ADVISORY

45 Basset Crescent, Alex Park

Harare, Zimbabwe
+263 786 000 984
admin@remax-advisory.co.zw
www.remax-advisory.co.zw

LEASE APPLICATION FORM – RESIDENTIAL

1. APPLICANT’S DETAILS
Mr. / Mrs. / Miss / Dr. / Prof / (specify) …………………..

Surname…………………………………………… Name (s) ……………………………………

I.D.No…………………………………………………Nationality……………………………………..
Marital status …………………………………………. Spouses full name ……………………………

Children & ages ………………………………………

Telephone number Land…..…………................................. Cell…………….…...................................

Email Address ……………………………………… Address ………………………………………

Occupation ……………………………………………Employer……………………………………...

Employer’s Address & Telephone No. …………………………………………………………………

Other Sources of Income ………………………………………………………………………………..

Bank details:
Account Name ……………………………………………………………………………………….

Bank …………………………………………………………………………………………………..

Account number …………………………………………………………………………………….

Method of Payment: RTGS/FCA Nostro/ Cash/ Other (specify………………………………………..

Person/Organization responsible for paying rent…………………………………………………………..
2. PROPERTY DETAILS
Property address applying for………………………………………………………………………………....
.........................................................................................................................................................................
Rental amount offered ………………………………………………………………………………..
Terms of Payment (tick applicable): monthly …. 3 months in advance….6 months in advance….
Duration of lease required…………………………………… Occupancy date ……………………..
Purpose of leasing premises ……………………………………………………………………………
Number of people to occupy main dwelling …………………………………………………….……….
Number of domestic staff to occupy staff quarters ……………………………………….……...............
Number of pets …………………………………………………………………………………………..
Other Information ……..…………………………………………………………………………………

3. REFERENCES:

Previous Landlord / Estate Agents name and contact number…………………………………………....

1. Full name…………………………………………………Contact no..........……………………….......

2. Full name…………………………………………………Contact no........…………………………….

3. Full name…………………………………………………Contact no........…………………………….

4. AUTHORISATION, DECLARATION & ACKNOWLEDGEMENT

 I/We declare that the information contained herein is true and correct and where this application is
signed in a representative capacity, I / We warrant that I / We have full power and authority to
legally enter into this transaction.
 I/We declare that all funds used to undertake this transaction are not proceeds of unlawful
activities and warrant that I/We have not contravened any anti-money laundering legislation and
regulation.
 I/We undertake lease fee of US$100.00 or 10% of monthly rental whichever is higher to RE/MAX
ADVISORY on signing of the lease agreement.

DATE………………………………………………………………SIGNED……………………………………

For Office use only

Property Consultant Date

Supporting documents (please tick applicable): ID ☐

Bank Statements ☐ Pay Slip ☐ Any other proof of income ☐
Processed by Recommended Yes / No

Comment

Checked by Date