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RESIDENTIAL TENANCY APPLICATION

For your application to be processed you must answer all questions that are marked with an asterisk*.

A. AGENT DETAILS

Christopher Russell & Associates

ABN: 20 066 405 052

Address: 1161 Burke Road, Kew, VIC 3101

Phone: 03 9817 0123

Fax: 03 9816 9528

Email: agents@christopherrussell.com.au

NOTICE TO ALL RESIDENTIAL TENANCY APPLICANTS

The properties managed by this office are protected by a PROTECTION & COLLECTION.
Before any application will be considered, each applicant must achieve a minimum of 100 check points,

PLEASE PROVIDE PHOTO ID WITH YOUR APPLICATION.

Should you not be able to meet the 100 check points please speak to the property manager.

All tenancy applicants are referred to PROTECTION & COLLECTION for confirmation of details supplied.

No application will be accepted until all details have been approved by PROTECTION & COLLECTION.

NB: The Applicant, by signing this Application, hereby authorizes the Agent to make and retain copies of the documents referred to below.

PLEASE NOTE:

Keys will NOT be available for collection until after 10:30am on lease commencement date.

All tenancy agreements will be set for payments to be due on the 1st of ever month.

Regardless of what day the tenancy commences, after the first month's rent has been paid an adjustment will be payable to facilitate this.

Our preferred method for rental payments is Rental Rewards.

B. PROPERTY DETAILS

1. What is the address of the property you would like to rent?: *

Please include postcode.

2. What will be the commencement date?: *

3. What is the term of the lease?

Please enter years and/or months.

Years: *

Months: *

4. Rent for this property:

Please specify rent per week OR rent per month.

Rent per week: $

Rent per month: $

5. How many people will normally occupy the property?

Number of adults: *

Number of children: *

Ages of children (if applicable):

6. Please provide details of any pets:

Please specify breed / type and council registration / number.

C. PERSONAL DETAILS

7. Please give us your details

Title: *

Surname: *

Given name/s: *

Date of birth: *

Vehicle registration number:

Vehicle registration state:

Driver's license no.:

Driver's license state:

Make & Model of Vehicle (car or motorbike):

Medicare number:

Passport number:

Passport country:

Pension number (if applicable):

Pension type (if applicable):

Marital Status: *

18+ Card Number:

8. Please provide your contact details

Home phone no.: *

Mobile phone no.:

Work phone no.:

Fax no.:

Email address: *

9. What is your current address?: *

Please include postcode.

D. APPLICANT RESIDENTIAL HISTORY

10. How long have you lived at your current address?

Please enter years and/or months.

Years: *

Months: *

11. Why are you leaving this address?:

12. What is the type of accommodation at this address?

Accommodation type: *

Rented accommodation - go to question 13

A home you own - go to question 14

Other - please provide details

Details:

13. Please tell us about this rented property

Name of landlord or agent:

Contact name:

Landlord/Agent's address:

Landlord/Agent's phone no.:

Weekly rent paid: $

Has your bond been refunded?:

Yes

If not, why not?:

14. What was your previous residential address?: *

Please include postcode.

15. How long did you live at this address?

Please select years and/or months.

Years: *

Months: *

16. Why did you leave this address?:

17. What was the accommodation type of this property?

Accommodation type: *

Rented accomodation - Go to question 18

A home you owned - Go to question 19

Other - please provide details

Details:

18. Please give us further information about this rented property

Name of landlord or agent:

Contact name:

Landlord/Agent's phone no.:

Weekly rent paid: $

Was bond refunded in full?:

Yes

If not, why not?:

E. APPLICANT EMPLOYMENT HISTORY

19. Please provide your employment details

What is your occupation?: *

Employer's name:

Employer's address:

Please include postcode.

Contact name:

Phone no.:

Employment commencement date:

Net income per week: $

Are you an Undischarged Bankrupt?: *

Yes

20. Please provide your previous employment details

Employer's name:

Employer's address:

Please include postcode.

Contact name:

Employer's phone number:

Length of employment

Please enter number of years and/or months, as applicable.

Years:

Months:

Reason for leaving:

21. If SELF EMPLOYED, please provide the following details

What is your registered name of business?:

ABN:

ACN:

What is your business address?:

Please include postcode.

What does your business do?:

How long have you been in this business?

Please enter years and/or months as applicable.

Years:

Months:

Personal net income per week: $

Name of accountant:

Phone number of accountant: Ph:

List one major creditor:

Phone number of creditor: Ph:

22. If you receive a CENTRELINK payment, please provide details

Type of payment:

CRN:

Total Centrelink payment per fortnight: $

23. If you are a STUDENT, please provide details

Name of learning institution:

Faculty/department:

Course name:

Student union number:

Student ID number:

Income source:

Net income per week: $

F. YOUR REFERENCES

24. Please provide THREE BUSINESS REFERENCES

Business Reference 1

Name:

How long known for?:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

Business Reference 3

Name:

How long known for?:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

Business Reference 2

Name:

How long known for?:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

25. Please provide TWO PERSONAL REFERENCES

Must be permanent Australian residents and not related to you.

Personal Reference 1

Name:

How long known for?:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

Personal Reference 2

Name:

How long known for?:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

26. Please provide details of your nearest relative

NOT parents/guardians and NOT living with you.

Name:

Relationship to you:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

27. Please provide your parent or guardian details

Name:

Relationship to you:

Address:

Home phone no.:

Work phone no.:

Mobile phone no.:

G. PRIVACY STATEMENT

This form is to be accompanied by an Application for Tenancy. Your Application for Tenancy cannot be accepted unless this has been completed in full and signed.

Due to recent changes in the Privacy laws, from December 21st 2011, all Real Estate Agencies must ensure that you fully understand the National
Privacy Principles and the manner in which we must use you private information in order to carry out our role as professional Property Managers.
Please take the time to real this Privacy Statement carefully, and once completed return it to this office with your Tenancy Application.
As professional Property Managers, Christopher Russell & Associates collects all personal information about you. To ascertain what personal
information we have about you, you can contact us by the following ways:

Telephone: 9817 0123
Facsimile: 9816 9528
Email: agents@christopherrussell.com.au
In person: 1161 Burke Road, Kew

This information will be made available to you from 21st December 2001.

As professional Property Managers, we collect your personal information to assess the risk in providing you with the lease/tenancy of the premises
you have requested, and if the risk is considered acceptable, to provide you with a lease/tenancy of the premises.

To carry out this role, and during the term of your tenancy, we usually disclose your personal information to the following:

The landlord, the landlord's lawyers - in the case of commercial leases for their preparation, the landlord's mortgagee - for mortgage purposes,
referees you have nominated, organisations/tradespeople required to carry out maintenance to the premises, rental bond authorities, Residential Tenancies Tribunal/Courts, collection agencies, National Tenancies Database Pty Ltd, Protection & Collection, other real estate agents and landlords, utilities companies such as gas, electricity, water connection, telephone connection, banks - for rental payment facilities and financial records, employers - for reference purposes.

H. DISCLAIMER/AUTHORITY

I, the said applicant, do solemnly and sincerely declare that the information contained in this application is true and correct and that all of the information was given of my own free will. I further consent to the lessor/agent contacting and/or conducting any enquiries and/or searches with regard to the information and references supplied in this application I, the said applicant, do solemnly and sincerely declare that I am over 18 years of age and have read and understand the contents of this agreement and have the competence and capacity to enter into this agreement. I further confirm and declare that:-

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