Station St Space

TENANCY APPLICATION FORM

To enable Station St Realty to process your tenancy application a completed application form is required. Including accompanying identification as follows:

1. Photo Indentification-drivers license, passport or proof of age card
2. Proof of income
3. Copies of invoices/accounts confirming your name and address
4. Any previous rental ledgers, receipts or lease

PROPERTY APPLIED FOR

Address*

Rent p/w*

Lease term*

Preferred move in date*

PERSONAL DETAILS

Surname*

First Names*

Date of Birth

Drivers License No*

Vehicle Reg*

Home Phone*

Work

Mobile Phone*

Email Address*

NUMBER OF OCCUPANTS

Adults

Children

Children's ages

Pets

Type/Breed

Registered

PRESENT ADDRESS

Is your present residence rented

Rent per week

Name of Agent

Phone

If you own/sold your own, name & phone number of selling agent

Period of occupation: From

Reason for leaving

PREVIOUS ADDRESS

Was your present residence rented

Rent per week

Name of Agent

Phone Number

If you own/sold your own, name & phone number of selling agent

Period of occupation: From

Reason for leaving

OCCUPATION*

Position*

Employed by*

Commencement*

Contact Person

Phone

Income

ADDITIONAL INCOME OR BENEFITS RECEIVED

Amount

PERSON TO CONTACT IN EMERGENCY

Name

Phone

Address

NEAREST RELATIVE NOT LIVING WITH YOU

Name

Phone

Address

If self employed evidence will be required such as Tax or Annual returns. Please advise details:

COMPANY OR BUSINESS

Company or Business Name*

Address*

Lessor/Agent

Accountant

Contact

Address

Phone*

Fax

Email*

Any additional information that may assist your application

AUTHORITY TO COLLECT PERSONAL INFORMATION

To*

I / We*

Authorise:

Station St Realty
3 Albion Street
MITTAGONG NSW 2575
Phone: 48722977 Fax: 48722599
Email: info@stationsrealty.com.au

To collect information regarding my / our current / previous tenancy at*

Including details of my/our rental history, this may include confirmation of rent and rental payment compliance, fulfilment of obligations under the Tenancy Agreeement and further details of property care for the purpose of the agent/owner assessing my/our applicaiton.

Date*

I confirm that the information above is true and correct