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Online Tenancy Application

PROPERTY DETAILS
Property you are applying for*
Weekly rent
Preferred move in date* Date Selector
Have you attended a viewing for this property*
Expected length of tenancy*
What type of tenancy do you prefer*
APPLICANT DETAILS
First name*
Last name*
Your gender*
Male
Female
Date of birth* Date Selector
Home Phone
Work Phone
Mobile*
Email*
Number of dependants*
Age of dependants
Pregnant
1-4
5-10
11-18
Do you have a spouse, partner or second applicant?*
Yes
No
Second applicants full name
Second applicants date of birth Date Selector
Total number of intended occupants*
Current address*
Date moved in* Date Selector
Current rent*
Reason for leaving*
Current landlord*
Current landlords phone number*
Previous address*
Reason for leaving*
Previous rent*
Date moved in* Date Selector
Previous landlord*
Previous landlords phone number*
Have you ever had a tenancy terminated*
Yes
No
Please provide details
Have you ever had monies deducted from your bond*
Yes
No
Please provide details
How much money do you owe to a Landlord or Property Manager*
How much money do you owe to finance companies
Do you have any adverse credit history*
Yes
No
Do you have a criminal record*
Yes
No
INCOME & EMPLOYMENT
Main source of income*
Wages
Benefit
Occupation*
Employer**
Length of employment**
Occupation second applicant
Employer**
Length of employment**
Total nett income per week*
MOTOR VEHICLE DETAILS
Do you intend to park a vehicle on the property?*
Yes
No
If yes how many?*
Vehicle Regos*
PETS & SMOKERS
Do you have any pets?*
Yes
No
If yes how many?*
Type of Pets
Dog
Cat
Fish
Bird
Please provide details
Are you or any of the other occupants smokers?*
Yes
No
AUTHORISED OCCUPANTS
Names of all occupants wishing to live at the property that have not been previously listed:
Full Name
Age
Relationship tp Applicant
Full Name
Age
Relationship tp Applicant
Full Name
Age
Relationship tp Applicant
REFERENCES & EMERGENCY CONTACTS
Next of Kin*
Phone Number*
Emergency Contact*
Phone Number*
Employer / Manager*
Phone Number*
Personal Referee*
Phone Number*
_____________________________________________________________________________________________________
Please attach copies of ID's for all applicants*
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APPLICANTS CONSENTS
I / We confirm that I/we have read and agree to the PEDERSENS privacy policy which includes the authorisation of credit checks and reference checks for all applicants*
Yes
FEE
I / We agree that a non-refundable letting fee equivalent to one week's rent+gst is payable to PEDERSENS PROPERTY MANAGEMENT LTD, once paid all advertising of the property will be withdrawn.*
Yes

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