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| PROPERTY DETAILS |
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| Address of Property: | | Rent: * | $ |
| Please specify a property above |
| Have you viewed this property? * | | When did you view? * | |
| How long would you like to rent for? * | | On what date would you like to move in? * | |
| Would you take a tenancy immediately if required? * | | |
| Have you ever had a Mediation / Order of Tenancy Tribunal against you? * | | |
| Have you ever had money deducted from your bond? | | Please state: * |
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| How did you find out about this property? * |
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| PERSONAL DETAILS |
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| Full Name: * | | Nationality: * | |
| Date of Birth: * | | Gender: * | | Email Address: * | |
| Mobile Phone: * | | Home Phone: | | Work Phone: | |
| Smoker: * | | Do you have any pets? * | | Please state: * |
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| IDENTIFICATION |
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| Are you a New Zealand citizen? * | |
| Please provide a copy of your Driver's Licence or Passport (photo page): * |
| - Accepted file types: .bmp, .doc, .docx, .gif, .jpg, .jpeg, .pdf, .png |
| Please provide a copy of your Passport (photo page): * |
| - Accepted file types: .bmp, .doc, .docx, .gif, .jpg, .jpeg, .pdf, .png |
| Please provide a copy of your Visa or Proof of Residency: * |
| - Accepted file types: .bmp, .doc, .docx, .gif, .jpg, .jpeg, .pdf, .png |
| The identification documents provided with this application will be used for the purpose of identification and will be retained |
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| OTHER OCCUPANTS - Please list all other persons who will be living at the property. All adults over age 18 will need to complete a separate application form |
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| Name: | | Age: | | Relationship: | |
| Name: | | Age: | | Relationship: | |
| Name: | | Age: | | Relationship: | |
| Name: | | Age: | | Relationship: | |
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| GENERAL INFORMATION AND REFERENCES - Two references required |
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| Current Address: * | | Name of Landlord: | |
| Landlord's Contact Number: | | Landlord's Email Address: | |
| Length of tenancy: | | Rent per week: | $ | |
| Reason for Leaving: | | |
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| Previous Address: * | | Name of Landlord: | |
| Landlord's Contact Number: | | Landlord's Email Address: | |
| Length of tenancy: | | Rent per week: | $ | |
| Reason for Leaving: | | |
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| Character Reference Name: | | Contact Number: | |
| Character Reference Name: | | Contact Number: | |
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| INCOME |
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| Employer / Income source: | | Position: | |
| Name of Employer: | | Income per Week: | $ | |
| Employer's Contact Number: | | Employer Email Address: | |
| If you do not have details of your current employment, we recommend supplying a copy of your last statement: |
| - Accepted file types: .bmp, .doc, .docx, .gif, .jpg, .jpeg, .pdf, .png |
| WINZ Client ID Number: | | Type of benefit: | |
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| NEXT OF KIN |
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| Name: * | | Contact address: * | |
| Relationship: * | | Contact number: * | |
| Contact email: * | | |
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| ADDRESS FOR SERVICE - A contact address of a friend or relative in New Zealand who does not live with you and where mail can be received on your behalf. |
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| Contact address: * | | Phone number: * | |
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| ADDITIONAL INFORMATION |
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| Please specify any additional information relevant to this application: |
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| TERMS AND CONDITIONS |
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| Please note that the completion of this application form does not constitute an agreement to lease a property to the applicant. On acceptance of this application I agree to enter into an agreement to take the above premises for the agreed term and from the commencement date stated on this document. An agreement to lease will be reached when the landlord or the agent has accepted and receipted a bond and the first rental payment and the Tenancy Agreement has been signed. |
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| RENT | $ 0.00 |
| BOND (Four weeks rent) | $ 0.00 |
| LETTING FEE (One week rent + GST) | $ 0.00 |
| TOTAL | $ 0.00 |
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| We do not accept cash / cheques / eftpos in our office for payment of rent. All rent payments must be made by Automatic Payment only and this will be a condition of your Tenancy Agreement. Should this application be accepted, you will be required to provide your bank account details at the time of signing your lease, otherwise the tenancy will not proceed. No personal cheques are acceptable. |
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CREDIT REFERENCE:
hoamz to rent will always complete a credit check based on the information you give on this application form. (If you are overseas, you can obtain your own credit check to assist with your application). Australian citizens can obtain a check online at www.mycreditfile.com.au for $36.95AUD. |
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PRIVACY ACT 1993 STATEMENT
For the purposes of the Privacy Act 1993:- This application form collects personal information about you.
This information is required to:- Assess your eligibility as a tenant, and
- Collect information, which will be provided to a tenant default database or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. A tenant default database records the names of persons who have been found to breach a tenancy agreement on the Residential Tenancies Act 1986 by the Tenancy Tribunal.
- The information will also be made available to credit bureau or tenant default databases;
- If you do not supply all the information in this form, you may not be considered as the best applicant for any of the properties we administer;
- You have the right to see the information we hold about you and to correct that information in accordance with the Privacy Act;
- You have the right to see the information held about you by any credit bureau or tenant default database and to correct it in accordance with the Privacy Act.
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| Date: 20th May 2012 |
| Subject: | |
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Click the code if it's illegible
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| Your privacy is important to us and your details will never be shared with any third party. You can opt out of any email communications by clicking the link in your emails. |
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