FM6005-Residential Tenancy Application

Residential Tenancy Application

Schedule
readOnlySwitch

agentLegalEntityagentAbnAcnagentRlaNoagentAddressStreetagentAddressSuburbagentAddressStateagentAddressPostcodeagentNameagentMobileNumberagentWorkPhoneagentEmail
1. Agent
Company Name/Legal Entity
Street 1
Street 2
Suburb
State
Postcode
ABN (if applicable)
RLA No
Telephone
Work
Fax
Telephone
Mobile
Email
2. Premises
Street 1
Street 2
Suburb
State
Postcode
3. Rent
Amount per week
amount ($)
Frequency
Payable in advance

WeeklyFortnightlyCalendar Monthly
4. Bond
Bond
amount ($)
5. Tenancy
Tenancy

6 months12 monthsOther
Date able to occupy

DayMonthYear
6. Applicant
Legal Entity/Full Name
Is applicant over the age of 18?

YesNo
Joint Application with 1
Joint Application with 2
Joint Application with 3
7. Contact Details
Telephone
Work
Telephone
Home
Telephone
Mobile
Fax
Email
8. Identification
Drivers Licence No
Passport No
Pension No and Type
9. Employment
Gross Weekly Income
amount($)
Other Income/Source
10. If Not Currently Employed
Income/Source
Amount per
Amount
amount($)
Source of Income
Specify e.g. Centrelink, pension, other
11. Student
College/TAFE/University
Student No
Faculty/Course
Income/Source
Amount per
Amount
amount($)
Source of Income
Specify e.g. Centrelink, pension, other
12. Rental History
Current Landlord/Agent
Legal Entity/Full Name
Street 1
Street 2
Suburb
State
Postcode
Mobile Phone number
Mobile
Current Rent for Week
amount($)
Length of time at current address
Years
Months
Reason for Vacating
Current Address
Street 1
Street 2
Suburb
State
Postcode
Previous Landlord/Agent Details
Legal Entity/Full Name
Full Address
Telephone
Mobile
Property Rented
13. Personal/Business Referees
Legal Entity/Full Name 1
Telephone
Mobile
Relationship
Legal Entity/Full Name 2
Telephone
Mobile
Relationship
14. Relatives(Closest relative not residing with you)
Legal Entity/Full Name
Street 1
Street 2
Suburb
State
Postcode
Telephone
Work
Telephone
Home
Telephone
Mobile
Telephone
Fax
Relationship
15. Other Occupants (Full details of all persons who will reside at the property)
Note: All persons over 18 years must complete a separate Application
Legal Entity/Full Name 1
Legal Entity/Full Name 2
Legal Entity/Full Name 3
Legal Entity/Full Name 4
Legal Entity/Full Name 5
Legal Entity/Full Name 6
16. Pets
Do you have any pets

YesNo
If yes, provide details

0/281
17. For Statistical Purposes Only
Please Indicate Where you saw this property advertised
AdvertiserSignboardWebsite (Specify)
Window DisplayCatalogueOther (Specify)
Important Information For Tenants
1. Tenant Costs
Note: Tenants are required to pay additional costs for services as indicated
All water usage costs adjusted for the period of tenancy
All water usage costs in excess of (below) kL per annum, with such allowance to be adjusted for the period of tenancy
kL
All water supply charges adjusted for the period of tenancyNo charge for waterOther (Specify)
ElectricityGasTelephoneOther (Specify)
If the Property is not individually metered for a service, the Tenant must pay an apportionment of the cost of the service as setout below

0/325
2. Insurance
Insurance

LandlordTenant
Responsibility for insurance of the premises
Responsibility for insurance of contents of the premises (for property other than that of the Landlord)
3. Rent Payment Method
The Applicant/s understand that the Agent will accept rent payments in the following form/s

CashBank Deposit BookDirect DebitRent CardBank ChequeInternet TransferCredit CardOther
4. Exclusions (If Any)
List any Property which is not included in the Tenancy

0/167
Terms And Conditions
The Applicant acknowledges receipt of the Agent's disclosure of the Agent's usual use of residential tenancy database/s, the names of the database/s and contact details.
2 Document Identification Check
2 documents verifying your identity must accompany this Application.

(please attach relevant copies)

At least one (1) form of identification must be photographic.
Type
Identification Documents

Driving LicensePassportBirth CertificateStudent CardOther Photo IDBank Statement (with outgoing transactions and account number redacted)
The Agent usually uses a residential tenancy database/s to check the applicant's tenancy history and to decide whether a residential tenancy agreement should be entered into with the Applicant.

Not ApplicableYes
If yes, provide details of the residential tenancy database/s usually used
Name of residential tenancy database 1
Telephone
Home
Email
Website address
Name of residential tenancy database 2
Telephone
Home
Email
Website address
Name of residential tenancy database 3
Telephone
Home
Email
Website address
Agent/Landlord
Fax number
Email
The Applicant has provided your details as a current or previous*Agent/Landlord and has authorised us to request information about thetenancy from you. Please return the completed form by
Email
Applicant (s)

0/200
Property Rented
uniqueSubmissionReference
Should be Empty:

Residential Tenancy Application

1. Agent

2. Premises

3. Rent

4. Bond

5. Tenancy

6. Applicant

7. Contact Details

8. Identification

9. Employment

10. If Not Currently Employed

11. Student

12. Rental History

13. Personal/Business Referees

14. Relatives(Closest relative not residing with you)

15. Other Occupants (Full details of all persons who will reside at the property)

16. Pets

17. For Statistical Purposes Only

Important Information For Tenants

1. Tenant Costs

2. Insurance

3. Rent Payment Method

4. Exclusions (If Any)

Terms And Conditions

2 Document Identification Check

Type