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RESIDENTIAL RENTAL APPLICATION
LandlordLandlord Name: _______________________Address: _________________________________________Phone: ___________________________________
Rental Property InformationRental Property Address: _________________________________________Application to rent Unit: __________The term of the rental will be a fixed term starting on 16 January 2021 and ending on 16 January 2021.Possession Date: 16 January 2021Monthly Rent Payment: ₹_______Initial Rental Deposit: ₹_______
Applicants' Personal InformationApplicant's Name: ____________________________________________________________________Home Phone: _________________________ Alternative Phone: _________________________Email Address (Optional): ________________________ Date of Birth: ___________________Applicant's Permanent Account Number: ________________________________________
Second Applicant's Name: ______________________________________________________________Second Applicant's Date of Birth: ________________________________________________________Second Applicant's Permanent Account Number: ________________________________________
Third Applicant's Name: _______________________________________________________________Third Applicant's Date of Birth: _________________________________________________________Third Applicant's Permanent Account Number: ________________________________________
Name(s) of Dependent(s): Date(s) of Birth:__________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ____________________________
Do you have a pet? Yes / No If more than one, how many? _______Please describe type(s) of pet(s):________________________________________________________________________________________________________________________________________________________
Residential HistoryPresent Address: ____________________________________________________________________City:__________________________________ State/Territory:_______________________________How long at this address? _________________________________Landlord / Lessor: ___________________________ Phone: _________________________Previous Address 1: _________________________________________________________________City:__________________________________ State/Territory:_______________________________How long at this address? _________________________________Landlord / Lessor: ___________________________ Phone: _________________________Previous Address 2: _________________________________________________________________City:__________________________________ State/Territory:_______________________________How long at this address? _________________________________Landlord / Lessor: ___________________________ Phone: _________________________
Details of EmploymentEmployer:______________________________________________________________________Position: _________________________________ Date Hired: ______________________________Supervisor's Name: __________________________ Phone: _________________________Salary: _________________________(If employed less than one year with present employer, please provide previous employer.)Employer:______________________________________________________________________Position: _________________________________ Date Hired: ______________________________Supervisor's Name: __________________________ Phone: _________________________Salary: _________________________
Other Sources of IncomeDo you receive income from any of the following sources? Yes / NoStudent Loans ______ Pension Benefits ______ Social Assistance ______ Other ______Please provide contact persons who could verify the amount of additional income you receive:____________________________________________________________________________________________________________________________________________________
Vehicle InformationMake / Model: ___________________________________ Year: ________________Number Plate: _______________________ Driving Licence Number: __________________Make / Model: ___________________________________ Year: ________________Number Plate: _______________________ Driving Licence Number: __________________Parking space required? Yes / No Additional space required? Yes / No (Subject to availability)
Banking InformationBanking Institution: ________________________________________________________________Address: _________________________________ Phone: _________________________(If you bank with more than one institution, please list second bank below)Banking Institution: ________________________________________________________________Address: _________________________________ Phone: _________________________
ReferencesName: ____________________________________ Phone: _________________________Name: ____________________________________ Phone: _________________________
Emergency ContactName: ____________________________________________Relationship: ______________________________ Phone: _________________________
Criminal & Credit Background Check AuthorisationIs there anything negative that we may find in our criminal or credit background check that you want to comment on?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I declare that the information I have provided is accurate. I authorise the individual or organisation to whom this application is submitted to: (a) contact my references and all other persons that I have named in this application; and (b) perform a credit and/or criminal check to assess my suitability as a tenant/lessee.Applicant's Signature _____________________________ Date __________________________
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