1. Property Details, that you are applying for
Where did you see this property advertised? Select One The Age www.realestateview.com.au www.realestate.com.au www.domain.com.au For lease board Brochure Domain Property Advocates Web Site Domain Property Advocates Team Member Other
If Other, please specify
Property Address*
Suburb*
Post Code*
Lease Term requested* Select One 6 months 12 months 18 months 24 months 24 months plus
Date Property to be Occupied* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028
Rent Payable for Property*
Lease to be in Name(s) of (All adults to reside at the property must be listed)*
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.
NB; All properties leased through Domain Property Advocates have a no smoking policy inside the premises.
2a. Personal Details
Title* Select One Mr Miss Ms Mrs
First Name*
Middle Name*
Last Name*
Date of Birth* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Current Address*
Suburb*
Post Code*
At least two of the id's must be entered:
1. Drivers Licence Number*
State of Issue*
Expiry Date* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031
2. Type of ID* Select One Passport Medicare Birth Certificate Student ID Credit Card Other
If other
No.*
3. Type of ID Select One Passport Medicare Birth Certificate Student ID Credit Card Other
If other
No.
Please email
a copy of your identification (ie drivers license, birth certificate, passport) and any references to
info@domainadvocates.com.au to accompany your application or fax through a copy on
03 9853 5522 .
Home Phone Number
Mobile Phone Number*
Work Phone Number
Email*
3. Utility Connection Service
This is a FREE service that can connect all of your utilities.
This service is at no cost to you and a way Domain Property Advocates is making your move easier! Please make sure you confirm with the team at DPA that you would like this service once your application has been approved.
4. Current Residence Information
How long have you lived at your current address?* Select One 6 months 12 months 18 months 24 months 24 months plus
Name of Landlord/Agent
Has your current residence been sold or rented? Select One Sold Rented
Phone number
Email
Rent Paid per month*
Reason for leaving*
If no please specify or add any further information about your current residence.
5. Previous Residence Information
Previous Address
Suburb
Post Code
How long did you live at your previous address?* Select One 6 months 12 months 18 months 24 months 24 months plus
Name of Landlord/Agent*
Phone number
Rent Paid per month
Reason for leaving
If no please specify
6. Current Employment Details
Occupation/Course*
Employers/University Name*
Best Contact Person*
Position
Phone
Email
Employment/Study Address
Suburb
Post Code
Length at Current employment? Select One 6 months 12 months 18 months 24 months 24 months plus
Net Income?*
7. If self-employed, please complete the following
Company Name
Company Address
Suburb
Post Code
Business Type
Position Held
A.B.N.
Accountant Name and Phone
Solicitor Name and Phone
8. Previous Employment Details
Occupation/Course
Employers/University Name
Best Contact Person
Position
Phone
Email
Employment/Study Address
Suburb
Post Code
Length at Previous employment? Select One 6 months 12 months 18 months 24 months 24 months plus
Net Income?
9. If Student, please complete the following
Place of Study
Course being undertaken
Course Length
Enrolment Number
Parents Name
Phone
Campus Contact
Phone
Course Co-ordinator
Phone
Income
10. Personal Referees
1. Reference name*
Occupation*
Relationship*
Phone*
Email
2. Reference name *
Occupation*
Relationship*
Phone*
Email
11. Business Referees
1. Reference name*
Occupation*
Relationship*
Phone*
Email
2. Reference name*
Occupation*
Relationship*
Phone*
Email
12. Rent Payment Method
We Accept:
(further forms will be required upon signing your tenancy agreement)
13. 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 owner 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 an agreement 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.
Date*
If you haven't received a confirmation call from our office within 1 business hour from submission, please contact us on 03 9853 5599 to avoid disappointment.
Please email
a copy of your identification (ie drivers license, birth certificate, passport) and any references to
info@domainadvocates.com.au to accompany your application or fax through a copy on 9853 5522.
