Tenancy Application

This information is provided by you for the purpose of assessing your eligibility as a tenant.

( * indicates compulsory information)

Address of property:

Preferred move in date:

Please enter your personal details.

Family/surname: *

First names: *

Date of birth: *

Present address: *

Length of time at this address: *

Identification type: *

Identification number: *

Home phone

Work phone:

Mobile phone:

Email address:

Which is your preferred contact point *

Employment Details

Occupation:

Current employer:

Employers address:

Length of empoyment:

Previous employer:

Other income source

Total weekly income:

If you are on a Benefit please specify type:

Beneficary number:

General Information

Do you have pets? * Yes No

If you have pets please specify:

Do you or any intended tenants smoke? * Yes No

Vehicle type and registration:

References - Present Landlord

Landlords name:

Phone number:

Property address

Time at property

References - Previous Landlord

Phone number:

Property address:

Time at property:

References - Other

Name:

Relationship:

Phone number:

Have you every had a tenancy terminationed? If so, why? *

Reason for moving: *

Preferred length of stay: *

Please supply the following details for your Next Of Kin or close friend living in New Zealand. This is only for use in case of emergency.

Name: *

Address: *

Contact phone: *

Other occupants names and ages: *

I consent to you providing the information in this form and any, details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
I acknowledge that the information on this form may then be publicly accessible through a credit bureau or tenant default database.
I agree that you may use any if the information on this form to enforce any judgement in respect of the tenancy agreement or in respect of any order against me made by the Tenancy Tribunal.
I acknowledge that should this application not be accepted the agent is not required to disclose why or supply any reason for the rejection of this application.

I agree to the conditions above: *

PAYMENT DETAILS:
Payment required - 2 weeks in advance rent, 3 weeks minimum bond and 1 weeks rent plus GST as a letting fee.
Rent payment to be made by automatic bank payment to: Star Real Estate Ltd Rental Trust Account: 01-0170-0030376-03 or the landlords designated bank account.

PRIVACY ACT STATEMENT
For the purposes of the Privacy Act 1993:
1. This application form collects personal information about you.
2. This information is required to assess you eligibility as a tenant.
3. The information in the tenancy application form will, if you enter into a tenancy agreement with us, be held on a database and used by us and/or the owner of the rental property.
4. Should you not enter into a tenancy agreement with us this form and the information included in it will be destroyed.

I confirm that the information in this form is true and correct.
I confirm that I have read and understood all on the form including the Privacy Act statement.

I agree: *

Today's date:

Tenancy Application

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