Residential Tenancy Application

Barfoot &Thompson Howick

Registered Office: 50 Picton Street, Howick, AUK, 2014

Property Details Applicant Details

11 Lorenzo Way, Flat Bush Applicants
Application Reference Jeferson Orobio Miranda (39)
Ximena Alvarado Morantes
TBD
Occupants
Weekly Rent Monthly Rent
2 Adults, 4 Dependants, 0 Pets
$990 $4,301.79
Vehicles
Report Generated
0 Vehicles
23/05/23 11:50 PM
Total Income
$113,512.63+
Last Submitted Lease Start Date Lease Term Utilities Requested
23/05/23 11:50 PM 7/07/23 Long Term Yes
Comments Special Conditions
No Comments No Special Conditions

Jeferson Orobio Miranda Details

D.O.B Gender Smoker Utilities Req. Total Income
23/10/83 (39) - No Yes $113,512.63
Contact Mobile Contact Phone Contact Email
022 377 1350 - jeffersonorobio@gmail.com
Current Address
70B Arimu Road, Auckland
Current Employment Type Employed Company Job Title
Self Employed DAWT Systems engineer
Receiving Additional Income Additional Income Details
Yes -

Student Details for Jeferson Orobio Miranda

Student Status Course Duration Expected Completion Date
Unspecified 2 years -
Institution Name
Manukau Institute Technology
Student ID Course Name
- English Level 3 Applied
Student Comments
-

Drivers Licence Details

Licence No. Expiry Date State Country DOB
EB514964 5/01/33 None NZL 23/10/83
Address Files Connected
Auckland, New Zealand 1

Page 1 of 7
 Passport Details
Expiry Date Gender DOB Country Nationality
3/07/32 Unspecified 23/10/83 NZL COL
Files Connected
1

Travel Visa Details

Visa No. Expiry Date Files Connected
INZ17119 23/10/42 1

Other Occupants
Name Relationship Currently Living With
Ximena Alvarado - -
Morantes

Application Questions
Last Completed: 23/05/23 11:50 PM
How did you find out about this property?
Trademe
Are you a New Zealand Citizen or Permanent Resident?
Yes
Have you ever been convicted of any crime or offence?
No
Have you ever had a tenancy terminated before?
Yes
Additional information
70b Arimu road Papakura
Are you or any other prospective occupant a smoker?
No
Have you previously rented?
No
Have you viewed the property in person?
Yes
Are there children under 12 years old?
Yes
Are there other occupants who will living at the property over the age of 18?
Yes
If yes, what are their names?
Ximena Alvarado Morantes
Are you able to pay the weekly rent for this property?
Yes
I consent to a credit check being conducted if am a preferred applicant?
Yes
I give permission to be added to your mailing list
Yes

Page 2 of 7
 Employment History
Company Job Title Annual Salary Employment Status
DAWT Systems engineer $30,000 Unknown
Business Address Business Website
Auckland , Auckland, , Auckland, New Zealand https://www.dawt.net/
Business Established Business Sector Start Date End Date
- digital services 2/01/23 Current
Self Employment
Yes
Contact Details
Self Employed - No Contact Details
Comments
-

Property History
Weekly Rent No Rent Address
$0 No 70B Arimu Road, Auckland
Landlord Type Agent Company Lease Start Lease End
Agent - 6/07/22 Current
Contact Name Contact Mobile Contact Phone
Kim Patel 020 409 96663 020 4099 6663
Contact Email Agency Name Lease Type
kim@platinumpmg.co.nz Platinum Property Fixed Term
Management
Reason for leaving
A better School for my children
Comments
-

Additional Income Details

Additional Income Name Gross Income Amount Payment Term
Accommodation supplement $305 Weekly

