TENANCY APPLCATION FORM

Harcourts Devonport & Shearwater PH (03)6423 2500 Fax (03) 6423 2700

Email: 80 Best Street, Devonport

ABN 24 525 341 827

Date application submitted……………………………………………………………………

When do you need to move?...... Term? 6 months or 12 months

PROPERTY APPLYING FOR…………………………………………………………………….HAVE YOU VIEWED THIS PROPERTY? Y / N

Applicant 1Applicant 2

Full Name………………………………………………………………………….Full Name………………………………………………………………………..

Date Of Birth…………………………………………………………………....Date Of Birth…………………………………………………………………..

Current Address………………………………………………………………..Current Address……………………………………………………………..

………………………………………………………………………………………….……………………………………………………………………………………….

Phone (H)………………………………………………………………………….Phone (H)………………………………………………………………………..

Phone (W)…………………………………………………………………………Phone (W)……………………………………………………………………….

Mobile………………………………………………………………………………Mobile…………………………………………………………………………….

Email………………………………………………………………………………...Email……………………………………………………………………………….

Drivers Licence No…………………………………………………………….Drivers Licence Number………………………………………………….

Car Make/Model……………………………………………………………….Car Make/Model…………………………………………………………….

EMPLOYMENT HISTORY/CENTRELINK/PENSION INCOME DETAILS

Applicant 1Applicant 2

Current Employer……………………………………………………………..Current Employer……………………………………………………………

Position…………………………………………………………………………….Position…………………………………………………………………………..

Contact Person………………………………………………………………….Contact Person……………………………………………………………….

Phone Number………………………………………………………………….Phone Number………………………………………………………………..

Length of Employment………………………………………………………Length of Employment……………………………………………………

Full time/Part time/Casual………………………………………………..Full time/Part time/ Casual……………………………………………..

Hours Per Week………………………………………………………………..Hours Per Week………………………………………………………………

Weekly Income (Gross)$…………………………………………………..Weekly Income (Gross)$…………………………………………………

PREVIOUS EMPLOYMENY HISTORY

Applicant 1Applicant 2

Previous Employer…………………………………………………………….Previous Employer…………………………………………………………

Position…………………………………………………………………………….Position…………………………………………………………………………..

Contact Person………………………………………………………………….Contact Person……………………………………………………………….

Phone Number………………………………………………………………….Phone Number………………………………………………………………..

Length of Employment………………………………………………………Length of Employment……………………………………………………

Full time/Part time/Casual………………………………………………..Full time/Part time/ Casual……………………………………………..

GENERAL DETAILS

Applicant 1Applicant 2

Do you smoke? Yes / NoIf Yes – Inside / OutsideDo you smoke? Yes / NoIf Yes – Inside / Outside

Are you, or have you been bankrupt? Yes / NoAre you, or have you been bankrupt? Yes / No

Do you have debts at a Collection Agency?Yes / NoDo you have debts at a Collection AgencyYes / No

RENTAL HISTORY

Applicant 1Applicant 2

Are you currently renting?Yes / NoAre you currently renting?Yes / No

If Yes – Agent Name & Phone Number………………………………If Yes – Agent Name & Phone Number……………………………

………………………………………………………………………………………….……………………………………………………………………………………….

………………………………………………………………………………………….……………………………………………………………………………………….

PLEASE TURN OVER

RENTAL HISTORY CONTINUED

Applicant 1Applicant 2

Have you previously rented?Yes / NoHave you previously rented?Yes / No

If Yes – Agent Name & Phone Number………………………………If Yes – Agent Name & Phone Number……………………………

………………………………………………………………………………………....……………………………………………………………………………………….

………………………………………………………………………………………….……………………………………………………………………………………….

Address Rented…………………………………………………………………Address Rented……………………………………………………………….

Was bond refunded in full?Yes / NoWas bond refunded in full?Yes / No

REFERENCES (NOT family or personal)

Applicant 1Applicant 2

1. Name…………………………………………………………………………….1. Name…………………………………………………………………………..

Address…………………………………………………………………………….Address…………………………………………………………………………..

Phone (H)………………………………………………………………………….Phone (H)………………………………………………………………………..

Phone (M)…………………………………………………………………………Phone (M)……………………………………………………………………….

Relationship to you……………………………………………………………Relationship to you…………………………………………………………

2. Name…………………………………………………………………………….1. Name…………………………………………………………………………..

Address…………………………………………………………………………….Address…………………………………………………………………………..

Phone (H)………………………………………………………………………….Phone (H)………………………………………………………………………..

Phone (M)…………………………………………………………………………Phone (M)……………………………………………………………………….

Relationship to you……………………………………………………………Relationship to you…………………………………………………………

NEXT OF KIN

Applicant 1Applicant 2

Name (Not living with you)………………………………………………..Name (Not living with you)……………………………………………..

Address……………………………………………………………………………..Address…………………………………………………………………………..

Phone………………………………………………………………………………..Phone……………………………………………………………………………..

OCCUPANCY DETAILS

Number of Adults……………….. Number of Children (and ages)………………………………… Number of Vehicles………………..

Do you have any Pets?Yes / No

IF YES – Dog/Cat/Bird/Other………………………………………….....Breed……………………………………………………………………………..

How Many…………………………………………………………………………Inside or Outside…………………………………………………………….

Do you have a written pet reference?Yes / NoIs your pet registered with Council?Yes / No

PRIVACY ACT (COMMONWEALTH) 1988 – COLLECTION NOTICE

The personal information the prospective tenant provides in this application or that which is collected from other sources is necessary for the Agent to verify the Applicant's identity to process and evaluate the application and effectively manage the tenancy. The personal information collected about the Applicant may be disclosed, by use of the internet or otherwise, to other parties, including the landlord, trades people, referees, solicitors, financial institutions, media organizations, parties engaged to evaluate the property, bodies corporate, other agents, clients of the Agent both existing and potential, third party operators of tenancy reference databases, government, collection agencies, relevant Courts and Tribunals, and statutory bodies and other third parties as required by law. Information already held on tenancy reference databases may also be disclosed to the Agent and/or landlord. Unless you advise the Agent to the contrary, the Agent may also disclose such basic information to The Real Estate Institute of Tasmania Ltd (REIT) for the purpose of documenting leasing data in the area for the benefit of its members as part of membership services and for others in the property or related industries, and so as to assist them in continuing to provide the best possible service to their clients. In providing this information, you agree to its use, unless you advise the Agent differently. The privacy policy of the REIT can be viewed on its website The Agent will only disclose information in this way to other parties to achieve the purposes specified above or as otherwise allowed under the Privacy Act. If the Applicant would like to access this information they can do so by contacting the Agent at the address and contact numbers contained in this Application or the REIT on (03) 62234769. The Applicant can also correct this information if it is inaccurate, incomplete or out of date.

I/WE ACKNOWLEDGE THAT I/WE HAVE READ AND UNDERSTOOND THE CONTENTS OF THE PRIVACY COLLCTION NOTICE

SIGNED (Applicant 1)……………………………………………………………..SIGNED (Applicant 2)……………………………………………………………

DATE……………………………………………………………………………………..DATE……………………………………………………………………………………