Item 1:
Agent Details

Item 2:
Property Details


6 months12 monthsOther

Item 3:
Your Details

YesNo

If Yes, what other name(s) have you been known by?

YesNo

Item 4:
Vehicles

YesNo

YesNo

YesNo

YesNo

Item 5:
Other Applicants

YesNo

If the answer is yes, please provide their name/s. NB. each person must complete and submit their own individual application for tenancy

Item 6:
Dependants

YesNo

Item 7:
Smoking

YesNo

Item 8:
Pets
YesNo
YesNo

Item 9:
Current Address

RentOwnerOther

YesNo

Item 10:
Previous Address
YesNo

RentOwnerOther

YesNo

Item 11:
Employment Details

YesNo

Full timePart timeCasualContractSelf employed

YesNo

Please provide contact details

Item 12:
Centrelink Payments

YesNo

YesNo

Item 13:
Student Details

YesNo

YesNo
Item 14:
Emergency Contacts

Please provide 2 nearest relatives/friends not living with you.

If you are not an Australian Citizen or Permanent Resident, please provide details of 1 person in Australia and 1 person from your home country.


Item 15:
Identification

Please select the documents you are supplying in support of your application.

Type A - You must provide at least 1 of the following

Australian Driver's LicencePassportAustralian Proof of age card

Type B - You must provide at least 2 of the following

Full birth certificateStudent Photo IDCenterlink cardMedicare CardAustralian Bank Debit/Credit CardGovernment document for name change

Type C - You must provide at least 2 of the following. NB.Bank statements/rental receipts etc must not be more than 6 weeks old.

Council rates noticeMotor Vehicle registrationTelephone billElectricity billGas billTenancy History LedgerBank statementCredit card statementLast FOUR rent receipts

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Type A

Type B

Type B

Type C

Type C

Item 16:
Proof of Income

You are also required to supply the Agent/Lessor with proof of your income upon submission of your application.

Employed:
Last TWO pay slips. Please supply your supporting income documentation here.
Self employed:
Bank statement, Group Certificate, Tax Return or Accountant's letter.
Centrelink Payments:
Centerlink statement
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Item 17:
Other Applications

YesNo

Item 18:
How did you find this property

Social MediaLJ Hooker WebsiteRealestate.com.auDomain.com.auAnother Rental WebsiteFriend or Family member

Item 19:
Declaration

Please declare the following by ticking the boxes

I, the Applicant

authorise LJ Hooker Stafford to pass along our details to ConnectNow Pty Ltd to assist with the connection of utilities as outlined here.

Name of Applicant:
Signature:
Date: