Real Estate Of Melbourne - Real Estate in Melbourne

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TENANCY APPLY FORM

General Details

Date

Address*

Suburb*

Rent per week $*

Bond $*

Personal Information

Full Name*

Email Address*

Date of Birth*

Please state who else will be residing with you

Name

Relationship

Age

Name

Relationship

Age

Name

Relationship

Age

Are you, or any of the above stated, smokers?

Yes
No

Contact Information

Your current address*

Home Phone*

Work Phone

Mobile Phone

Previous Address

Agent Details (if rental)

Agent / Landlord Reference 1

Company Name

Contact Person

Phone Number

Agent / Landlord Reference 2

Company Name

Contact Person

Phone Number

Have you ever owned a home?

Yes
No

Employment

Your Occupation*

Currently employed with*

Additional Information

What type of accomodation do you require?
(eg. House, Flat? No of Bedrooms? Garage?)

Rental Range (weekly)

Have you any pets?

Yes
No

Drivers Licence Number

Drivers Licence State

Closest relative not living with you

Address

Contact Ph No

Additional Comments

By pushing the submit button below, I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the residential Tenancies Act, that I will pay the Landlord's costs's incurred in undertaking collection action to recover his/her losses.

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