Rental Application M on Mary - Serviced Apartments / Accommodation: Brisbane CBD

Rental Application

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Please complete the following form to submit a long-term rental application with us now.

A. Property Details

1. What is the address of the property you would like to rent?
2. What date did you view the property? 3. Lease commencement date? 4. What lease term will you commit to? 5. Property rental?
per week

6. How many people will normally occupy the property?

adults children ages of children

B. Personal Details

8. Please give us your details

Mr Ms Miss Mrs Other Full Name Date of Birth Drivers Licence Number Car Registration Number Medicare Number Email

9. Please provide your contact details

Home phone no. Mobile phone no. Work phone no. Fax no. 10. What is your current address? postcode

C. Declaration

11. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent.
I acknowledge that I will be required to pay the following amounts:

First payment of rent in advance Rental bond (1 months rent)

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 and I accept it based on its current conditions. I declare that I have inspected the premises and am not bankrupt.

I authorise the Agent to obtain details of my credit worthiness from:

the owner or the Agent of my current or previous residence;
my personal referees;
any record, listing or database of defaults by tenants;

If I default under a rental agreement, the Agent may disclose details of any such default to any person whom the Agent reasonably considers has an interest in receiving such information.

12. How long have you lived at your current address? 13. Why are you leaving this address?

14. Is the property at this address is:

Rented accommodation Go to question 15 A home you own Go to question 16 Other - please provide details 15. Managing agent / landlord
Landlord/agent's phone no. Weekly rent paid 16. What was your previous residential address?
postcode 17. How long did you live at this address

18. Was this property

Rented accommodation Go to question 19 A home you owned Go to question 20 19. Managing agent / landlord Landlord/agent's phone no. Weekly rent paid Was bond refunded in full? If not why not?

D. Employment

20. Please provide your employment details

What is your occupation? Employer's name
(include accountant if self employed or institution if a student) Name of superior at work? Contact number for superior Superior's email Employer's address postcode Length of employment

21. Please provide your previous employment details

What was your occupation? Previous Employer's name
(include accountant if self employed or institution if a student) Length of employment

22. Please provide a contact in case of emergency

Surname Given names/s Relationship to you Phone no.

23. Please provide two personal references (not related to you)

Surname Given names/s Relationship to you Phone no. Surname Given names/s Relationship to you Phone no.

24. Business Reference

Surname Given names/s Phone no. Email

25. Please answer the following questions:

Are you awaiting a response from another agency for applications already lodged?

YES NO

Are you prepared to pay Rent and Bond within 24 hours of acceptance?

YES NO

APPLICANTS PLEASE NOTE

All sections must be completed
Proof of income must be supplied
Identification must be produced
All occupants over the age of 18 must complete an application.
All references as requested must be supplied or this application will be disregarded. Business references exclude family and/or friends. Please ensure that all names and contact numbers are supplied.
No amendments will be accepted after submission of this application. Please ensure that all names and contact numbers are supplied.
Please be advised that all applications become the property of M on Mary and will not be returned to the applicant after submission. Furthermore all written references should be in the form of a photocopy as originals will not be returned.

I the said applicant, do solemnly and sincerely declare that the information contained in this application is true and correct and that all of the information was given of my own free will. I further authorise the leasing Agent to contact and/or conduct any enquiries and/or searches with National Tenancy Database with regards to the information and the references supplied in this application.

PRIVACY ACT

The personal information the prospective tenant provides in this application or collected from other sources is necessary for the Agent to verify the Applicant's identity and to process and evaluate this application. If the application is successful, personal information collected about the Applicant may be disclosed for the purpose for which it was collected to other parties including to the landlord, referees, other agents and third party operators of tenancy reference databases. Information already held on tenancy reference databases may also be disclosed to the the Agent and/or Landlord. If the applicant would like to access the personal information the Agent holds, they can do so by contacting us

Signed Dated

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