Residential Tenancy Application Form

Personal Information

Full Name

Date of Birth

Driver's Licence #

Phone Number

Property Information

Property Address

Term of Lease

Rent amount ($AUD)

per week per month

Bond amount

Total

Your Current Address

Street Address

City

State

Postal Code

How long have you lived at this address?

Current Rent Amount

Reason for leaving

Previous Address (if less than 2 years at current address)

Street Address

City

State

Postal Code

How long have you lived at this address?

Reason for leaving

Employment Information

Current Employer:

Employer Name

Position

Employer Address

City

State

Postcode

Supervisor Name

Supervisor Phone Number

Monthly Income

Length of Employment

Previous Employer (if less than 2 years at current employment):

Employer Name

Position

Employer Address

City

State

Postcode

Supervisor Name

Supervisor Phone Number

Monthly Income

Length of Employment

Other sources of income

Source

Amount

Personal Reference

Name

Relationship

Phone Number

Email Address

Professional Reference

Name

Relationship

Phone Number

Email Address

Residential Tenancy Application Form

Personal Information

Property Information

Your Current Address

Previous Address (if less than 2 years at current address)

Employment Information

Current Employer:

Previous Employer (if less than 2 years at current employment):

Other sources of income

Personal Reference

Professional Reference

Office hours:

Contact details:

Services:

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