Rental Application Form

Property Address: [INSERT FULL ADDRESS OF PROPERTY] Weekly Rent: $[INSERT AMOUNT] Term: [INSERT LEASE LENGTH, E.G. 12 MONTHS] Date: [DD/MM/YYYY]

1. Applicant Details

Primary Applicant:

• Full Name: [FULL LEGAL NAME]
• Date of Birth: [DD/MM/YYYY]
• Phone Number: [MOBILE]
• Email Address: [EMAIL ADDRESS]
• Driver's Licence Number: [LICENCE NUMBER]
• State of Issue: [STATE]
• Current Address: [CURRENT STREET ADDRESS]
• How long have you lived there? [DURATION]
• Reason for leaving: [REASON]

Co-Applicant (if applicable):

• Full Name: [FULL LEGAL NAME]
• Date of Birth: [DD/MM/YYYY]
• Phone Number: [MOBILE]
• Email Address: [EMAIL ADDRESS]
• Driver's Licence Number: [LICENCE NUMBER]
• State of Issue: [STATE]
• Relationship to Primary Applicant: [RELATIONSHIP]

2. Employment & Income

Primary Applicant Employment:

• Employment Status: [ ] Full-time [ ] Part-time [ ] Self-employed [ ] Casual [ ] Pension
• Employer Name: [EMPLOYER NAME]
• Occupation: [JOB TITLE]
• Employer Address: [WORK ADDRESS]
• Employer Phone: [PHONE NUMBER]
• Gross Weekly Income: $[AMOUNT]

Co-Applicant Employment:

• Employment Status: [ ] Full-time [ ] Part-time [ ] Self-employed [ ] Casual [ ] Pension
• Employer Name: [EMPLOYER NAME]
• Occupation: [JOB TITLE]
• Gross Weekly Income: $[AMOUNT]

3. Rental History

Please provide your current and previous rental history for the last three years.

Current Residence:

• Address: [ADDRESS]
• Landlord/Agent Name: [NAME]
• Phone Number: [PHONE]
• Rent Amount: $[AMOUNT] per week
• Dates of Tenancy: [START DATE] to [END DATE]

Previous Residence:

• Address: [ADDRESS]
• Landlord/Agent Name: [NAME]
• Phone Number: [PHONE]
• Rent Amount: $[AMOUNT] per week
• Dates of Tenancy: [START DATE] to [END DATE]

4. Personal References

Reference 1:

• Name: [NAME]
• Relationship: [RELATIONSHIP]
• Phone: [PHONE]

Reference 2:

• Name: [NAME]
• Relationship: [RELATIONSHIP]
• Phone: [PHONE]

5. Additional Information

Do you have any pets? [ ] Yes [ ] No If yes, please provide details including breed and size: [PET DETAILS]

Number of people to reside in property: [NUMBER] (Adults: [NUMBER], Children: [NUMBER])

Have you ever been evicted or broken a lease? [ ] Yes [ ] No If yes, please explain: [EXPLANATION]

Have you been declared bankrupt or insolvent? [ ] Yes [ ] No

Vehicle Details:

• Make: [MAKE]
• Model: [MODEL]
• Registration: [REGO PLATE]
• Colour: [COLOUR]

6. Declaration

I/We declare that the information provided in this application is true and correct. I/We authorise the landlord or agent to contact the referees and employers listed above to verify the details. I/We understand that providing false information may result in the rejection of this application or termination of the tenancy.

Applicant 1 Signature: ______________________ Date: _______

Applicant 2 Signature: ______________________ Date: _______