HOUSE RENTAL APPLICATION FORM
Please complete all applicable sections. Use additional pages if necessary.
1. PROPERTY / TENANCY DETAILS
Property Address: Type of Property:
Requested Move-in Date: Desired Lease Term:
Monthly Rent Offered: Number of Bedrooms:
2. APPLICANT INFORMATION
Full Name: Date of Birth:
Phone Number: Email Address:
Current Address: City / State / Country:
Government ID Type & No.: Nationality:
3. EMPLOYMENT / INCOME INFORMATION
Employer / Business Name: Occupation / Position:
Employer Address: Employer Phone:
Monthly Income: Length of Employment:
4. PREVIOUS RENTAL HISTORY
Previous Landlord / Agent: Phone / Email:
Previous Property Address: Rental Period:
Reason for Leaving: Monthly Rent Paid:
5. OTHER OCCUPANTS
Full Name Relationship Age Occupation
6. REFERENCES
Reference Name: Relationship:
Phone Number: Email Address:
Address: Occupation:
7. VEHICLE INFORMATION
Make / Model: Registration Number:
Colour: Number of Vehicles:
8. EMERGENCY CONTACT
Full Name: Relationship:
Phone Number: Email Address:
Address: Occupation:
9. ADDITIONAL INFORMATION
Please provide any additional information relevant to your rental application.
10. APPLICANT DECLARATION
I declare that the information provided in this application is true and complete to the best of my knowledge. I
understand that the landlord or property agent may verify the information supplied and may request supporting
documents. Submission of this application does not by itself create a tenancy agreement.
Applicant Signature: Date:
Co-Applicant Signature: Date:
11. LANDLORD / AGENT USE ONLY
Application Received Date: Application Reference No.:
Application Status: Reviewed By:
Approved Rent: Security Deposit:
Proposed Move-in Date: Lease Start Date:
Notes / Conditions: