Residential Tenancy

Application Form Elizabeth

P 08 8287 5511 | F 08 8287 4777 | elizabeth.sa@raywhite.com | www.raywhiteelizabeth.com.au Suite 1A/3 Elizabeth Way, Elizabeth SA 5112 | RLA 217965

I/We acknowledge the rent amount for Property 1 of $_____________________ per week is payable fortnightly in advance during the term of the lease. My nominated method of payment for rent shall be (please tick): Electronic Funds Transfer (EFT) Centrepay Commonwealth Bank I/We acknowledge there is a requirement to pay a security bond. Rent up to $250pw = Equal to 4 weeks rent Bond amount (preference 1): $ __________ Rent over $251pw = Equal to 6 weeks rent Bond amount (preference 1): $ __________ The bond will be paid by Cash Bond Housing SA Bond (please circle) If you are approved. The bond & 2 weeks rent must be paid within 48 hours to secure the property

V.8

Applicant Name/s: _________________________________________ ___________Contact No: _______________________________________ Property 1: ______________________________________________________________________________________Attended Open? YES Property 2: ______________________________________________________________________________________Attended Open? YES Property 3: ______________________________________________________________________________________ Attended Open? YES

APPLICATION CHECKLIST Proof of Income i.e. Payslips ( x2 current) OR Centrelink Income Statement with payment amounts

Photo Identification (Licence OR Proof of age OR Passport)

Places you lived (current & previous, contact numbers essential, see Residential Details page 2)

Sign the Declaration (see page 4)

Rental Ledger from current Real Estate

Additional Identification Required (choose 3 from below) Birth Certificate Proof of Age Passport Citizenship Certificate Licence Debit / Credit Card Medicare Card Latest Electricity or Gas Account Latest Telephone Account

YOU MUST PHOTOCOPY ALL DOCUMENTATION AND HAND INTO OFFICE

RAY WHITE ELIZABETH DOES NOT PHOTOCOPY

Residential Details

Current Address: _________________________________________________

____________________________________________________________________

Circle Applicable

Private Landlord Agent Family Boarding Owner

How long have you lived at your current address?

_______ Years ________ Months

Name Private Landlord / Agent / Family / Boarding:

____________________________________________________________________

Contact No: ____________________ Rent per week $_______________

Why are you leaving this address?

____________________________________________________________________

Previous Address: ________________________________________________

____________________________________________________________________

Circle Applicable

Private Landlord Agent Family Boarding Owner

How long did you live at your previous address?

_______ Years ________ Months

Name Private Landlord / Agent / Family / Boarding:

____________________________________________________________________

Contact No: ____________________ Rent per week $_______________

Why did you leave this address?

____________________________________________________________________

Applicant 1

Title: __________ DOB: _______/________/________ AGE:_________

Given Names: ____________________________________________________

Surname: _________________________________________________________

Relationship with applicant 2:___________________________________

Home: ________________________ Mobile:___________________________

Email: _____________________________________________________________

Licence No._______________ ______Car Rego: ______________________

Car Model: _______________________________________________________

Income / Employment Details

Current Occupation: _____________________________________________

Employer’s Name: _______________________________________________

Employer’s Address: ____________________________________________

___________________________________________________________________

Contact Name: _________________________ Ph: _____________________

Length of Employment: ________ Years _______ Months

Weekly Wage or Salary : $ _______________________________________

Government/Other Benefits Type:______________________________

Weekly Government Benefits Income: $ ________________________

Total Weekly Income: $ _________________________________________

Residential Details

Current Address: _________________________________________________

____________________________________________________________________

Circle Applicable

Private Landlord Agent Family Boarding Owner

How long have you lived at your current address?

_______ Years ________ Months

Name Private Landlord / Agent / Family / Boarding:

____________________________________________________________________

Contact No: ____________________ Rent per week $_______________

Why are you leaving this address?

____________________________________________________________________

Previous Address: ________________________________________________

____________________________________________________________________

Circle Applicable

Private Landlord Agent Family Boarding Owner

How long did you live at your previous address?

_______ Years ________ Months

Name Private Landlord / Agent / Family / Boarding:

____________________________________________________________________

Contact No: ____________________ Rent per week $_______________

Why did you leave this address?

