Crane Real Estate Tenancy Application Form

General Details Address * Suburb * Rent per week $ * Bond $ *

Personal
Information Full Name * Email Address * Date of Birth *

Please state
who else will
be residing
with you Resident 1 Name Relationship Age Resident 2 Name Relationship Age

Are you, or any
of the above
stated, smokers? Yes No

Contact
Information Your current address * Phone Number * Work Number * Mobile Number Previous address *

Agent Details
(if rental) Agent / Landlord Reference 1 Company Name Contact Person Phone Number Agent / Landlord Reference 2 Company Name Contact Person Phone Number

Have you ever
owned a home? Yes No

Employment Your Occupation * Currently employed with *

Do you own
any pets? Yes No

Additional
Information What type of accomodation do you require? (eg. House, apartment, etc.) Rental Range (weekly) Drivers Licence Number Drivers Licence State Closest relative Address Contact Phone Number Comments *

Validation

By pushing the send button below, I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the residential Tenancies Act, that I will pay the Landlord's costs's incurred in undertaking collection action to recover his/her losses.

Send

TENANCY APPLICATION REQUEST