Property Brokers Rentals. Visit www.propertybrokers.co.

nz

Tenancy Application Form

This Application will be marked on our 100 POINT application procedure. Your application may not be processed if you fail to provide 100 or more points against our criteria. Please see details on page 2.

Property Address being applied for: Tenancy start date Your full name Your current address Your contact details (Home) Email Current rental Details (if applicable) Current rent $ per week Agent/Landlord name Business Why are you leaving? Address: Rent $ per week Agent/Landlord name Business Why did you leave? Employment Current employer: WINZ Client number: Length of employment Contact name Full time or part time? (Circle one) Personal details Date of birth Drivers licence no. Vehicle Make Occupancy details What is the total number of occupants who will live in this property including yourself? Number and ages of children (if any) Pets? Yes/No (circle one) Number and type of Name of contact Address Relationship to you How did you find out about this property? (Phone) Sign board Window Display Newspaper Internet Rental List Referral Other (name) ___________________________ Nett monthly income Age ___________ Passport no. Rego no. $ Business I lived there for years months I have lived there for years months (Work) (Mobile) When do you want to move in? _____/_____/_____

Previous address

Address for service

(Another address in NZ where legal documents can be served)

Supporting Evidence Property Brokers Rentals has a 100 Point Tenancy Application Criteria that we ask prospective tenants to provide. Failure to meet our 100 Point Application Criteria may result in your application not being processed.

Tenancy Application Form

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Property Brokers Rentals. Visit www.propertybrokers.co.nz

Please provide one form of supporting evidence from EACH Category

CATEGORY 1 PHOTO ID CATEGORY 2 PROOF OF INCOME CATEGORY 3 PROOF OF ADDRESS 50 POINTS NZ Drivers License OR Passport OR HANZ ID Card OR Other Photo ID Current Employment Agreement OR Current Wage Advice OR Bank Statement OR WINZ Statement - (info provided should not be older than 1 month) Gas/Electricity/Telephone Account OR Motor vehicle registration OR Current Tenancy Agreement - (info provided should not be older than 1 month)

30 POINTS

20 POINTS

I confirm the following:

1. During my inspection of this property I found it to be in a reasonably clean condition Yes/No (circle one) 2. If No, I believe the following items should be attended to prior to the commencement of my tenancy. I acknowledge that these items are subject to the landlords approval.

3. I acknowledge that this is an application to rent this property and that my application is subject to the landlords approval. 4. I consent to the information provided in this application being verified by Property Brokers Rentals, Police check if necessary and a reference check on national tenancy databases being undertaken.
CAUTIONS AND INFORMATION DRAWN TO YOUR ATTENTION IN TERMS OF THE PRIVACY Act 1993 Before you complete this application form This application collects personal information about you This information is being collected by the Landlord and / or Property Manager The intended recipient of this information is the Landlord / Property Manager and with your consent any other Landlord/Property Manager deemed necessary by this company. This information is required to assess your merit as a tenant This information is required to assess whether you are a minor and able to enter this contract without the approval of the Tenancy Tribunal The tenant consents to the Landlord or Landlord authorized Agent Property Brokers Limited, obtaining any information that may be necessary to evaluate the tenants credit rating. The tenant also consents to the passing of information to credit agencies if the tenant fails to meet their financial commitment, and passing information to other agencies with regards to tenancy reference checks You are entitled to access to and correction of this information. If you fail to provide any of the information requested, this may affect the success of your application. Application I, the Applicant, declare that I am not a bankrupt or an undischarged bankrupt and that the information provided by me is true and correct. I have inspected the above premises and wish to apply for tenancy of the premises.

Applicants signature

Date

I consent to Connectnow Ltd to arrange for the connection of the nominated home services and to providing information contained in this application to the service providers. I agree that neither Connectnow nor the Agent accepts liability for loss caused by delay in, or failure to connect/disconnect or provide the nominated services. I acknowledge the terms and conditions of the service providers. I acknowledge that Connectnow will be paid a fee by the service provider and will be paying a fee to the Agent for the service being provided to me. The service will be activated according to the applicable regulations, service provider time frames and terms and conditions where I have agreed to use the chosen service provider. Note: While Connectnow service is free, standard service provider connection fees and charges still apply. You pay NO extra charges as a result of using the Connectnow service. Connection of your utilities will only be initiated once a representative has discussed your connection with you and obtained your consent to the terms and conditions of the relevant utility service provider(s). Please call me

Tenancy Application Form

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