Application for Residential Tenancy Shop 3, 2-4 Intake Road, Redlynch QLD 4870 Phone: (07)

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Application For Residential Tenancy
Shop 3, 2-4 Intake Road, Redlynch QLD 4870
Phone: (07) 4058 0000 Fax: (07) 4058 1899

The four pages of this application must be completed in full and signed or your application will not be
processed.
PROPERTY ADDRESS ______
RENT $______PER WEEK BOND $______
TENANCY TERM______(fixed term or periodic agreement)
STARTING______ENDING______
Applicant’s Details

Name: D.O.B / /
Are you known by any other name: Yes No
Contact Number: Home Work Mobile
Email Address:
Number of dependants to reside at the property: Total Occupants:
Name: Age: Relationship:
Name: Age: Relationship:
Name: Age: Relationship:
Car Registration No: Driver’s License No & State Issued:
Passport No: 18+ Card No: Other ID:
No. of cars to be kept at the property: Registered: Yes No
Will a boat trailer van motorbike to kept at the property Yes No
Pets: (check with agent) Yes No Type and Breed:
Are the pets registered with the council: Yes No
Are you a smoker: Yes No
Do you have contents insurance: Yes No (NOTE: this is your responsibility)
Full name of other persons other than applicant wishing to occupy the premises:

Applicant’s History

Current Address:
Period of Occupancy: Situation: Renting/Owned/Other Other Situation:
Landlord/Agent Details (if applicable) Name:
Email: Phone:
Rent per week: $ Payment Period: Weekly/Fortnightly/Monthly
Reason for leaving:
Previous Address:
Period of Occupancy: Situation: Renting/Owned/Other Other Situation:
Landlord/Agent Details (if applicable) Name:
Email: Phone:
Rent per week: $ Payment Period: Weekly/Fortnightly/Monthly
Have you ever been evicted from a premises: Yes No
Are you currently in debt to any Landlord/Agent: Yes No

Applicant’s Employment/ Income Details
(NOTE: If self-employed please provide a statement of income from your accountant/tax returns)
(ALL INCOME IS NET OR TAKE HOME “PER WEEK”)

Current Occupation: Name of Company:
Employment Type: Duration: Weekly Income:
Full-time Part-time Casual ( hours per week)
Employer/Business Name/Centrelink Details:
Address: Contact: Phone No:
Previous Occupation:
Employment Type: Duration: Weekly Income:
Full-time Part-time Casual ( hours per week)
Employer/Business Name/Centrelink Details:
Address: Contact: Phone No:
Student at: Student ID No: Austudy: $
Course name: Duration:
Pensioner Type: Allowance:
Unemployment benefit: Allowance:
Self-Employed: (Name of business) Wage:
Address: Phone:
How long established: ABN:
Accountants Name: Phone:
Other type of income: (Savings or Investment) Other Income: $

Referees
(all referees should not be related to you and below must be completed in full)

Name: Phone:
Address: Relationship:
Name: Phone:
Address: Relationship:
Name: Phone:
Address: Relationship:

Emergency Contact(Closest relative NOT residing with you in Australia)
(this information is required in case we need to contact you as a matter of urgency arising from
your tenancy and your normal contact details are not responding)

Name: Phone:
Address: Mobile:
Name: Phone:
Address: Mobile:

100 Points of Identification Checklist

(You will be required to submit supporting documents with your application. Your application will not be
processed if all documents are not given. Our office will require you to submit a minimum of 100 points for
your application to be considered)
IMPORTANT!! At least one form of Photo Identification MUST be provided

70 Points

Passport Full Birth Certificate Citizenship certificate

40 Points

Australian driver’s license Student ID Photo Centrelink card
Proof of age card Dept. of Veterans Affairs card State/Federal Gov. Photo ID

25 Points

Medicate card Council rates notice Tenant history ledger
Gas bill Last four rent receipts Electricity bill
Bank statement Rent bond receipt Credit card statement
Motor vehicle registration Previous tenancy agreement Telephone bill

HOW DID YOU HEAR ABOUT THE RENTAL PROPERTY? (Please circle)
For Rent Sign Rental List Telephone Internet Window Card Newspaper

Declaration
The following questions must be answered and details provided as required

1. Has your tenancy ever been terminated by a landlord or agent

If yes give details______Yes/No

1. Have you ever been refused a property by any landlord or agent

If yes give details______Yes/No

1. Are you in debt to any other landlord or agent

If yes give details______Yes/No

1. Have any deductions ever been made from your rental bond

If yes give details______Yes/No

1. Is there any reason known to you that would affect your future rental payments

If yes give details______Yes/No

1. I acknowledge that the landlord and landlord’s agent will rely on the truth of the above
   answers in assessing the application for tenancy

Acknowledgement
(Please acknowledge the following by selecting either Yes or No)

I, the applicant
1. Acknowledge that my personal contents insurance is no covered under any lessor insurance
policy/s and understand that it is my responsibility to insure my own personal belongings Yes/No
2. Understand that you as the lessor/agent have collected this information for the purpose
of determining whether I am suitable for the property – in particular to check my identification,
my ability to care for the property, my character and my Yes/No
2.1 for such purposes, I authorise you to contact the persons named in this application, and to
undertake such enquiries and searches (including tenancy database searches) as you consider
reasonable necessary.
2.2 in doing so, I understand that information provided by me may be disclosed to, and further
information retained 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. Yes/No
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 me details onto others which
may include (but is not limited to) insurance companies, body corporates, contractors, other real
estate agents, salespeople and tenancy default bases. Yes/No
5. Acknowledge that I have been made aware of the agency’s Privacy Policy Yes/No

