Tenancy Application

Address *

Rent p/w *

Lease term *

Preferred move in date *

Surname *

First Names *

Date of Birth

Drivers License No *

Vehicle Reg *

Home Phone *

Work

Mobile Phone *

Email Address *

Adults

Children

Children's ages

Pets

Type/Breed

Registered

Is your present residence rented

Rent per week

Name of Agent

Phone

If you own/sold your own, name and phone number of selling agent

Period of occupation: From

To

Reason for leaving

Was your present residence rented

Rent per week

Name of Agent

Phone

If you own/sold your own, name and phone number of selling agent

Period of occupation: From

To

Reason for leaving

OCCUPATION

Position

Employed by

Commencement Date

Contact Person

Phone

Income

 

ADDITIONAL INCOME OR BENEFITS RECEIVED

Amount

Name

Phone

Address

Name

Phone

Address

Company or Business Name

Address

Lessor/Agent

Accountant

Contact

Address

Phone

Fax

Email

Any additional information that may assist your application

To (Current or previous real estate agency/landlord)

I/We (Current or previous real estate agency/landlord)

Authorise:

Station St Realty
3 Albion Street
MITTAGONG NSW 2575
Phone: 48722977 Fax: 48722599
Email: info@stationsrealty.com.au

To collect information regarding my / our current / previous tenancy at

 

Including details of my/our rental history, this may include confirmation of rent and rental payment compliance, fulfilment of obligations under the Tenancy Agreement and further details of property care of the purpose of the agent/owner assessing my/our application.

Date

 

 

I confirm that the information above is true and correct