George Street, Brisbane City, Application

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RESIDENTIAL RENTAL APPLICATION

For inquiries about the rental property, please contact richard harvey

:richardha4556@gmail.com

RENTAL PROPERTY

Rental Property Address : 2504/151 George Street, Brisbane City QLD 4000

APPLICANT’S PERSONAL INFORMATION

Name: ____________________________________________________________________________

Email address: ______________________________________________________________________

Home Phone: ______________________________________________

Date of Birth: _______________________________________________

DESIRED MOVE-IN DATE: _____________________________________

CO-APPLICANT’S PERSONAL INFORMATION (if applicable)

Name:
____________________________________________________________________________
Email Address: ____________________________________________________________________
Home Phone: ___________________________________________
Date of Birth: ___________________________________________
DESIRED MOVE-IN DATE: ______________________________-

RENTAL HISTORY
I. Current Residence

Current Address:

___________________________________________________________________________
_____________________________________________

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How Long have you been residing at this address? _________________________
Landlords Name: ____________________________________________________
Landlords Contact Name: ____________________________________________
Reason(s) for leaving this property:

___________________________________________________________________________
________________________________________________________

II. Previous Residence (If Applicable)


Current Address: _____________________________________________________________
How Long have you been residing at this address? ________________________ Landlords
Name: ________________________________

Landlords Contact Phone: ____________________________

Reason(s) for leaving this property:

___________________________________________________________________________
__________________________________________
Have you ever been evicted from a rental residence? ______________

Have you ever refused to pay rent when due? ___________________


If you have answered YES to any of the above, please state your reasons
and/pr circumstances.
_________________________________________________________________ __________
____________________________________________

EMPLOYMENT DETAILS

Employment Status: _________________________________

Current Employer: __________________________________________________________________


Supervisors Name: _________________________________________________________________
Phone: ____________________________________________

Job Titled: _________________________________________-

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Monthly Income: _____________________________________

Other Sources of Income: ___________________________________________________________


PROOF OF INCOME

The applicant is required to attach proof of their income to this rental application. Acceptable
documentation includes pay stubs, employers’ letter/certificate, bank statements or copies of the
previous year’s tax return.

CRIMINAL BACKGROUND CHECK AUTHORIZATION

Do you consent to a criminal check? _____________________


The Applicant authorizes the Landlord to verify all references and facts, including but not limited to
current and previous Landlords, employers and personal references. The Applicant understands
that incomplete or incorrect information provided in the application may cause a delay or denial of
application.

Applicants Signature:
_________________________

Co-Applicants Signature:
______________________ Date:

____________________ Date:

___________________ 3

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