Street Address: Level 2/67 Sydney Street Mackay Postal Address: PO BOX 511 Mackay Qld 4740 Phone: (07) 4953 4952 Fax: (07) 4953 4955 Email: [email protected] Website: www.connecthousing.com.au

NRAS Tenancy Application Form One Application is to be completed per person over 18. If you do not fully complete the application form this will not disqualify you, but may put you at a disadvantage compared to a fully completed form.

APPLICANT DETAILS Given Names

Surname

Current Address

Suburb

Home Phone Number

Mobile Phone Number

Date of Birth

Email Address

Driver’s Licence Number

Driver’s Licence State

Passport Number

Passport Country

PREFERRED PROPERTY Address

Suburb

Number of Tenants to Occupy Property: Adult/s

Children and Children/s Age

Number and Type of Pets (If approved photos of pets will be required)

PREFERRED LOCATION (IF ABOVE PROPERTY IS NOT AVAILABLE) Suburb

Number of Bedrooms

NRAS APPROVAL To apply go to NRAS register: www.nras.communities.qld.gov.au or contact the Department of Housing and Public Works Call Centre on 1300 880 882 between 6 am to 6 pm, Monday to Friday. On application to NRAS you will received an applicant number. Then you will receive a letter confirming that you have been registered for the NRAS. You will need to provide our office a copy of this letter to proceed.

NRAS Applicant Number

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NRAS Approval Number

100 POINTS OF ID REQUIRED

DOCUMENTS REQUIRED

Meeting the 100 point checklist is required to proceed further. Should you not be able to meet the “100 check Points” please speak to the Property Manager.            

Current driver’s license

40 Points

Birth Certificate

40 Points

Passport

40 Points

18+ Card

30 Points

Medicare Card

20 Points

Credit Card

20 Points

Current Vehicle Registration Certificate

10 Points

Bank Statement, Credit Card Statement

10 Points

Electricity Account Statement

10 Points

Gas Account Statement

10 Points

Telephone Account Statement

10 Points

Pension card, health care card

10 Points

Total Points

Providing all the below information will assist your tenancy application so it can be processed promptly.  PROOF OF CURRENT ADDRESS  Utility statements (no greater than 6 months old) or  Current Driver Licence  PROOF OF INCOME  Previous Tax Assessment Notice; and  Four (4) previous payslips (if applicable); and  Centrelink Income Statement (if applicable); and  Child Support Assessment Notice (if applicable)  Current Bank Statement of 3 months, OR if self-employed – tax returns and business registration.  REFERENCES (OPTIONAL)  Written references from employer  Written references from person not related to you, and not a co-applicant  References from Current Landlord

CURRENT TENANCY DETAILS Agent/ Landlord Property Address

Phone Number

Fax

Email

Rent Per Week

Length of Tenancy

Commencement Date

Reason or Leaving

years

months

years

months

PREVIOUS TENANCY DETAILS Agent/ Landlord Property Address

Phone Number

Fax

Email

Rent Per Week

Length of Tenancy

Commencement Date

Reason for Leaving

Was the Bond Refunded in Full? If not specify reasons why

Yes

No

EMPLOYMENT DETAILS Employer Name (Company)

Occupation

Employers Contact Number

Employers Email Address

Length of Employment

years

months

Full Time

Part Time or Casual

PREVIOUS EMPLOYMENT DETAILS (IF CURRENT EMPLOYMENT IS LESS THAN 12 MONTHS) Employer Name (Company) Occupation

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Employers Contact Number Length of Employment

Employers Email Address years

months

Full Time

Part Time or Casual

SELF EMPLOYMENT DETAILS (IF APPLICABLE) Company Name

ABN

Business Type

Position Held

Contact Number

Business Address

Accountants Name

Accountant Contact Number

Accountant Email Address

STUDENT DETAILS Place of Study

Course Name

Course Duration

Student Number

IN CASE OF EMERGENCY DETAILS Name

Relationship

Home Phone Number

Mobile Phone Number

Email Address

INITIAL RENTING COSTS Total initial renting cost must be paid prior to the release of keys. Payments are made to Bendigo Bank. CALCULATION TABLE ITEM CALCULATION Rent (first 2 weeks rent) 2x $ Bond (4x weekly rent) 4x $ Total Renting Cost

PAYABLE $ $ $

DETAILS OF ALL VEHICLES TO BE KEPT AT PROPERTY Registration No

Model

Registration No

Model

Registration No

Model

HOW DID YOU FIND OUT ABOUT MRHC  Internet

realestate.com

For rent sign at the property

Other

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 Friend

 Other Company, if so who_______

DECLARATION Applicant to complete and provide details as required PLEASE TICK YES OR NO TO THE FOLLOWING

YES

NO

Have you ever been evicted by any Lessor or Agent?





