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Properties For Rent
Property Management

What property do you wish to enquire about?

Property Address *

Start Date * Length of Tenancy *

Your Details
Name * Email *
Current Address *
Contact No. * Date of Birth *
License No. *
Expiry Date

Occupancy Details
No. of occupants *    
No. of Children * Age of Children
Pets * Type of Pets *

Current Rental Details
Current Rent $ Length of Tenancy
Property Address
Agent /
Landlord Name
Agent /
Landlord Tel.
Reason for departure

Previous Rental Details
Previous Rent $ Length of Tenancy
Property Address
Agent /
Landlord Name
Agent /
Landlord Tel.
Reason for departure

Current Employer Position Held
Contact Name
of Employment
Contact Number
Net Income $

Name *    
Occupation * Contact No. *
Occupation Contact No.

Paying Rent

We prefer payment of rent by your Bank Account or by Credit/Debit Card using Rental Rewards, please visit for more details.

Please nominate your preferred/ongoing rent payment methods:

Set & Forget - Automatic debit payments from your nominated account  OR
Rent Reminders  - Receieve SMS  OR Receive Email & simply reply 'YES'

Utility One

If you would like assistance, (at no additional charge) with the connection of telephone, electricity and gas to your new home then tick the box below. UtilityOne will then contact you and explain the details of the services

 Please contact me regarding CONNECTION of my utilities

If the box in this section is ticked, UtilityOne will use the information on this page to explain the services offered and to undertake any connection and disconnection services authorized (including the provision of information to utility companies). All details on this page must be completed for the service to be provided. Personal information collected by UtilityOne may be accessed by contacting UtilityOne using the contact details above. Normal service provider fees or bonds may apply.

*  I agree to the following terms and conditions

Terms & Conditions

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt. I authorise the Agent to obtain personal information from:

(a) The owner or the Agent of my current or previous residences;
(b) My personal referees for this application
(c) My current and past employers;
(d) Any person who maintains any record, listing or database of defaults by tenants;

and I authorise and consent to each of those persons providing requested personal information about me to the Agent;

If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to

(a) communicate with the owner and select a tenant
(b) prepare lease/tenancy documents
(c) allow tradespeople or equivalent organisations to contact me
(d) lodge/claim/transfer to/from a Bond Authority
(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
(f) refer to collection agents/lawyers (where applicable)

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

If section D is completed, I consent to the disclosure of this page of the application form to UtilityOne Corporation ACN 096 897 880 for the purpose of enabling UtilityOne to offer the connection and disconnection services to me. Where UtilityOne is requested to arrange for the provision of the services, I consent to UtilityOne disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection or disconnection. I consent to UtilityOne disclosing confirmation details (including NMI, MIRN, telephone number, water company) to the Agent. I acknowledge that neither UtilityOne nor the Agent accepts any responsibility for: any delay in, or failure to arrange or provide for, any connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and UtilityOne may receive a fee/benefit from a service provider in relation to the connection of a utility service.