TENANCY APPLICATION FORM

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1 Domain Charter Group Pty Ltd. ABN ACN Level 1, 437 Canterbury Road Surrey Hills VIC 3127 Tel: Fax: TENANCY APPLICATION FORM Proposed property:... Rent per week: $... Tenancy to Commence: / /20 Bond: $ Property Manager: Contact Number: APPLICANT NUMBER 1 APPLICANT NUMBER 2 Title:... Family/Surname:... Given Name(s)... Driver s Lic. / 18+ Card No:... State:... Title:... Family/Surname:... Given Name(s)... Driver s Lic. / 18+ Card No:... State:... Expiry date:. /./.... Date of Birth:./.../.... Expiry date:. /./.... Date of Birth:./.../.... Car Make & Model :... Car Registration & State... Current Address: Postcode:... Home Ph:... Work Ph:... Mobile Ph: address:... EMPLOYMENT DETAILS Company Name:... Contact:. Position:. Ph:.. Employed:..yrs...mths *Net Income (PW): $... *Provide 2wks past pay-slips & most recent bank statement: If employed for less than 12 mths, Previous Employer:... Postcode. Occupation.. Ph:... Length of employment:..yrs...mths Car Make & Model :... Car Registration & State... Current Address: Postcode:... Home Ph:... Work Ph:... Mobile Ph: address:... EMPLOYMENT DETAILS Company Name:... Contact:. Position:. Ph:. Employed:..yrs...mths *Net Income (PW): $... *Provide 2wks past pay-slips & most recent bank statement: If employed for less than 12 mths, Previous Employer:... Postcode. Occupation.. Ph:... Length of employment:..yrs...mths PROFESSIONAL REFERENCE Name.:.Relationship:... NEXT OF KIN Must be a relative Name:.Relationship:.. PROFESSIONAL REFERENCE Name.:.Relationship:... NEXT OF KIN Must be a relative Name:.Relationship:...

2 IF YOU ARE SELF-EMPLOYED Name of business... ABN:.Industry:... Address:..Postcode... Personal Net Income/Week:... Name of Accountant:.Ph No:... Period in which business has been in operation:. Name of business... ABN:.Industry:... Address:..Postcode... Personal Net Income/Week:... Name of Accountant:.Ph No:... Period in which business has been in operation:. IF YOU RECEIVE A CENTRELINK PAYMENT Type of payment:... Customer Reference Number (CRN):... Please provide a copy of your last 3 statements Type of payment:... Customer Reference Number (CRN):... Please provide a copy of your last 3 statements YOUR RENTAL HISTORY CURRENT LANDLORD/AGENT CURRENT LANDLORD/AGENT Name:... Name:... Contact Number:... Contact Number:... Rent paid per week:... Period of time rented:... Rent paid per week:... Period of time rented:... Was your bond refunded in full?... Was your bond refunded in full?... If Not, why?... If Not, why? PREVIOUS LANDLORD/AGENT PREVIOUS LANDLORD/AGENT Name:... Name:... Contact Number:... Contact Number:... Rent paid per week:... Period of time rented:... Rent paid per week:... Period of time rented:... Previous address:... Previous address: Was your bond refunded in full?... Was your bond refunded in full?... If Not, why?... If Not, why?... Do you have any pets?... Type/Breed:... Are they registered?... Registration Details:... Will any occupants under the age of 18 will be residing with you?... Please provide their ages:... APPLICATION CHECKLIST Please ensure you include the following: Please ensure you include the following: Photo ID Photo ID Most recent Bank Statement Most recent Bank Statement Past two payslips Past two payslips Past three Centrelink statements (if applicable) Past three Centrelink statement (if applicable) NB: ONLY COMPLETED AND SIGNED APPLICATIONS WILL BE PROCESSED

