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Property type
Acreage/Semi-Rural (4)
Apartment (5)
House (37)
Land (8)
Townhouse (19)
Min price
$100,000
$200,000
$300,000
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$1,000,000
$1,500,000
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Max price
$100,000
$200,000
$300,000
$400,000
$500,000
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$900,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
$3,500,000
$4,000,000+
Beds
1
2
3
4
5
6
7
8
9
10+
Baths
1
2
3
4
5
6
7
8
9
10+
All
Barwon Heads (15)
Clifton Springs (1)
Connewarre (1)
Drysdale (2)
Indented Head (1)
Ocean Grove (48)
Point Lonsdale (1)
Portarlington (1)
Queenscliff (1)
Wallington (2)
Application form
Request Form
Date
Property applying for
Tenancy start date
(When could you move in?)
Address
Suburb
Rent per week $
Bond $
Lease term
Please select
1
2
3
4
5
6
7
8
9
10
11
12
Please select
Month/s
Years
Your details
Full name
Email
Date of birth
Please indicate who else will be residing with you
Name
Relationship
Age range
Please select
Less than 1
1-5
6-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
Greater than 80
Name
Relationship
Age range
Please select
Less than 1
1-5
5-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
Greater than 80
Name
Relationship
Age range
Please select
Less than 1
1-5
6-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
Greater than 80
Contact information
Your current address
Business hours
After hours
Mobile
Previous address
Agent details (if rental)
Agent / landlord reference 1
Company name
Contact person
Phone number
Weekly rent paid
Was bond refunded in full
Yes
No
Agent / landlord reference 2
Company name
Contact person
Phone number
Have you ever owned a home?
Yes
No
Weekly rent paid
Was bond refunded in full
Yes
No
Employment
Your occupation
Currently employed with
Full time, part time, casual
Full Time
Part Time
Casual
Employer address
Contact name
Phone no.
Length of employment
Net income
Previous employment
Previous occupation
Previously employed with
Full time, part time, casual
Full time
Part time
Casual
Employer address
Contact name
Phone no.
Length of employment
Net income
General information
What type of accomodation do you require?
(eg. House, flat? no of bedrooms? garage?)
Rental range (weekly)
Do you have any pets?
Yes
No
Drivers licence number
Passport number
Drivers licence state
Select a State
VIC
NSW
QLD
ACT
WA
NT
Pension number
Closest relative not living with you
Address
Phone number
Personal reference 1
Contact name
Contact no
Relationship to you
Additional comments
Personal reference 2
Contact name
Contact no
Relationship to you
Additional comments
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: The owner or the agent of my current or previous residence; My personal referees and employer/s; 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: communicate with the owner and select a tenant prepare lease/tenancy documents allow tradespeople or equivalent organisations to contact me lodge/claim/transfer to/from a bond authority refer to tribunal/Courts & statutory authorities (where applicable) refer to collection agents/lawyers (where applicable) complete a credit check with TICA (tenancy information control association) transfer water account details into my name
*
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.
*
