Melanie Dennis
Real Estate
Suite 1, 83 Station St
Fairfield 3078

Tel:	(03) 9481 7417
Fax:	(03) 9481 4713
Mobile:	0416 218 003

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Residential Tenancy Application Form

Thank you for considering to apply for a rental property through Melanie Dennis Real Estate.

You can either fill in the form below which will be emailed to Melanie Dennis and her team or
print out the Application Form and fax or post back to our office
Please read the Tenancy Application Guidelines

Please ensure that all fields are completed in detail so we can process your application promptly and refer it to our client for consideration. It is our aim to come back to you within 24 hours.

Those questions marked with * must be completed. Please note that you do need to have inspected the property before submitting this application.

1. Property Details, that you are applying for
Where did you see this property advertised?
If Other, Please Specify
Property Address *
Suburb *
Post Code *
Lease Term requested *
Date Property to be Occupied *	/ /
Rent Payable for Property *
Lease to be in Name(s) of *
During my inspection of this property I found it to be in a reasonably clean condition *	Yes No
If "No" I believe the following items should be attended to prior to my tenancy commencing. I acknowledge that these items are subject to Owner's approval.
Is this to be your principal place of residence.	Yes No
2. Personal Details
Title *
First Name *
Middle Name *
Initial *
Last Name *
Gender	Male Female
Date of Birth *	/ /
Current Address *
Suburb *
Post Code *
at least two of the id's below must be entered *	Drivers Licence Number* State of Issue*
	Alternate ID
	Type (eg passport) No
	Type No
Home Phone Number
Mobile Phone Number*
Work Phone Number
Email
Occupation/Course *
Employers/University Name*
Best Contact Number *
3. If self-employed, please complete the following
Company Name
Company Address
Suburb
Post Code
Business Type
Position Held
A.B.N.
Accountant Name
Accountant Phone
Solicitor Name
Solicitor Phone
4. Utility Connection Service
Do you require any Utility Disconnections done?	Yes No
If Yes, Click Here to visit the Direct Connect website This service is at no cost to you and a way Melanie Dennis Real Estate is making your move easier! Please make sure you confirm with the team at MDRE that you would like this service once your application has been approved.
5. Current Rental History
Are you the *	Owner Renter Home with parents
How long have you lived at your current address? *
Name of Landlord/Agent*
Phone number
Rent Paid per month*
Reason for leaving *
Was bond repaid in full? *	Yes No
If no please specify
6. Previous Rental History
Were you the	Owner Renter Home with parents
Previous Address
Suburb
Post Code
How long have you lived at your previous address?
Name of Landlord/Agent*
Phone number
Rent Paid per month
Reason for leaving
Was Bond repaid in full?	Yes No
If no please specify
7. Other Information
Number of persons occupying property *	Adults Children
Please specify the ages of any children
Do you have pets? *	Yes No
If yes please specify type
Next of kin - Name *
Phone *
Address*
Motor Vehicle*	Yes No
Make/Model
Rego No
8. Current Employment Details
Employment/Study Address
Suburb
Post Code
Contact Name
Phone
Length at Current employment?
Net Income?*
9. Previous Employment Details
Occupation/Course
Employers/Study Name
Employers Address
Suburb
Post Code
Employer Phone number
Contact Name
Length at Previous employment?
Net Income?
10. If Student, please complete the following
Place of Study
Course being undertaken
Course Length
Enrolment Number
Parents Name
Ph
Campus Contact
Ph
Course Co-ordinator
Ph
Income: $
11. Personal Referees
1. Reference name *
Occupation*
Relationship*
Phone *
2. Reference name *
Occupation*
Relationship*
Phone *
11. Business Referees
1. Reference name *
Occupation*
Relationship*
Phone*
2. Reference name
Occupation*
Relationship*
Phone*
12. Declaration
I acknowledge that this is an application to lease this property and that my application is subject to the owner's approval and the availability of the premises on the due date. No action will be taken against the landlord or agent if the application is unsuccessful or upon acceptance should the premises be unavailable for occupation on the date for whatever reason. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent pursuant to the Residential Tenancies Act 1997. I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from the owner/landlord. I declare that all information contained in this application is true and correct and given of my own free will. I declare that I have inspected the premises, I am over the age of 18 and I am not bankrupt.. * I have read thetenant privacy statement Yes No I authorise Melanie Dennis Real Estate to perform credit and reference checks in relation to my application. Date
	If you haven't recieved a confirmation call from our office with regards to your application, please contact us on 03 9481 7417 to avoid disappointment.