Please fill out all applicable fields below.
Was the property upon your inspection in a reasonbably clean and fair condition?
Rent per week
Rent per month
Tenancy start date
Preferred Lease Term
Date of Birth
State of Issue
All Day Phone/Mobile
I am a student
On the Lease?
About Your Pet
Applications pending on other properties?
Has your tenancy ever been terminated?
Have you ever been refused a rental property?
Are you in debt to another landlord or agent?
Deductions ever taken from your bond?
Anything affecting future rental payments>
Considering buying a property soon?
Do you currently own a property?
I am currently...
Length of stay
Was Bond Fully Refunded?
Reason for Leaving
Professional Ref. 2
I have viewed a copy of the Special Conditions for this property
I am currently employed
Nature of Employment
Length of Employment
Employment Start Date
What Method Will You Use to Pay Your Bond?
Are You Happy to Maintain a Garden?
I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the Residential Tenancies Act, that I will pay the Landlord's costs incurred in undertaking collection action to recover his/her losses.