Residential Tenancy Application Form

Linkers Real Estate - Ingleburn

 Phone: 02 8798 6597 Mobile: 0421 834 155 Fax: 02 8798 2425
Email: info@linkersrealestate.com.au Web: www.linkersrealestae.com.au
 6/36 Carlisle Street, Ingleburn NSW 2565

All appropriate sections of this form must be completed 
Proposed Rental Property address*
Postcode:
Rent Per Week:
Bond Amount:
Have you inspected the property?
Length of tenancy
Tenancy To Commence:
How many tenants will occupy the property?
Adults:
Dependants
Do you have any pets:
If yes attach a photo of each pet:
Pet type:
Breed/st:
Reg. No:
Outdoor only:
Vehicle 1 Rego:
Model/Year/Colour:
Vehicle 2 Rego:
Vehicle 2 Model/Year/Colour:

1. First Applicant

Title:
First Name:*
Initial:
Last Name:*
Name at Birth:
Place of Birth:
Date of Birth:*
 / 
 / 
Age (Years / Months)
Smoker:
Drivers Licence No.
State:
NSW Card no.
Passport No.
Medicare No.
Pension Type (if applicable)
No.
Home Phone
Mobile Phone*
E-mail:
Marital status:

2. Second Applicant AND/OR Partner

Please click NEXT if there is no second applicant

Title:
First Name:
Initial:
Last Name:
Name at Birth:
Place of Birth:
Date of Birth:
 / 
 / 
Age (Years / Months):
Smoker:
Drivers Licence No.
State:
NSW Card no.
Passport No.
Medicare No.
Pension Type (if applicable)
No.
Home Phone
Mobile Phone
E-mail:
Marital status:

3. Rental History - Applicant 1

Current Address:
Suburb:
Postcode
How Long at Current Address?
Reason for Leaving:
Rent per week:
Landlord/ Agent Name:
Phone:
Email:
fax:
Previous Address:
Length at previous Address?
Reason for Leaving:
Rent per week:
Landlord/ Agent Name:
Phone:
Email:
fax:
Bond Refunded:
If not why?(1)

4. Rental History - Applicant 2

Please click NEXT if there is no second applicant

Current Address:
Suburb:
Postcode
How Long at Current Address?
Reason for Leaving:
Rent per week:
Landlord/ Agent Name:
Phone:
Email:
fax:
Previous Address
Length at previous Address?
Reason for Leaving:
Rent per week:
Landlord/ Agent Name:
Phone:
Email:
fax:
Bond Refunded:
If not why?

5. Employment Details - Applicant 1

Occupation:
Employer's Name:
Employment Address:
Employer Phone No:
-
Contact Name:
Length at current employment:
Net Income:
Per Week:
Per Month:
Are you self employed?:
ABN:
Accountant Name:
Contact no
-

6. Employment Details - Applicant 2

Occupation:
Employer's Name:
Employment Address:
Employer Phone No:
-
Contact Name:
Length at current employment:
Net Income:
Per Week:
Per Month:
Are you self employed?:
ABN:
Accountant Name:
Contact no
-

7. Social Security Benefits OR Centrelink Payment

Applicant 1 - Benefit Type:
Applicant 1 - CRN:
Applicant 1 - Amount Per Week:
Applicant 1 - Amount Per Month:
Applicant 2 - Benefit Type:
Applicant 2 - CRN:
Applicant 2 - Amount Per Week:
Applicant 2 - Amount Per Month:

8.a. Emergency Contact Details -  1st Applicant

(Not same as co-applicant)

Contact Name:
Phone No:
-
Address:

8.b. Emergency Contact Details -  2nd Applicant

(Not same as co-applicant)

Contact Name:
Phone No:
-
Address:
Telephone account (10 pt):
Motor vehicle registration (10 pt):

9. Please upload 100 point ID

Please ensure you provide Min.100 points Identification - at least ONE item from each section is required