6. Acknowledge that the lessor and applicant (tenant) are bound by this agreement
immediately upon communication of either the lessor or agents acceptance of the
application Yes/No

7. Declare that the above information is true and correct and that I have supplied it of my
own free will Yes/No
Name of Applicant: ______

Signature: ______Date: ______

PET APPLICATION AND AGREEMENT
AGENT DETAILS / Redlynch Real Estate
PROPERTY ADDRESS
TENANT NAME
PET DETAILS – If more than 2
pets, please complete
another pet Application / TYPE OF PET/S
BREED OF PET/S
COUNCIL REG #
TERMS AND CONDITIONS / The Tenant/s acknowledges and agrees to the following terms:
If this application is approved, the Lessor agrees to permit pet/s
at the premises as specified in the General Tenancy Agreement and this
Pet Agreement.
Any pet other than the approved pet/s specified in the General Tenancy
Agreement and this Pet Agreement must first be requested by Tenant/s
in writing giving full details and then be approved in writing by the
Lessor PRIOR to the pet/s being allowed onto the premises. Pet
approval may be subject to specific criteria and must be complied with.
Approval is NOT guaranteed.
The tenant shall be liable for any damage or injury whatsoever caused by
the pets on the Property, whether they are the pet of a Tenant or
guest, Tenant’s pets or their guests’ pets and regardless of their approval
status.
The Tenants accepts full responsibility and indemnifies the Lessor for
any claims by or injuries to third parties or their Property caused by,
or as result of actions by their pet/s or their guests pet/s and
regardless of their approval status.
The Tenant agrees to arrange for Flea Fumigation at the end of the
tenancy or at a time during the tenancy as required or requested by the
Lessor/Lessor’s Agent to be carried out by a Company complying with
Australian Standards.
The pet/s are to be outside at all time, if specified in the General
Tenancy Agreement or this Pet Agreement.
By signing below you are only asking for approval of the above-
Mentioned pet/s to be accepted at the property for which you are
Applying.
If approved, you are required to, at the time of signing the Tenancy
Agreement and associated paperwork, sign the Tenancy Agreement
Section.
ACKNOWLEGEMENT BY
APPLICANT / Applicant name / Signature / Date
AFTER PROCESSING THE APPLICATION
APPLICATION RESULT / Application for Pet/s – APPROVED Application for Pet/s – DECLINED
IF APPROVED: The abovementioned pet/s have been approved by the
Lessor of the property stated in this Agreement. This Agreement now
forms part of the General Tenancy Agreement and the Tenant/s are
now bound by the acknowledgment set out in the Application above.
AUTHORISATION ON
BEHALF OF LESSOR/
AGENT / Agent / Signature / Date
TENANT AGREEMENT - to
Be signed only if pets are
approved / Tenant / Signature / Date

Shop 3, 2-4 Intake Road, Redlynch, QLD 4870
Ph: 07 4058 0000 Email:

PRIVACY DISCLOURE STATEMENT

We are independently owned and operated business and are bound by the national Privacy principles.
We collect personal information about you in this form to access your Application for Tenancy.
We may collect information about you from your previous Lessors or Letting Agents, your Employer
and Referees. We will also check if details of Tenancy defaults by you are held on a Tenancy Database.
Your consent for us to collect the information is set out below in the Privacy Consent section.

COLLECTION NOTICE

The personal information you provide in this Application or our Agency collects from other sources is
necessary for our Agency to verify your identity, to process and evaluate the Application and to manage
the Tenancy. If the Application is successful, personal information collected about you in this
Application and during the course of your Tenancy, may be disclosed for the purpose for which it was
collected to other parties including the Lessor, other Agents and third party operators of Tenancy
databases. Information already held on Tenancy Databases may also be disclosed to our Agency
and/or the Lessor. If you enter into a General Tenancy Agreement and if you fail to comply with your
obligation under the Agreement, the facts and other relevant personal information collected about
you during the course of your Tenancy may also be disclosed to the Lessor, third party operators of
the Tenancy Databases and/or other Agents. If your Application is not successful, the Application is
not retained by the Agent. Unless advised otherwise. The Agent will shred the Application and all
attached documents within 24 hours of being declined. If you do not complete this form or do not
sign the consent below then your Application for Tenancy may not be considered by the owner of the
relevant Property or, if considered, may be rejected, due to insufficient information to assess the
Application.

PRIVACY CONSENT

I acknowledge that I have read the above Privacy Disclosure Statement and Collection Notice of
Redlynch Real Estate.
I authorise Redlynch Real Estate to collect information about me from:
1. My previous letting Agents and/or Lessors;
2. My personal referees, employers and all other references on this application:
3. Tenancy Databases to which Redlynch Real Estate subscribes. I can refer to their Privacy
Disclosure Statements via:
I authorise Redlynch Real Estate to refer my name and contact details to an arranger or service
provider including tradespeople (to attend to work required at this Property), salespeople (primary
and secondary Agents), valuers, the Lessor, other Agents, database operators, other Property
Managers, Body Corporate, Insurance companies, Financial services, if required in the future, and to
Authorities as required by law.

ACKNOWLEDGEMENT AND CONSENT BY APPLICANT
Applicant Name:
Applicant Signature:
Date:
Time:

OFFICE USE ONLY

Rent $______Employment Details Confirmed Yes/No
Bond $______Previous Agent/Landlord Confirmed Yes/No
Other $______100 Point Checklist Passed Yes/No
Total $______Tica Check Completed Yes/No
Less Deposit $______Landlord Contacted Yes/No
Owing $______Accepted Yes/No
Rejected Yes/No

TICA CHECK DETAILS
Applicant Name Method Results (please circle)
Internet Check No information found
Information found

NOTES
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