3 UTILITY CONNECTIONS Let On The Move reduce your stress and save you time by arranging your Let On utility The connections Move reduce at your the property. stress and at save no you extra time cost! by We will contact you within 24 arranging hours to confirm your utility connections at the property. at no extra cost! We will contact you within 24 hours to confirm YES! I would like On The Move to contact me to arrange my connections ELECTRICITY, GAS, WATER, TELEPHONE, BROADBAND, FOXTEL Ph: Fax: Terms & Conditions - By ticking the box above, you are consenting to On The Move contacting you to arrange your services. On The Move may need to disclose personal information to utility companies to arrange your services. On The Move & your Agent do not accept responsibility for any delay or failure to connect your services. Standard connection fees & bonds may apply DECLARATION I acknowledge that my application is subject to the owners approval and the availability of the premises on the due date. No action will be taken against the Landlord or Agent if the applicant is unsuccessful or upon acceptance should the premises not be ready for occupation on this date, for whatever reason. I agree, unless otherwise noted upon commencement that the property will be in the same condition as upon my inspection. I agree that if this application is successful, I am required to pay one month s rent prior to the signing of the Lease Agreement within hours of approval. The commencement date of this lease agreement indicates my rental pay date and after this first payment, I agree to pay each monthly rental payment in advance, to the specific and agreed rental payment date via direct debit. I, the above-mentioned applicant do solemnly declare that the information contained in this application form is true and correct. I understand that making false statements is punishable by law and I shall notify the agent of any changes to this information immediately. I hereby acknowledge and authorize Domain Charter Group Pty. Ltd. to conduct independent reference checks, via NTD, and to provide my information to the Landlord for the purposes of assessing my eligibility to rent the property. Signed: Date: Signed: Date:

4 NATIONAL TENANCY DATABASE SEARCH Please be aware that Domain Charter Group may conduct a National Tenancy Database search on all applicants. This accesses Australia s largest tenant database. TENANCY PRIVACY STATEMENT Due to recent changes in the Privacy laws from December 21, 2001, all property managers must ensure that you fully understand the National Privacy Principles and the manner in which we must use your private information in order to carry out our role as professional property managers. Please take the time to read this Privacy Statement carefully, and once completed, return to this office with your tenancy application. As professional property managers, Domain Charter Group Pty Ltd collect personal information about you. To ascertain what personal information we have about you, please contact our office. Primary Purpose As professional property managers, we collect your personal information to assess the risk in providing you with the lease/tenancy of the premises you have requested, and if the risk is considered acceptable, to providing you with the lease/tenancy of the premises. To carry out this role and during the term your tenancy, we will disclose your personal information to: The Landlord The Landlord s lawyer The Landlord s mortgagee Referees you have nominated Organisations / Trades people required to carry out maintenance to the premises. Rental Bond Authorities Residential Tenancy Tribunals / Courts Collection Agents National Tenancy Database Pty. Ltd. (ABN ) ( NTD ) Other Real Estate Agents and Landlords Secondary Purpose We also collect your personal information to 1. Enable us, or the Landlord s lawyers, to prepare the lease / tenancy documents on the premises. 2. Allow organizations / trades people to contact you in relation to maintenance matters relating to the premises. 3. Pay / release rental bonds to / from Rental Bond Authorities (where applicable) 4. Refer to Tribunals, Courts, and Statutory Authorities (where necessary) 5. Refer to Collection Agents / Lawyers (where default / enforcement action is required 6. Provide confirmation details for organizations contacting us on your behalf ie. Banks, Utilities (Gas, Electricity, Water, Phone), Employers etc. If your personal information is not provided to us and NTD, and you do not consent to the uses to which we put your personal information; we cannot properly assess the risk to our client, or carry out our duties as professional property managers. Consequently, we may not provide you with the lease / tenancy of the premises. NTD Disclosure Statement. You can contact National Tenancy Database Pty. Ltd. (ABN ) ( NTD ) by Telephone: Visit website: Primary Purpose NTD collects your personal information to provide to its members historical tenancy information on individuals and companies who / which lease residential and commercial property from or through licensed real estate agent members of NTD. The real estate agent / property manager may advise NTD of your conduct throughout the lease / tenancy and that information will form part of your tenant history. NTD usually discloses information to Licensed real estate agent members NTD s parent company Credit Bureaus I grant my consent for DCG to conduct a NTD search and acknowledge that I have read and understood this privacy statement. Signed Applicant 1:... Print Name:... Signed Applicant 2:... Print Name:... Date:... Level 1, 437 Canterbury Road, Surrey Hills VIC 3127 Tel: Fax:

5 UTILITY CONNECTION SERVICE Service provided by FAX ALL APPLICATIONS TO: Tel: APPLICANT 1 Title:... First Name:... Surname:... Date of Birth:... Contact Home:... Contact Mobile:... Address:... APPLICANT 2 Title:... First Name:... Surname:... Date of Birth:... Contact Home:... Contact Mobile:... Address:... ONE FORM OF ID MUST BE SUPPLIED: ONE FORM OF ID MUST BE SUPPLIED: Drivers License #:... Passport #:... Country:... Healthcare # / Pension #:... (Please Circle) Expiry Date:... Drivers License #:... Passport #:... Country:... Healthcare # / Pension #:... (Please Circle) Expiry Date:... CONNECT: Property... Suburb:...Postcode: TO BE CONNECTED ON: Date... /... /... ELECTRICITY MAIN SWITCH MUST BE TURNED OFF ALL DAY ON DAY OF CONNECTION. THIS IS YOUR RESPONSIBILITY AUTOMATICALLY CONNECTED: - Water Allocated Water Authority In Your Area WE WILL CONTACT YOUR FOR INFORMATION ON THESE SERVICES: Telephone. If applicable please list telephone number to relocate... Foxtel &/or Broadband Internet Services. (An On The Move consultant will contact you regarding the latest specials and promotions) Electricity AGL. (An On The Move consultant will contact you regarding the latest specials and promotions) Gas AGL. (An On The Move consultant will contact you regarding the latest specials and promotions) DISCONNECT: Property... Suburb:...Postcode:... Phone: Supplier...Phone #... Date... /... /... Electricity: Supplier...Account #... Date... /... /... Gas: Supplier...Account #... Date... /... /... Water: Supplier...Account #... Date... /... /... * All accounts must be under the name of the person listed on this form and account numbers supplied so we can organize disconnections for your previous property.

6 Water Authority - In your local area We will send your details to the local Water Authority in your area so you will receive Water Usage and Sewage charges. If there is no separate meter at your premises you will not be charged for these. No Connection Fee. Gas and Electricity Connections - AGL The AGL Freedom 0 plan is designed to help you reduce your energy costs and still give you freedom and flexibility. There are no contracts if you decide to move, change providers or disconnect. You will not be charged any penalties which is great for the rental market. No exit fees No security bond No late payment fees No Fixed Term Contracts The standard Pricing and Government Regulated Tariffs apply. Should you connect your Gas and Electricity with AGL, they will send out an information pack with this information to you in the mail shortly after you move in, if you require this information please contact On The Move on and we will provide to you over the phone. Payment methods of your accounts can be made by Cheque / Money order / Bpay / Australia Post / Direct Debit or Credit Card. AGL occasionally run credit checks on customers as well. Electricity Bills QUARTERLY (3 months) Gas Bills BI-MONTHLY (2 months) CONNECTION FEES: Connections Fees differ depending on the network area you are moving into. Electricity between $ $41.00 Gas between $ $9.00 (all areas) AGL do not waive the connection fee for pensioners or healthcare card holders. AGL at current are only offering On The Move customers, non contracted products. The contracted products will be available shortly and we will advise you once we know. These details MUST be supplied on the application form to obtain discounts. Please contact On The Move on if you wish to obtain the correct connection fee in your area. For more information please go to: Privacy Policy: On The Move P/L will ensure your private details are protected and will not release this information to any third parties except for the express purpose of connecting and disconnecting the agreed utility services. You have the right to access this information in accordance with the Privacy Act. The Agent will receive your new telephone details for contact purposes, unless you specifically request this not to happen. Customer Declaration: I consent to the disclosure of this page to On The Move P/L (ABN: ) for the purpose of enabling On The Move to offer connection and disconnection services to me I accept this is optional. I accept neither On The Move P/L nor the agent is liable for any loss, delay experienced or failure to connect or disconnect utility services. The agent and On The Move P/L may receive a benefit to provide this service. Standard connection fees and bonds will apply. An On The Move representative will contact you to confirm your personal and property details prior to connection. If On The Move has not contacted you within 24 hrs of the application being submitted, it is the tenants responsibility to call On The Move on if you wish On The Move to arrange connections. Applicant 1 - Signature:... Date:... /... /... Applicant 2 - Signature:... Date:... /... /... Telephone / Broadband and Foxtel Digital. On The Move can supply all Telephone / Broadband and Foxtel Digital Services as well. We will contact your regarding these services. At the time of printing the latest special promotions were: $0 INSTALLATION with any TELSTRA BUNDLE 1st MONTH FREE EXTREME CABLE ADSL2

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