Section ONE (40 points each)
Drivers License (40 points):
Passport (40 points):
Section TWO (30 points each)
Pay Slips (Current 3 payslips):
Current Bank Statement:
Centre Link income Satement:
Section Three
Previous tenancy reference (30 pt)
Previous two rent receipts (20 pt):
Electricity account (10 pt):
Gas account (10 pt):
Pet rego papers (10 pt):
Birth Certificate (10 pt):
Medicare Card (10 pt):
Home owner MUST SUPPLY a recent rates notice (20 pt):

10. FREE Utilities Connections User Consent Form



ReduceMyBills is the hassle-free connections service that takes the time and worry out of moving.
• Electrical • Gas • Telephone • Insurance • Foxtel
Ph: 1300 680 603

Declaration
By signing this application, I/we give consent to ReduceMyBills to make contact by phone, email or sms for the purpose of arranging connections and disconnections of approved utility services. I/we authorise ReduceMyBills to supply collected information to other household service providers for the services including Cleaning, Removal, Insurance and Appliances.


I/we authorise ReduceMyBills to contact us via these means even if the telephone numbers supplied are listed on the Do Not Call Register. I/we understand that ReduceMyBills may also send related emails promoting other services provided by ReduceMyBills.


I/we acknowledge that all information supplied in the application is true and correct to be best of my/our knowledge and that we have not falsely represented our identity in any manner.


I/we understand that ReduceMyBills treat any personal information it collects, uses or discloses in accordance with the Privacy Act 1988.


I/We authorise ReduceMyBills to supply collected information to nominated suppliers and/or potential suppliers for the connection and disconnection of nominated utilities or to assist with my obtaining other services including appliances, removalists, cleaners and insurance.


I/we understand that in the course of connecting utilities, ReduceMyBills may need to obtain an NMI (National Meter Identifier) for electrical points or MIRN (Meter Installation Registration Number) for Natural Gas connections. I/we authorise ReduceMyBills to collect these identifiers and consent to those numbers being supplied to utility providers.


I/We acknowledge that whilst ReduceMyBills is a free service, I/we are solely responsible for any and all amounts payable in relation to deposits,connections/disconnections or ongoing supply of the connected services and amounts payable for other services including appliance, removalist, cleaners
and insurance.


I/we acknowledge that ReduceMyBills, to the extent permitted by law, shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us as a result of the provision of any service. Nor shall ReduceMyBills be liable for any act or omission by any utility provider for any
loss caused by failure to provide nominated services.


I/we acknowledge that the nominated real estate entity along with ReduceMyBills may receive a benefit from suppliers for the provision of connections.


I/we declare that we have read and understand the above declaration and wish to be contacted by ReduceMyBills.

Do you want to take this service?:

11. Declaration of Authority


I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter Into a Residential Tenancy Agreement.
I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have Inspected the premises and am not bankrupt.
I authorise the Agent to obtain personal Information from:
(a) The owner or the Agent of my current or previous residence;
(b) My personal referees and employer/s;
(c) Any record listing or database of defaults by tenants such as NTD, TICA or TRA for the purpose of checking your tenancy history;
I am aware that I may access my personal information by contacting -
• NTD: 1300 563 826 • TRA: (02) 9363 9244 • TICA: 1902 220 346
If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.
I am aware that the Agent will use and disclose my personal information in order to:
(a) communicate with the owner and select a tenant
(b) prepare lease/tenancy documents
(c) allow tradespeople or equivalent organisations to contact me
(d) lodge/claim/transfer to/from a Bond Authority
(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
(f) refer to collection agents/lawyers (where applicable)
(g) complete a credit check with NTD (National Tenancies Database)
I am aware that if information is not provided or I do not consent to the uses to which personal
information is put, the Agent cannot provide me with the lease/tenancy of the premises.

Applicant 1 (name):
Date:
Applicant 2 Name:
Date:

12. Payment Details

Property Rental Per Week:
 $ 
 . 
Rent in Advance (2 weeks rent):
 $ 
 . 
Rental Bond (4 weeks rent):
 $ 
 . 
Total Due:
 $ 
 . 

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