v2.1
A. RENTAL PROPERTY DETAILS
B. APPLICANT DETAILS
First Name/s Last Name
Title (please tick)
9. YOUR DETAILS
Date of Birth Driver’s Licence No. Licence Expiry Licence State
Vehicle / Motor Bike / Boat / Trailer Registration Numbers
Home Phone
Mobile Phone
Work Phone
Email Address
Full Address
Passport No. Passport Country Passport Expiry
If applicable - Pension No. Pension Type
11. OTHER APPLICANT NAMES (full name of all adults to reside at the property must be listed here, separated by commas)
12. NUMBER OF PEOPLE TO OCCUPY THE PROPERTY
Adults Children Ages of children (if applicable)
Number of Pets
13. PETS
Type / Breed/s Council Registration Number/s
Note: Owners have the right to reject pets.
Please provide us with at least 100 Points of Identification (attach copies). Original ID used to prepare application must be sighted at the time of signing leases.
This is mandatory, other genuine identification is accepted - call us for more details.
Driver’s Licence = 25 points Passport = 25 points Proof of Age Card = 25 points
Utilities/Mobile Phone Account = 20 points Bank Statement = 20 points Student ID Card = 25 points
Medicare Card = 20 points Concession / Pension Card = 15 points Payslip = 10 points
10. IDENTIFICATION
C. CURRENT RENTAL DETAILS
15. HOW LONG HAVE YOU LIVED AT THIS ADDRESS?
If you have not been a tenant in Australia please provide written details of where you have been and references (attached separately) to conrm your prior living
arrangements.
16. WHY ARE YOU LEAVING THIS ADDRESS?
17. LANDLORD OR AGENT CONTACT DETAILS FOR THIS PROPERTY:
Private Landlord
Phone
Weekly rent paid $
14. WHAT IS YOUR CURRENT RESIDENTIAL ADDRESS?
Residential Tenancy Application.
Note: Every adult applying for this property must individually complete a separate application.
(please tick)
Year Months
Agency
Agent name
Phone
Weekly rent paid $
3. FULL ADDRESS OF PROPERTY
4. SECOND PREFERENCE
5. PREFERRED COMMENCEMENT
Is there another property you would like to rent through Barry Plant as a second preference? (insert below if applicable)
Day
Month Year
6. PREFERRED LEASE TERM
7. RENTAL AMOUNT PER WEEK $
2. AGENT / CONSULTANT
1. BARRY PLANT OFFICE
Year Months
8. Do you accept the property in its current condition?
Yes
No
Mr
Mrs
Ms
Miss
Dr
Other:
Yes
No
Inside
Outside
v2.1
D. EXECUTION, DECLARATION AND DATABASE NOTIFICATION
TERMS AND CONDITIONS
The information contained in this form is being collected by the Barry
Plant Group Pty Ltd ABN 96 088 069 952, and the various real estate
agents, agent’s representatives operating under the Barry Plant
trademark (“Barry Plant”) so that we can consider your application to rent
a property.
It is a condition of this residential tenancy application that you consent to
the collection and use of the information contained in this application in
the manner outlined in our Privacy Policy found at www.barryplant.com.
au/privacy-statement
If you provide us with personal information of other parties (such as a
joint tenant, an emergency contact or your referees) you must notify
them that you have provided their personal information to Barry Plant and
must make them aware of our terms and conditions contained herein and
Privacy Policy.
The applicant/s acknowledges that this is an application for lease of this
property and that the application is subject to the owner’s approval and
the availability of the premises. No action will be taken against the owner
/ agent if the application is unsuccessful.
The property is subject to its availability on the due date and no action
shall be taken by the successful applicant/s against the landlord or the
agent should the property not be available for occupation on the due
date, for any reason.
Should the owner/landlord accept this application, the applicant/s will be
required to sign the tenancy agreement and pay the full bond within 24
hours of the application being approved.
If approved, the successful applicant/s agree to pay the bond and the
rst month’s rent by either bank cheque or money order.
The owner reserves the right to withdraw acceptance and offer the
property to other applicants until a tenancy agreement has been signed
by all parties.
The keys to the premises will not be made available until the day the
tenancy commences.
It is the responsibility of the applicant/s to check with the telephone
provider before proceeding with the application to conrm the existence
and status of landline telephone services at the property.
The successful applicant/s will be responsible for the connection and
payments of gas, electricity, telephone and water usage. Barry Plant
partners provide a free optional utility connection service for tenants.
The successful applicant/s will be responsible for ensuring the main
switch is in the off position before power can be connected to the
premises at the commencement of the tenancy.
The premises are a “smoke free zone”. Successful applicants will be
required to agree that they, other occupants of the premises and/or
guests will not smoke inside the premises.
The tenancy will be otherwise governed in accordance with the terms of
the tenancy agreement, when signed by all parties.
