Application for Rental Property
Use this form to apply for rental properties available from Land & Lease Realty (only)
REMEMBER: Each adult must fill out a separate application
REMEMBER: The more information you provide the sooner your application can be processed
Your Full Name *
Your answer
Home Phone (if applicable)
Your answer
Mobile Phone *
Your answer
Email *
Your answer
Your current address *
Your answer
How long have you lived at your current address? *
Your answer
What was your address before your current address? *
Your answer
Are you currently *
Name of your current landlord / agent
Your answer
Contact phone number of your current landlord / agent
Your answer
Reason for leaving your current premises *
Your answer
How much rent per week are you currently paying? *
Your answer
Address of property you are applying for *
Your answer
Have you personally inspected this property, both inside and outside? *
How many ADULTS will occupy the property? *
Your answer
If more than one ADULT will be occupying the premises please tell as their name/s
Your answer
How many CHILDREN (under 18) will occupy the property? *
Your answer
If children will be occupying the premises please tell us their age/s
Your answer
If approved, what rent amount (per week) are you prepared to pay?
Your answer
If approved, what date could you move in? *
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Have you read our letting policy? *
Tell us about your current employment situation *
Job title / description
Your answer
Current Employers Company Name
Your answer
Employers Address (including suburb)
Your answer
Employer's Phone number
Your answer
Your current net income per week *
Your answer
Length of Employment *
Your answer
Please provide details of your pets (if applicable)
Your answer
Do you Smoke? *
Name of next-of-kin *
Your answer
Next-of-kin phone number *
Your answer
Next-of-kin address *
Your answer
Additional Comments / Notes
Your answer
DISCLOSURE AND AUTHORIZATION
The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage. The undersigned does further understand that all persons or firms associated with Land and Lease Realty may freely give any requested information concerning me. I also hereby authorize Land and Lease Realty to verify my past and present employment earnings records, bank statements, previous residences and/or any information given for the purposes of renting and/or leasing through Land and Lease Realty including but not limited to a credit check. I further understand and agree that Land and Lease Realty will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true. If any facts prove to be untrue, Land and Lease Realty may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from. Land and Lease Realty welcomes all applicants and supports fair housing. We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.
Investigational Background Search Disclosure
Land and Lease Realty conducts applicant screening on persons applying to live in our managed properties, such screenings may include criminal background investigations. Prior to acceptance of an applicant, we may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant. Land and Lease Realty will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found. We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted. If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report. An applicant who is declined based on a criminal background may obtain a free copy of the report and may initiate a reinvestigation to have any erroneous information contained in the report corrected. The consumer reporting agency will advise you of the procedures that you should follow in order to do so.
*
Valid Photo Identification must be presented prior to final approval of this application.
Required
APPLICANT SIGNATURE:
Your answer
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