Residential Application Form for Tenants

1. The Applicant hereby apply for approval by the owner of the Premises to in this form to become the tenant of those Premises on the terms and conditions contained in this form and in the Residential Tenancy Agreement to be drawn up by owner's Real Estate Agent and request that pending consideration of my application, the Premises be in my favour.

RESERVATION FEE CONDITIONS

In accordance with Clause 12 of the Residential Tenancies 1995, it is hereby acknowledged that the taking of the reservation fee referred to in this Applicant for Tenancy Form is subject to the following conditions:

1. The Applicant had paid a Reservation Fee of __  ____equivalent to_   _ ___days rent to reserve the premises in favour of the Applicant for a period of__   __ days from __    __ to (The reservation fee is calculated on the basis that one day reserved equals one days rent, subject to a maximum of seven days rent).
2. The Premises will not be leased during the reservation period pending the making of a Residential Tenancu Agreement.
3. If the landlord decides not to enter into a Residential Tenancy Agreement on the agreed terms for the Residential Premises concerned during the reservation period, the whole of the fee will be refunded.
4. If the entering into of the Residential Tenancy Agreement is conditional on the landlord carrying out the repairs or other work specified below and the landlord does not carry out the repairs or other work during the resevation period, the whole of the fee will be refunded.
5. If the prospective tenant decides not to enter into such an agreement and the Premises were not leased or otherwise occupied during the period they were reserved, the landlord may retrain so much of the fee as is equal to the amount of rent that would have been paid during the period the Premises were reserved (based on the proposed rent)but is required to refund the remainder (if any) of the fee.
6. If the Residential Tenancy Agreement is entered into, the reservation fee is to be paid towards rent for the residential Premises concerned.

I, the Applicant, do solemnly and sincerely declare that I am not a bankrupt or an undischarged bankrupt and affirm and that the above information is true and correct.

I have inspected the above mentioned Premises and wish to take a tenancy for such Premises for a period of _    __months at a rental of __   __ per week and that the rental to be paid is within my means. I undertake to pay a rental bond in cash or as requested upon the signing of a Residential Tenancy Agreement.

I,We,                                               Anthony John Portelli

Trading as                                       AJ Portelli Real Estate

The Real Estate Agent, acting for the owner of the above Premises acknowledge receipt of the above Application and the accompanying Reservation Fee and agree:

1. to reserve the Premises for the period and in accordance with the conditons above stated,
2. to notify the applicant within the reservation period whether or not the application has been approved,
3. and if the applicant has been approved to also prepare within the reservation period a Residential Tenancy Agreement/Lease of the Premises.

PRIVACY POLICY

The personal information the prospective tenant provides in this application or corrected from other sources is necessary for the Agent to verify the Applicant's identity, to process and evaluated the application and to manage the tenancy. Personal information collected about the Applicant in this application and during the course of the tenancy if the application is successful may be disclosed for the purpose for which it was collected to other parties including to the landlord, referees, other agents and third party operators of tenancy references databases. Information already held on tenancy databases may also be disclosed to the Agent and/ or landlord. If the Applicant enters into a Residential Tenancy Agreement, and if the Applicant falls to comply with their obligations under that agreement, that fact and other relevant personal information collected about the Applicant during the course of the tenancy may also be disclosed to the landlord, third party operators of tenancy reference databases and/or other agents.

If the applicant would like to access the personal information the Agent holds, they can do so by contacting the Agent at the address and contact numbers contained in this application.  The applicant can also correct this information if it is inaccurate, incomplete or out of date.

If the information is nor proved, the Agent may not be able to process the application and manage the tenancy.

Note: A copy of this document shall immediately after signing be delivered to the applicant for retention.