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Property Information
Property Address
*
Tenancy Information
Preferred Type Of Tenancy
*
Preferred type of tenancy
Periodic
Fixed 6 months
Fixed 12 months
Fixed more than 12 months
Commencement Of Tenancy
*
Applicant Details
Name
*
First
Last
Email Address
*
Phone
*
Date Of Birth
*
Identification Details
Identification (Please Use NZ Drivers Licence If You Have One)
*
Identification (please use NZ drivers licence if you have one)
NZ drivers licence
Passport
18+ card
Other
Drivers Licence Number
*
Drivers Licence Version (3 Digit Code)
*
Passport Country Of Issue
*
Passport Expiration Date
*
Passport Number
*
18+ Card Number
*
Please Type In Identification Type And Number
*
Attach copy of your identification
*
Click or drag files to this area to upload.
You can upload up to 2 files.
Employment Reference
Employment Situation For Reference Check
*
Employment situation for reference check
Employed
WINZ
Other
Company Name
*
Occupation
*
Weekly Income (Before Tax)
*
Years Employed
*
Current Employer Referee Name
*
Current Employer Referee Phone
*
WINZ Number
*
Gross Weekly Income
*
Please Provide Employment Details
*
Character Referee Name
*
Character Referee Relationship
*
Character Referee Phone
*
Living Situation Reference
Current Living Situation For Reference Check
*
Current living situation for reference check
Rent
Own
Other
Current Address
*
Why Are You Leaving This Address?
*
Please Provide Details For Current Living Situation
*
Current Landlord Name
*
Current Landlord Phone
*
Character Referee Name (Living Situation)
*
Character Referee Relationship (Living Situation)
*
Character Referee Phone (Living Situation)
*
How long have you lived there?
*
Less than 24 months
More than 24 months
Additional Tenants/Occupants
Apart from applicant 1 listed above, how many other occupants will there be (including children). Please note, tenants over 18 will be added to a tenancy agreement if you are successful.
*
0
1
2
3
4
5
Tenant Two Name
*
Tenant Two Age Group
*
Under 18 years of age
Above 18 years of age
Tenant Three Name
*
Tenant Three Age Group
*
Under 18 years of age
Above 18 years of age
Tenant Four Name
*
Tenant Four Age Group
*
Under 18 years of age
Above 18 years of age
Tenant Five Name
*
Tenant Five Age Group
*
Under 18 years of age
Above 18 years of age
Tenant Six Name
*
Tenant Six Age Group
*
Under 18 years of age
Above 18 years of age
Other
Do you or any other occupant have a pet?
*
Yes
No
Are you or any other occupant a smoker?
*
Yes
No
Have you had a Tenancy Tribunal order made against you or had a tenancy terminated?
*
Yes
No
Have you ever had money deducted from your bond?
*
Yes
No
Do you or any of the intended occupants owe any money to another property management company or landlord?
*
Yes
No
Do you want to add any additional comments or an additional document? (i.e. payslip, reference letter or working visa etc. Please combine any additional documents as one file)
*
Yes
No
Additional Comments
*
Additional document
*
Click or drag a file to this area to upload.
Terms
I authorise the Landlord/Property Manager to: • collect, retain and use this information for the purpose of assessing my creditworthiness and suitability for the tenancy; and • disclose information about me, whether collected from me directly or from any other source, to any other credit provider or any credit reporting agency for the purposes of providing or obtaining a credit report (which will involve the credit reporting agency providing information about me to the Landlord/Property Manager). I understand that the credit reporting agency may hold my information on their credit reporting database and use it for providing credit reporting services, and they may disclose my information to their subscribers for the purpose of credit checking or debt collection; and • as part of providing a credit report, may check the Ministry of Justice fines database for any overdue fines I may have.
I am over 18 and have read, understand and agree to the terms above
*
Yes
No
Applicant Signature
*
Signed Date
*
Submit
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