Are you in debt to another Lessor or Agent?





Was your bond at your last address refunded in full?





Is there any reason know to you that would affect your ability to pay? If yes, please explain





Have you ever been declared bankrupt or an undischarged bankrupt? If yes, please supply details





I acknowledge and agree that this is a non-smoking premises and smoking indoors is prohibited at all times





I declare the information provided is true and correct. I consent to Connect Housing Group and QAHC Property Management Company verifying details via Tenancy Information Centre of Australia & National Tenancy Data base records. I have been view a copy of the General Tenancy Agreement Terms and any special conditions before submitting this application. Signature

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Privacy Act 1988 - Collection Notice The personal information the prospective tenant provided in this application or collected from other sources is necessary for the agent to verify the applicant’s identity, to process and evaluate 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 the other parties including Lessor’s referees, other agents and third party operators of tenancy references data bases. Information already held on tenancy reference data bases may also be disclosed to the Agent and/or Lessor. If the applicant enters into a Residential Tenancy Agreement, and if the applicant fails to comply with their obligations under that agreement that fact and other personal information collected about the application during the course of the tenancy may also be disclosed to the lessor, other agents and third party operators of tenancy references databases. You have the right to access personal information that we hold about you by contacting this office. You can also correct this information if it is inaccurate, incomplete or out of date. If the information is not provided, the agent may not be able to process the application and manage the tenancy. As this application is in connection with the National Rental Affordability Scheme should this application became successful in that you become a NRAS tenant limited demographic information will be collected and submitted to various states and authorities as part of the reporting requirements of this scheme. Privacy Consent I/WE the applicant/s acknowledge that I have read the above collection notice. I authorize Connect Housing Group on behalf of QAHC Property Management Company to collect information about me/us from: 1. My previous agents and/or landlords 2. My current and previous employers 3. My personal referees 4. Any Tenancy default database (including TICA) which may contain personal information about me. I furthermore authorise Connect Housing Group to disclose details about any default by me/us under the tenancy to which this application relates to any tenancy default database to which it subscribes including TICA. 5. I Connect Housing Group to disclose personal information it collects about me to the owners of the property, even if the owner is a resident outside Australia Applicant 1

Signature:

Date:

Applicant 2

Signature:

Date:

PLEASE NOTE: WE WILL NOT BE ABLE TO PROCESS THIS APPLICATION IF NOT SIGNED WHERE APPLICABLE Street Address:2/67 Sydney Street Mackay Postal Address: PO BOX 511 Mackay Qld 4740 Phone: (07) 4953 4952 Fax: (07) 4953 4955 Email: [email protected] Website: www.connecthousing.com.au

RENTAL REFERENCE REQUEST AND TENANTS LEDGER Please attached a tenants ledger and fax back to 07 4953 4955 or email to [email protected] Company/Attention

Date

Name of Applicant/s

Address

Is/was the above applicant the actual lessee at the above mentioned address? Is the above applicant on a fixed term tenancy at present? Throughout the tenancy, was the applicant ever in arrears? Would you rent to the person again? During routine inspections was there cause to complain? If yes, reason why?

Yes  Yes  Yes  Yes  Yes 

No  No  No  No  No 

Were there any deductions from bond? If yes, reason why?

Yes 

No 

Were pets kept at the premises? If yes, were there any problems?

Yes 

No 

Was a Form 11 - Notice to Remedy Breach ever issued to the Tenant? If yes, reason why?

Yes 

No 

Was a Form 12 - Notice to Leave ever issued to the Tenant? If yes, reason why?

Yes 

No 

On a scale of 1-10, how would you rate the tenant/tenants (1 – bad 10 good) Rent per week $ Any other comments Name

PM Signature

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