Additional Income Name Gross Income Amount Payment Term

Jobseeker support $606.86 Weekly

Additional Income Name Gross Income Amount Payment Term

Family tax credit $480.13 Weekly

Additional Income Name Gross Income Amount Payment Term

Temporary additional support $151.90 Weekly

Additional Income Name Gross Income Amount Payment Term

Winter energy payment $31.82 Weekly

Additional Income Name Gross Income Amount Payment Term

Refugee $1,575.71 None

Page 3 of 7
 Personal References
Years Known Relationship
- Landlord
Contact Name Contact Mobile Contact Phone
Kim Patel 020 409 96663 -
Contact Email
kim@platinumpmg.co.nz
Comments
-

Years Known Relationship

- social worker
Contact Name Contact Mobile Contact Phone
Daniela Casas 027 880 2908 -
Contact Email
daniela.casaszamora@kahuitukaha.co.nz
Comments
-

Years Known Relationship

- Manager
Contact Name Contact Mobile Contact Phone
Esteban Espinoza 021 022 78572 -
Contact Email
socialservices@alacinc.org.nz
Comments
This person is the manager of a Latino organization in New Zealand for which I volunteer as IT support

Years Known Relationship

- Immigration officer
Contact Name Contact Mobile Contact Phone
Sarah Hunt - 0508558855
Contact Email
sarah.hunt@mbie.govt.nz
Comments
-

Dependants
First Name Last Name Age
Allan Mauricio Orobio Chavez 15
Gender Relationship
Unspecified -
Comments
-

First Name Last Name Age

Danna Valeria Mosquera Alvarado 13
Gender Relationship
Unspecified -
Comments
-

Page 4 of 7
First Name Last Name Age
Maximiliano Orobio Alvarado 0
Gender Relationship
Unspecified -
Comments
-

First Name Last Name Age

Yalid Elena Orobio Alvarado 3
Gender Relationship
Unspecified -
Comments
-

Page 5 of 7
 Signed Terms and Conditions

Jeferson Orobio Miranda 23/05/23

(Digital representation of tenants signature, approved by tenant) (Date Signed)

Privacy Terms and Conditions

GENERAL TERMS
1. I acknowledge that by completing this form I am applying to rent a residential house / flat / apartment;
2. I confirm that the property has been viewed by me or on my behalf.
3. If I am the successful applicant, I agree to pay any or all costs of collection of any charges relating to
my tenancy including disbursements, fees, commissions and charges.
4. Photographs - If I am the successful applicant, I consent to you (Barfoot &Thompson)
•taking photographs of the premises as part of your service to the landlord and understand that these
photographs may be supplied to the landlord or any other party as required as a record of the condition
of the premises.
•to the photographs and/or video recordings being stored for a period of up to 1 year after the
termination of the tenancy, or such period of time as is reasonably necessary for a lawful purpose
relating to my tenancy.
•ensure that the photographs do not contain any information that could lead to identification of myself or
the other occupants of the premises and
•ensure that the photographs are securely stored.
5. Illicit Substances - I agree that the property may be tested for the presence of any illicit substances
during the term of the tenancy.
6. I confirm that I am authorised by any other applicants or intended occupants of the property or other
relevant third parties to provide you with the information above, including any Personal Information.
7. I confirm the information in this form is true and correct to the best of my knowledge and belief and
that I have read the Privacy Statement as stated above. I understand that any false or misleading
information given in this application may render the tenancy liable to termination, if I am accepted as a
tenant.

Connection Service Terms and Conditions

Would you like your details passed on to Fast Connect who can contact you to assist with setting up or
moving Electricity, Internet, Gas, Telephone and TV services? This is a free service offered to our
customers.

Extra Attachments

Drivers Licence - File Not Included

Passport - File Not Included

Travel Visa - File Not Included

Page 6 of 7
Supporting Document - File Not Included

Supporting Document - File Not Included

Supporting Document - File Not Included

Supporting Document - File Not Included

Supporting Document - File Not Included

Supporting Document - File Not Included

Page 7 of 7