____________________________________________________________________

Applicant 2

Title: __________ DOB: _______/________/________ AGE:_________

Given Names: ____________________________________________________

Surname: _________________________________________________________

Relationship with applicant 1:___________________________________

Home: ________________________ Mobile:___________________________

Email: _____________________________________________________________

Licence No._______________ ______Car Rego: ______________________

Car Model: _______________________________________________________

Income / Employment Details

Current Occupation: _____________________________________________

Employer’s Name: _______________________________________________

Employer’s Address: ____________________________________________

___________________________________________________________________

Contact Name: _________________________ Ph: _____________________

Length of Employment: ________ Years _______ Months

Weekly Wage or Salary : $ _______________________________________

Government/Other Benefits Type:______________________________

Weekly Government Benefits Income: $ ________________________

Total Weekly Income: $ _________________________________________

Emergency Contact (i.e. Family, friend)

Next of Kin: ______________________________________________________

Address: __________________________________________________________

Home: _________________________ Work: __________________________

Mob: ____________________ _______Relationship:___________________

Personal Reference (not related to you)

Ensure they have agreed to be nominated as a referee and

they must be contactable during business hours.

1. Name: _________________________________________________________

Home: ________________________ Work: ________________________

Relationship: _________________________________________________

2. Name: _________________________________________________________

Home: ________________________ Work: ________________________

Relationship: _________________________________________________

Other persons to reside at the property (under 18 years old)

Please provide full names and ages.

Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________

Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________

Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________

Name: _____________________________________________ Age: _________ Name: _____________________________________________ Age: _________

Pets ———- Please provide details of any pets to be kept at the property

Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________

Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________

Breed/Type: ____________________________________________ Age:_______ Name: ___________________________________ Size:____________________

Free Service Connection UTILITY CONNECTION - This is a FREE service that connects all your utilities. Ray White offer free service connections. Once the application has been approved we will provide the company with your details to get the services connected for you. Please tick utilities as required: Electricity Gas Insurance Internet Phone Cleaning Removals Please advise your property manager if you do not wish for this to occur.

Upon signing this application I give authority for my details to be provided for connection services if/when application is approved. Signature of applicant 1 ………………………………………….............................................………….. Date......./......./....... Application sent to Direct Connect (if required) Signature of applicant 2 ………………………………………….............................................………….. Date......./......./....... Application sent to Direct Connect (if required)

Emergency Contact (i.e. Family, friend)

Next of Kin: ______________________________________________________

Address: _________________________________________________________

Home: _________________________ Work: __________________________

Mob: ____________________ _______Relationship:___________________

Personal Reference (not related to you)

Ensure they have agreed to be nominated as a referee and

they must be contactable during business hours.

1. Name: _________________________________________________________

Home: ________________________ Work: ________________________

Relationship: _________________________________________________

2. Name: _________________________________________________________

Home: ________________________ Work: ________________________

Relationship: _________________________________________________

DECLARATION I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter Into a Residential Tenancy Agreement. I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have Inspected the premises and am not bankrupt. I authorise the Agent to obtain personal Information from: a) The owner or the Agent of my current or previous residence; b) My personal referees and employer/s; c) Any record listing or database of defaults by tenants; If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to: a) Communicate with the owner and select a tenant b) Prepare lease/tenancy documents c) Allow tradespeople or equivalent organisations to contact me d) Lodge/claim/transfer to/from a Bond Authority e) Refer to Tribunals/Courts & Statutory Authorities (where applicable) f) Refer to collection agents/lawyers (where applicable) g) Complete a credit check with NTD (National Tenancies Database) To ensure the quality of tenants Ray White Elizabeth uses the TICA (tenant database) system. Their contact number is 190 222 0346 (calls charged at $5.45 per minute, higher for mobile or pay phones) otherwise check out http://www.tica.com.au/tenant.php for other options. I am aware that if information is not provided or I do not consent to the uses to which personal information is put. the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above. Applicant 1 Name: ________________________________________________Signed: ________________________________________Date: ____/____/____ Applicant 2 Name: ________________________________________________Signed: ________________________________________Date: ____/____/____

Application Approved For Processing By:_____________________________________________________ Date Received:______ / ______ / _____

Processing and Application Acceptance/Non Acceptance Please Read Carefully

• Your application will be processed with the information provided and submitted to the landlord for their acceptance or

non-acceptance for tenancy. This is always a landlord decision.

• Should your application be accepted, you will be asked to pay the bond and first 2 weeks rent and sign the lease as soon

as possible. You will be asked to pay the amounts into our trust account immediately.

• Tenants will be liable for water charges.

• It is a tenant responsibility to arrange connection of electricity, telephone and gas supply to the property, once the

application is approved. However, we are also able to assist you in this regard - refer to previous page

• Once applications are processed by the property manager, applicants will be notified if they have made it through to the

short list, then will be notified if successful or unsuccessful .

We are unable to provide a reason for non-acceptance if your application is not approved for tenancy.

Benjamin Watkins Office Manager 0419 988 388

Candice Gilgen Property Manager 0423 799 179

Diannee Chant Property Manager 0421 519 558

Bronwyn Styles Property Manager 0468 950 533

Elizabeth Rooney Property Manager 0478 058 873

Jo Critchely PM Support 08 8287 5511