ACCEPTANCE OF TERMS OF TENANCY
I declare that:
I have inspected the premises and accept the property in the condition as
inspected;
The information I have provided in my application is complete and accurate in
all respects;
I am not, and have never been, a bankrupt;
I have been informed that Barry Plant may use the services of tenancy
database operators set out below to check the tenancy history of applicants;
National Tenancy Database - Ph 1300 563 826, www.ntd.net.au
TICA - Ph 1902 220 346, www.tica.com.au
I authorise Barry Plant, its authorised agents and staff to use and / or disclose
my personal information for the following primary purposes:
To undertake reference checks with referees, my employer, former
employers, my current and former landlords
and/or their agents and the operators of the National Tenancies
Databases detailed above;
To enable owners of the premises to make a decision on my
application;
To prepare the lease/tenancy documents;
To enable tradespeople/maintenance personnel to contact me, if
required;
To lodge and/or transfer or claim against my bond held with the Bond
Authority, as applicable;
To undertake and/or enforce legal process/decisions of a Tribunal/
Court and/or Statutory Authority, where applicable;
To instruct collection agents or lawyers, where applicable;
To transfer water account details into my name.
I consent to the storage of my personal information on Barry Plant’s databases
and am aware that my information may be used for the secondary purposes of
providing me with information about other properties and services provided
by Barry Plant and/or its business partners and for marketing, planning,
product development, research and other commercial purposes;
If I do not wish to receive marketing information or information about other
products and services provided by Barry Plant and or its business partners, I
will tick this box
If I default under a rental agreement, I authorise Barry Plant to disclose details
of any such default to the tenancy database operators National Tenancy
Database and/or TICA and to landlords or agents for any properties I may
apply for in the future, in accordance with Section 439 of the Residential
Tenancies Act (1997);
I understand that my personal information will otherwise be collected, held
and disclosed in accordance with Barry Plant’s Privacy Policy found at www.
barryplant.com.au/privacy-statement which sets out how to access or correct
personal information and how to complain about the treatment of personal
information held by Barry Plant.
Please note: Your application will not be processed unless you have inspected the property, completed this application form in full, provided
copies of your proof of identity and conrmed that you have read and accepted the terms and conditions by signing this document in the
space provided below.
Full Name
EXECUTION
-
-
-
-
-
-
-
Signature
Date
BARRY PLANT OFFICE
-
Page 2 of 4 barryplant.com.au
-
-
click to sign
signature
click to edit
v2.1
E. RENTAL HISTORY
18. WHAT WAS YOUR PREVIOUS RESIDENTIAL ADDRESS?
21. LANDLORD / AGENT DETAILS FOR THIS PROPERTY:
19. REASON FOR LEAVING?
20. HOW LONG DID YOU LIVE AT THIS ADDRESS?
Was bond refunded in full? If not, why?
F. EMPLOYMENT HISTORY
22. PLEASE PROVIDE YOUR CURRENT EMPLOYMENT DETAILS
Years
Months
Occupation
(please tick)
Employer Contact Name
Length of Employment
Net Monthly Income $
23. IF YOU HAVE BEEN EMPLOYED FOR LESS THAN 12 MONTHS WITH YOUR CURRENT EMPLOYER, PLEASE COMPLETE
PREVIOUS EMPLOYER DETAILS Go to question 23 if you have been employed for more than 12 months with current employer
Previous Employer
Employer Address
24. PLEASE PROVIDE DETAILS OF ANY ADDITIONAL INCOME/CENTRELINK PAYMENTS
Amount $
per month
If self employed go to Section G, or a student go to Section H
Years
Months
Contact name
Phone
Weekly rent paid $
Source of additional income
G. SELF EMPLOYED - COMPLETE SECTION BELOW
Business Name
Business Address
ABN
Business Phone
Business Email
Accountant
Accountant Phone
Solicitor
Solicitor Phone
Average Income Per Week $
Previous Occupation
H. STUDENT - COMPLETE SECTION BELOW
Institution Name
Institution Address
Course Name
Course Year Student ID Number
Source of Income
Income Per Week $
Name/s
Phone Number/s
PLEASE PROVIDE DETAILS OF YOUR PARENT / GUARDIAN BELOW
PARENTS SPONSORSHIP OTHER:
Years Months
Ofce phone (landline)
Length of Employment
Net Monthly Income $
Employer Address
Campus contact & phone
Course Length
LANDLORD AGENT
Page 3 of 4 barryplant.com.au
Ofce phone (landline)
Agency
Yes
No
Full Time
Part Time
Casual
v2.1
ADDITIONAL NOTES
Signature
Date
Full Name
DECLARATION AND ACCEPTANCE
I conrm my acceptance of the terms and conditions of this tenancy as stipulated on page 2 of this application form. I declare
that all information I have provided in my application is complete and accurate in all respects.
Page 4 of 4 barryplant.com.au 1
K. HOW DID YOU FIND OUT ABOUT THE PROPERTY?
J. CONTACTS / REFERENCES
25. PLEASE PROVIDE A PROFESSIONAL CHARACTER REFERENCE
Full Name
Relationship to you
Phone Number/s
26. PLEASE PROVIDE NEXT OF KIN DETAILS IN CASE OF EMERGENCY
Address
Full Name
Relationship to you
Phone Number/s
BARRY PLANT RENTAL LIST SIGN BOARD LOCAL NEWSPAPER THE AGE REFERRAL
RELOCATION COMPANY INTERNET, website:
OTHER:
L. PREVIOUS DEALINGS WITH BARRY PLANT
27. HAVE YOU BOUGHT, SOLD OR PREVIOUSLY RENTED WITH OUR OFFICE OR ANOTHER BARRY PLANT OFFICE?
Ofce Barry Plant Agent
click to sign
signature
click to edit