Donna Jacob T: 0409 472188 Email: Fax: (02) 9475 5163

Application for Tenancy

Property (Address, Name or ID):

Date able to occupy:

For all enquiries please contact: Donna Jacob (Mobile No: 0409 472 188)

Length of tenancy required (months):

Weekly Rental : $(A)

Other expenses payable:

Weekly / Fortnightly Cleaning: YES NO

($30 per hour minimum 2 hours)

Linen to be supplied: YES NO

($10 per head min $20)

Weekly / Fortnightly Linen Change: YES NO

($10 per head minimum $20)

(only in conjunction with clean)

End of Tenancy Clean: YES NO

($30 per hour)

Please note one week rent is due within 48 hours of acceptance of your application. A second week’s rental is due one week prior to your arrival and then the balance is paid on or prior to arrival.

A security deposit is payable in the amount of $1000.

APPLICANT 1

Full Name:

Date of Birth:

Occupation:

Current Address:

Length of time at current address:

If less than 2 years at current address, previous addresses:

(1):

(2):

Current Phone: (W): (H): (M):

Email:

Current Rental Details (if applicable):

Landlord’s name:

Landlord’s address:

Landlord’s contact number:

Reason for leaving rental:

If not currently renting, previous rental history (if applicable):

Address of property rented:

Landlord’s name:

Reason for leaving rental property:

Name, address and phone number of nearest relative other than a spouse or a person who will be residing with you at the property:

Name:

Address:

Contact number:

Driver’s License and car details:

Driver's License Number or other equivalent identification:

Car Registration:

Car Make/Model:

Pets:

Full details of any pets to be kept at property: NO PETS

Full names, addresses and ages of ALL people who will permanently reside at the property:

(1) Full Name:

Address:

Age (years):

(2) Full Name:

Address:

Age (years):

(3) Full Name:

Address:

Age (years):

(4) Full Name:

Address:

Age (years):

Attach annexure if more than 4 persons.

Should your application be approved, please note the following:

v  Deposit required: one week rent immediately to secure the property and a second weeks rent due one week prior to your arrival and the balance of the rental and the bond is payable on or before arrival. No obligation to let you the property arises until your application has been approved and the deposit paid to secure the property.

v  Electricity and gas is included in the price up to an amount of $30 per week (unit) and $50 per week (house)

v  A security deposit is payable on arrival in the amount of $1,000.

v  If the property is not left in a clean condition, a cleaning fee will be deducted from the bond.

v  If linen is included this should be left clean on your departure. Should you require us to clean the linen on your behalf when you vacate then this will be an additional charge.

v  There is strictly no smoking permitted inside the premises. Evidence of smoking indoors will cause $200 to be deducted from the bond to pay for extensive cleaning.

v  There are no pets to be kept at the property.

v  If automatic gate/roller door key (if applicable) is lost by the tenant replacement of same will be charged to the tenant at cost. (currently $80)

v  If keys are lost the property will need re-keying and the cost of this will be taken from the bond at cost. (currently $250)

v  The property is fully furnished and equipped as per inventory. Should anything be missing you should notify me within 2 days of occupation.

Cancellation Policy

v  Cancellations must be received in writing or by email. Please note to be considered valid Donna Jacob must acknowledge receipt of your cancellation. It is the responsibility of the tenant to ensure receipt is confirmed.

Refund Policy

v  Cancellations 28 days or more prior to the arrival date will forfeit one weeks rental unless another booking is made for the same period. In this case $200 is forfeited together with any difference in rental for the period.

v  Cancellations between 14 -28 days prior to the arrival date will forfeit two weeks rental unless another booking is made for the same period. In this case $200 is forfeited together with any difference in rental for the period.

v  Cancellations less than 14 days prior to arrival or on arrival will forfeit two weeks rental with no refund given.

I/We hereby declare and acknowledge that:

-  The information contained herein is true and correct.

-  I am/We are over the age of 18 years.

-  No applicant is a bankrupt or an undischarged bankrupt.

-  Only those persons noted on this application will reside permanently at the I/we understand the price per nigh/per week is based upon the term of tenancy entered into. In the event that the tenancy term is altered I /we understand this will effect the agreed per night/week rate.

-  I/we understand any disturbance of the peace caused that may effect the neighboring properties and or if the police are called to the property due to any disturbance will result in the termination of this contract and I /we may be required to vacate immediately.

-  premises.

-  We wish to enter into a Tenancy Agreement for the premises and understand that this Application if accepted by the Landlord will result in a Tenancy Agreement on the terms and conditions set out herein.

-  I/We understand that the Landlord requires that the Tenancy Agreement be in writing and that the Landlord will arrange preparation of the agreement.

I/We hereby authorise the owner to make all necessary inquiries to verify the information provided herein including information relating to my/our employment, rental history and credit, business and personal references.

NO SIGNATURE NECESSARY IF RETURNNG BY EMAIL

SIGNED THIS day of 20

Applicant Signature:

Application Form 1 (v1 2009) D Jacob 1 of 5