For Consumer Protection Act Purposes Please Answer the Following
You are about to complete an application to rent premises from Afhco Property Management. In order to process your application, please make sure that all information is submitted to our Letting Offices. Please contact 011224 2437 or 011224 2430 should you need any assistance.
PART 1
For Consumer Protection Act purposes please answer the following
Section A
1. I can read and understand English? …………………………… (Yes/No)
2. If NO what Language can you read and write? …………………………………………..
3. Please specify if someone other than yourself is filling out this application by giving their full names and make sure that they can read and write English …………………………………………..
Section B
Is your Business registered as a (PLEASE TICK ONE)
Sole Proprietor ……………
Close Corporation ……………
Section 21 Company ……………
Pty Ltd ……………
Trust Company ……………
Section C
Does your Company do a turnover of MORE or LESS than 2 Million Rand Per Annum …………………
I……………………………………………………..hereby certify that the information is both true and correct.
……………………………………………….. ………………………………………………
Full Name & Surname Signature (Duly Authorised)
PART 2
Commercial Lease Application Form
Section A : Premises & Lease Details
Building Name ………………………………………………………………………………………………..
Shop Number ………………………………………………………………………………………………..
Size/Pro Rata Rates % ……………………………...... m²/………………………………………………..
Lease Period ………………………………………………………………
Agreed Rental (Excluding Vat) ……………………………………………………………...
Parking Rental (If Applicable) ………………………………………………………………
Lease Commencement Date ………………………………………………………………
Beneficial Occupation Date ………………………………………………………………
Use Of Premises ………………………………………………………………
Section B : Company / Personal Details
Company Details
Registered Company Name …………………………………………………………………………………………….
Registration Number …………………………………………………………………………………………….
Vat Number …………………………………………………………………………………………….
Business Phone Number …………………………………………………………………………………………….
Business Postal Address …………………………………………………………………………………………….
Business Physical Address …………………………………………………………………………………………….
How Many Members/Directors Represent The Company ……………………………………………………..
Personal Details Of All Members / Directors / IE : Surety
Full Name ………………………………………………………………………………………………………….
ID / Passport Number ………………………………………………………………………………………………………….
Date Of Birth ………………………………………………………………………………………………………….
Telephone / Cell Number ………………………………………………………………………………………………………….
Email Address ………………………………………………………………………………………………………….
Physical Address ………………………………………………………………………………………………………….
NB : IF MORE THAN ONE MEMBER / DIRECTOR / IE : SURETY PLEASE TURN THE PAGE AND COMPLETE THE SAME INFORMATION FOR EACH MEMBER / DIRECTOR / IE: SURETY
Full Name ………………………………………………………………………………………………………….
ID / Passport Number ………………………………………………………………………………………………………….
Date Of Birth ………………………………………………………………………………………………………….
Telephone / Cell Number ………………………………………………………………………………………………………….
Email Address ………………………………………………………………………………………………………….
Physical Address ………………………………………………………………………………………………………….
Full Name ………………………………………………………………………………………………………….
ID / Passport Number ………………………………………………………………………………………………………….
Date Of Birth ………………………………………………………………………………………………………….
Telephone / Cell Number ………………………………………………………………………………………………………….
Email Address ………………………………………………………………………………………………………….
Physical Address ………………………………………………………………………………………………………….
Section C : Banking Details
Bank Name ……………………………………………………………………………………………
Account Number ……………………………………………………………………………………………
Branch ……………………………………………………………………………………………
Branch Code ……………………………………………………………………………………………
Do you have any judgements against you …………………………………..
The Applicant/s agrees that all information supplied is true & correct and that he/she has the authority to sign the Application Form and gives Afhco authority to approach the Credit Bureau to complete a Credit Assessment
Deposit Payable ………………………………………………………….
1st Months Rental …………………………………………………………. (Vat Inclusive)
Lease Fees (Once Off) …………………………………………………………. (Vat Inclusive)
Total Payable : ………………………………………………………
Signed at ______on this the ______day of ______20____
………………………………………………………….
Applicant Signature
The total amount at the end of Section C above must please be paid into the following Bank Account
AFHCO PROPERTY MANAGEMENT
ABSA BANK
ACCOUNT NUMBER : 4052197314
BRANCH CODE : 632005
REFERENCE TO BE USED WHEN MAKING PAYMENT
……………………………………………………………………………………………
PART 3
DEBIT ORDER AUTHORITY AS PER THE LEASE AGREEMENT BETWEEN
AFHCO PROPERTY MANAGEMENT (PTY) LTD
AND
…………………………………………………………………………………………….
OF SHOP NUMBER ………………………………………. OF THE BUILDING…………………………………………………….
ON ERF NUMBER……………………… IN THE TOWNSHIP OF………………………………………………………………….
The details of our/my bank account are as follows :
Bank …………………………………………….. Account Number………………………......
Type Of Account …………………………………………….. Branch Code ……………………………………….
PLEASE READ THE FOLLWING VERY CAREFULLY
I hereby request, instruct and authorize you to draw against my account with the abovementioned bank (or on any other bank or branch to which I may transfer my Account subject to the consent set out below) the *monthly/weekly amount necessary for payment of the *monthly/weekly installment, levy, council fees, and other relevant charges due in respect of the abovementioned AGREEMENT commencing on the ______day of ______201______and continuing for so long as I have financial commitments in terms of the AGREEMENT.
All such withdrawals from my bank account by you shall be treated as though I had signed them personally. I understand that the withdrawals hereby authorized will be processed by computer through a system known as the ACB Magnetic Tape Service and I also understand that details of each withdrawal will be printed on my bank statement or on an accompanying voucher. I agree to pay any bank charges relating to this debit order instruction.
This authority may not be revoked or cancelled by me for so long as I have financial commitments in terms of the AGREEMENT.
Receipt of this instruction by you shall be regarded as receipt thereof by my bank.
Signed at…………………………………….. on this ………………………. day of……………………………..20………..
………………………………………. ……………………………………………………………
Signature Full name in BLOCK let
PART 4
MOTIVATION FOR THE LEASE PERIOD TO BE EXTENDED BEYOND 24 MONTHS
(TO BE COMPLETED BY A SOLE PROPRIETOR OR A COMPANY WITH A TURNOVER
OF LESS THAT R2 MILLION PER ANNUM)
Motivation by the Applicant – kindly motivate the reason why you wish to enter into a lease for longer than a 24 month period:
______
______
SIGNED AT ______ON THIS ______DAY OF ______20__
______
APPLICANTS SIGNATURE APPLICANTS SIGNATURE
Motivation by the Landlord:
______
______
SIGNED AT ______ON THIS ______DAY OF ______20__
______
Afhco Property Management
Version Jan 2013