Brown & Banks

141 Murray Street, Hobart

Ph: (03) 6231 0400
Residential Tenancy Application Form Fax: (03) 6231 0282
E-mail: reception@eldersbrownbanks.com.au

Should this application not be accepted, the agent is not required or obligated to disclose why or supply any reason for the
rejection of this application.

You will need to present photo identification and proof of income on submission of this application.

Please attach a copy of your credit report to this application.

Credit checks are obtainable from the Tasmanian Collection Service - corner of Collins and Argyle Street, Hobart - or if from
interstate - www.mycreditfile.com.au. The report must not be more than 28 days old.

How did you hear about this property? Internet Newspaper Office Other Date:

REQUESTED PROPERTY: Date Viewed:

Lease Term required: Rent p/w: $ Bond: $ Lease Start Date:

APPLICANT

Ms Miss Mrs Mr Full Name:

Current Address:

Phone Number: Mobile: Work Phone:

Email: Occupation:

Date of Birth: Drivers Licence/ Passport #: Number of Adults to Occupy:

Vehicle Registration Number & State: Make & Model:

Number of Children & Ages: Do you smoke? Yes No

Preferred method of contact: Phone Call Email Text Post

PRIVACY ACT 1988 COLLECTION NOTICE

The personal information the prospective tenant provides in this application or collected from other sources is necessary for the agent to
verify the applicants identity, to process and evaluate the application and to manage the tenancy. Personal information collected about the
applicant in this application and during the tenancy if the application is successful, may be disclosed for the purpose for which it was
collected to third parties, including the landlord, referees, other agents and third party operators of tenancy reference databases.
Information already held on the tenancy reference databases may also be disclosed to the agent and/or landlord. If the applicant enters into
a Residential Tenancy Agreement, and if the applicant fails to comply with their obligations under the agreement, that fact and other
relevant personal information collected about the applicant during the course of the tenancy may also be disclosed to the landlord, third
party operators of tenancy reference databases and/or other agents.

If the applicant would like to access the personal information the agent holds, they can do so by contacting Elders Brown & Banks at 141
Murray Street, Hobart. The applicant can also correct this information if it is inaccurate, incomplete or out of date.

If the information is not provided, the agent may not be able to process the application and manage the tenancy

Signature Dated
EMPLOYMENT

Occupation/Student/Govt. Benefit:

Employer: Length of Employment:

Nett Wage/ Benefit per week: $ Full Time Part Time Casual
Contact Person & Position: Contact Number:

Are you or have you ever been bankrupt:

LIVING HISTORY

Current Address:

Rent Own Property Rent per week: $

Agent/Owner (if applicable): Contact number:

Reason for leaving: Period Occupied:

Bond refunded Yes No - if No, why?

Previous Address:

Agent/Owner (if applicable): Contact number:

Reason for leaving: Period Occupied:

Bond refunded Yes No - if No, why?

PETS
Is a pet to be kept at the property? Yes No If yes - Dog Cat Bird Other
Breed Age Inside or Outside Pet How Many

NEXT OF KIN (not living with you):

Address:

Contact Number: Relationship:

REFERENCES (not family): Employer/Accountant etc.

1. Name: Contact Number:

Address:

Reference Type (Relationship): How long known:

2. Name: Contact Number:

Address:

Reference Type (Relationship): How long known:

 If application is successful, first 2 weeks rent must be paid in full by either CASH or BANK CHEQUE before occupancy is
granted. (NO EFTPOS OR CREDIT CARD FACILITIES AVAILABLE) A Security Bond (equivalent to 4 weeks rent) is
to be paid at Service Tas with the receipt to be returned to Elders Brown & Banks.
After initial payments are made, rent can be paid by cash in our office or via Bank transfer.

Thank you,
Elders Brown & Banks
I/We have read the above information and agree to these terms if our application is accepted:

Signature/s: _____________________________________________________________________________________

Date: _______________________________________

PLEASE ATTACH ANY OTHER RELEVANT INFORMATION THAT MAY AFFECT THIS APPLICATION

CHECKLIST:
Photo Identification
Proof of Income
Credit Check (no older than 28 days)
Sign & dated Collection Notice (front of application form)
Ensure all contact details (personal, living history, employment and references)
are correct and up-to-date