APPLICATION FOR RENTAL ACCOMODATION

 

Surname _________________________________________   First names    ________________________________________________________

 

Current Address ______________________________________________________________________________How long?__________________

 

Previous Address _____________________________________________________________________________How long?__________________

 

Present Telephone Numbers: Mobile___________________________________       Work____________________________________________

 

 

Email Address_________________________________________________________________________________________

 

Number of intended occupants (including applicant): Adults________________   Children   ______________________

 

Occupation__________________________________________________________Employer________________________________________________________

 

How long with this employer?   _________________________________

 

If less than two years state previous employer and length of employment __________________________________________________________________

 

Will you be parking a motor vehicle on the property?     Yes / No      Do you require garaging?      Yes / No

 

Vehicle:  Make / Model _______________________________  Registration No __________________________

Do you own a pet?     Yes / No          If yes, give details ____________________________________________

Do you own a service assistance animal eg Guide Dog / Medical assistance Dog    Yes / No____________

Are any occupants smokers?   ___________________________________________Yes / No________________

Identification:  Date of birth  __________________   Drivers License / Passport No  _____________________

 

 

Are you wanting a:  House / Apartment           Amount of Rent (up to) $     _____________________________

 

 

Preferred Areas      ____________________________________________________________________________

 

Landlord Name ________________________________________________Telephone_____________________

 

Address  _____________________________________________________________________________________

 

Landlord Name ________________________________________________Telephone_____________________

Address _____________________________________________________________________________________       

 

Next of Kin (To be used in case of an emergency only)

 

Name ______________________________________________________________________________________

 

 

Address  ____________________________________________________________________________________

Relationship_____________________________________Telephone__________________________________

I consent to the above information being used to obtain credit and personal references.

 

I agree that the information on this form may be given to another landlord, credit bureau or tenant default database.

I declare that the information in this form is true and correct and that I have read the Privacy Act 1993 Statement published on this website.

If you do not supply all the information requested in this form, you may not be considered as the best applicant on merit for a specific property,

or other properties which may be available for rent.

A separate application is required for each person whose name will appear as tenant on a tenancy agreement.

I agree that if I enter into an agreement to rent a property introduced to me by Viaduct Harbour Rentals Limited,

I will pay Viaduct Harbour Rentals Limited a fee equal to one week's rent Plus GST

 

Signature   ________________________________________   Date   __________________________________

If you do not enter into a tenancy agreement this form will be destroyed and we will not retain the information you have provided,

but if you sign a tenancy agreement with Viaduct Harbour Rentals Limited, this information will be retained on file.

 

 

Click here to download Rental Application in PDF Format

 

 

 

                                                                    Statement to prospective tenants for the purposes of the Privacy Act 1993:

 

 

The personal information supplied by you is required to:

 

 1.  Assess your eligibility as a tenant; and 

 

 2.  Collect information which would 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 or the Residential Tenancies Act 1986 by The Tenancy Tribunal.

 

The information in this tenancy application form will, if you enter into a tenancy agreement with us, be held on a database and

used by us and by the owner of the rented property.

 

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 a tenant for any of the properties that 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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