Port Douglas Real Estate
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Century 21 Port Douglas
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How did you find out about this property?
Internet For Lease Sign  
Local Paper walk in shop front Other
 Property you are applying for
 Select Rental Property*
 Lease preferences
Start date* Length of tenancy*
 Your details
Name
 
Current address
Tel Mobile
   
Email
 
Date of birth* Drivers licence no. Expiry date Passport no. Expiry date
          
 Current rental details
Current rent      How long have you lived there?
  
Address of property currently rented
 
Agent/Landlord name Tel (work)
 
Why are you leaving?
 Previous rental details
Previous rent   How long did you live there?
  
Address of property previously rented
 
Agent/Landlord name Tel (work)
 
Why did you leave?
Current Employment
Current employer (Company)
  
Contact Name (Manager) Contact Work Phone Your Position
       
Length of employment Net Income Full or Part Time
  $     Full Time  Part Time
Previous Employment
Previous employer (Company)
  
Contact Name (Manager) Contacts Work Phone Your Position
       
Length of employment Net Income Full or Part Time
  $     Full Time  Part Time
 Occupancy details
No. occupants*   No. children*   Ages of children
Pets Type of pets
No Yes   
 Emergency Contact details
Name
 
Tel Relationship
 
 References
Name* Occupation* Tel (work)*
   
Name Occupation Tel (work)
   
Comments
 Confirmation
I confirm the following:
  1. During my inspection of this property I found it to be in a reasonably clean condition. No Yes   
  2. If "No," I believe the following items should be attended to prior to the commencement of my tenancy. I acknowledge that these items are subject to the Landlord’s approval.
  3. I acknowledge that this is an application to rent this property and that my application is subject to the Landlord’s approval.
  4. I confirm having received a copy of this application for my retention.
  5. I consent to the information provided in this application being verified and a reference check on the National Tenancy Database (NTD) and Trading Reference Australia (TRA) being undertaken.
 Application
I apply for approval to rent the premises referred to in this form. I acknowledge that my application will be referred to the Landlord of the property for their approval and if the application is approved, a Residential Tenancy Agreement for the premises will be prepared.
I declare that I am not a bankrupt or an undischarged bankrupt and that the information provided by me is true and correct. I have inspected the premises and wish to apply for tenancy of the premises for a period of months, at a rental of $ per week.
 IF A RESERVATION FEE IS BEING PAID ON THE PROPERTY, THE FOLLOWING CONDITIONS WILL APPLY
  1. That during this period, the premises will not be reserved for any other applicant, nor will a Reservation Fee be received from any other applicant.
  2. That should the Landlord decline the application, the Reservation Fee will be refunded to the applicant in full.
  3. That should the Landlord accept this application, the Reservation Fee will be paid towards the initial rent for the premises.
  4. That should the applicant decide not to proceed, the Landlord may retain so much of the Reservation Fee as is equal to the amount of rent that would have been paid during the period the premises were reserved but shall refund the remainder (if any) of the Reservation Fee to the applicant on a pro-rata basis.
  5. That the Reservation Fee will be banked into a Trust Account and any refund given will be by way of a Trust Account cheque.
 

Port Douglas Real Estate