information to the
persons/organisations described below:
 In the event that you are a seller or a lessee, we may disclose your personal information to
prospective buyers of the property owned or leased by you;
 In the event that you are a buyer or a lessee, we may disclose your personal information to the
sellers of the property you are purchasing or leasing;
 Your legal advisor(s) and the legal advisor(s) representing the other party(s) involved in your
transaction;
 Your financial institution and/or financial advisor;
 Insurance providers and brokers;
 Utility providers and utility connection service providers;
 Persons or organisations involved in providing, managing or administering your product or service
including independent contractors engaged by us as real estate agents;
 Tradespeople engaged by us to repair or maintain a property owned or leased by you;
 Organisations involved in maintaining, reviewing and developing our business systems,
procedures and infrastructure including maintaining or upgrading our computer systems;
 Persons or organisations involved in purchasing part or all of our business;
 Our related companies;
 Organisations involved in the payments systems including financial institutions, merchants and
payment organisations;
 The Titles Registry Office or other government agencies;
 The Residential Tenancies Authority;
 Police;
 Tenancy information services or databases;
 Real estate websites;
 Real estate peak bodies;
Whenever it is reasonable or practicable to do so, we will collect your personal information directly from
you. Sometimes it will be necessary for us to collect information from a third party or a publicly available
source, such as a credit reporting agency, your legal adviser, your past or current employers, your
previous lessors or property managers, and tenancy information services or databases.
In the course of providing services to you, it may be necessary for us to enter your personal information
into forms generation software and real estate websites. Depending on the terms of use of such
software and websites, a third party may acquire rights to use or disclose information entered into the
relevant forms or websites.
We may disclose your personal information to recipients within Australia or to overseas recipients .
Should information be required to be sent interstate or overseas, we will take steps to protect the privacy
of your information.
We need your permission to collect, use and disclose your personal information, and we therefore ask
that you sign the consent on the first page of this document to indicate your consent.
In the event that you do not consent to Laurie Evans Real Estate collecting and releasing your personal
information as described above, we may be unable to provide the services requested by you.
Access to, and correction of personal information
You have the right to request access to your information and to request that Laurie Evans Real Estate
update or correct your personal information. A charge may apply for providing access to your
information.
Our Privacy Policy contains further information about how you may request access to, and correction
of, your personal information.
Contacting Us
You may contact us by mail, email or telephone as follows:
Mr Rod Bowden
Director
Laurie Evans Real Estate
Shop 10/60
Simpson Street
Beerwah,Qld . 4519
07 5494 6588
Mobile: 0438 138 [email protected]