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Rental Application
Fill out the form below to send us an application for the following property …
A GREAT PLACE TO CALL HOME
Leased
Bedrooms
2
Bathrooms
2
Parking
1
Leased
Only 1klm to Brisbane CBD
$490 Weekly
more
*
required fields
Have you viewed the property?
yes
no
Lease term required:
6 months
12 months
Title
Mr.
Mrs.
Miss.
Ms.
First Name
*
Last Name
*
Date Of Birth
*
Phone
Mobile
Email Address
*
Present Address
*
Time at current address (mm/yyyy)
*
From
To
Current rent paid
Name of current Landlord/Agent
*
Landlord/Agent Phone
*
Previous Address
Time at previous address (mm/yyyy)
From
To
Was bond refunded?
yes
no
Name of previous Landlord/Agent
Landlord/Agent Phone
If NO give reason
Occupation
Employer's name
*
Period of employment
*
Employer's address
Employer contact name
*
Employer phone
Previous Employer's name
Previous Employer's address
Employer contact name
Employer phone
Reference 1
*
Relationship
*
Address
Phone
*
Reference 2
Relationship
Address
Phone
Country
Drivers licence no.
Vehicle reg. no.
Passport no.
Emergency contact name
*
Emergency contact address
Emergency contact phone
*
Number of Adults
1
2
3
4
more than 4
Number of Children
0
1
2
3
4
more than 4
Do you smoke?
yes
no
Do you have pets
yes
no
If YES please type breeds
Rent in advance
$
(2 weeks or 1 calendar month)
Bond
$
(4 weeks)
I acknowledge receipt of an agency signed copy this form
yes
no
Signature of Applicant
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Date
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