CAUTIONS PROVIDED PURSUANT TO THE PRIVACY ACT 1993
BEFORE APPLYING FOR A RESIDENTIAL TENANCY
In terms of the Privacy Act 1993 you are given notice that:
1. Request for information
This application form asks you to provide personal information and
2. Purpose of Collection
The information is being collected on this form by the landlord/renta manager whose address is 130 Golfland Drive, Golflands Auckland and is required so that the landlord / rental manager can check the information and be able to assess whether you would be the best applicant on merit for the tenancy and we are obliged to inquire whether you are a minor and
3. Recipient of Information
The intended recipient of this information is Eastwick Property Management whose name appears at the top of this form or the landlord and
4. Sight Information
We advise you you have a right to see information we hold about you and
5. Correct Information
To correct the information if it is incorrect and
6. Holding Information
In the event that Eastwick Property Management is required to carry out a credit check then Eastwick Property Management is obliged by law to retain the record of that application.
Other information drawn to your attention:
Understanding
By completing this form you evidence the fact that you are applying to rent a residential house / flat / apartment and
You are further advised that:
If you do not supply the correct information requested in this form you may not be considered as the best applicant on merit for a specific property or other properties available to rent and
Please note:
A separate completed application form is required for each person who proposes to enter a tenancy agreement as a tenant.
*
By ticking this box you understand and agree to the terms of the privacy act as stated above.
Rental Property
RENTAL ADDRESS
Rent per week $
Length of Tenancy required
Start date requested
*
Have you viewed this property
*
Date you viewed this property
Applicant Details
*
Full Name
*
Current Address
*
How long at this address
Phone
Mobile
*
Email
Identification
Please provide photo identification such as your drivers licence or passport
Drivers Licence number 5a
5b
Provision of this number is voluntary and will be used for verifying your identity and carrying out a credit check
Passport No
Expiry date
WINZ No
If applicable
*
Date of birth
If under the age of 18 are you married? Tick for yes
Criminal Record
Haver you ever been convicted of any crime or offence (other than one concealed by the Criminal Records (Clean Slate) Act 2004.
Yes
No
Occupancy Details
Pets: Do you have a pet?
Yes
If yes, what type of pet?
No
Smoking: Are you or any other prospective occupant a smoker?
Yes
No
Motor Vehcile: Will you be parking a motor vechicle on the property?
Yes
No
If yes, please state details:
Make
Model
Registration Number
Number of people intending to reside in the property (including applicant)
Names of people intending to reside in the property
Please note that a separate application is required for each person over the age of 18 along with a copy of identification and payslip.
Current Rental Details
*
If renting at current address rent paid per week
*
Why are you leaving?
*
Name of the Property Manager / Agent / Landlord
Phone
Mobile:
Email
Previous Rental Details
Rent per week $
Property Address
How long at this address
Date vacated
Property Manager / Agent /Landlord
Phone
Mobile
Email
*
Have you ever had a tenancy terminated before?
If yes give details
Current Employment
*
Current Employer / Company (if employed)
*
Gross Income per week $
*
Occupation
*
Length of employment
Contact Name and Number (manager)
Other source of income if not currently employed
Gross Income per week $
Contact Details Nearest Relative
To be used in case of an emergency only
*
Name
*
Address
*
Relationship
*
Phone
TENANTS DECLARATIONS, CONSENTS AND AGREEMENTS
I agree to you obtaining other information about me and contacting any of the following referees (not relatives)
*
Name
*
Phone
*
Name
Phone
*
Name
Phone
I agree that the landlord may use this information to carry out any or all credit checks to assess my credit worthiness and I understand that if a credit check is carried out on me the credit reporter may hold my information on their credit bureau and use if for credit reporting services and any other lawful purpose and they may disclose my information to their subscribers for credit purposes.
I agree to any of this information or any default information being given to another landlord, credit bureau or tenant default database.
I agree that you may use this information on this form to enforce any judgement in respect of the tenancy agreement or in respect of any Order against me made by the Tribunal.
I agree that I have voluntarily given you my drive license details and that you may verify my drive license details with NZTA.
I agree to you giving my information to the Ministry of Justuce to check for any overdue fines I may have and that a credit reporter may carry out this check for you which will mean the information will be given to a credit reporter.
I agree to pay any or all costs of collection including disbursement fees, commissions and charges.
Photographs - I consent to Eastwick Property Management taking photographs of the residential premises as part of their service to the landlord and understand that these photographs may be supplied to the landlord or any other party as required.
I consent to the photographs being stored for a period of 7 years or such further time as legally appropriate, following the expiry of Eastwick Property Management's management of the residential premises.
I understand that Eastwick Property Management will take all reasonable steps to ensure the photographs do not contain any information that could lead to identificationh and that Eastwick Property Management will take all reasonable steps to ensure the photographs are securely stored.
Illicit Subtances - I agree that the property may be tested for the presence of any illicit substances during the term of the tenancy.
I confirm that the information in this form is true and correct and that I have read and signed the Cautions under the Privacy Act 1993 and all of the other information contained in this Application to Rent form before completing the application form itself.
I understand that any false or misleading information given in this application may render the tenancy, if I am accepted, liable to termination. I declare that to the best of my knowlege the above information and that submitted in any accompanying documents is correct.
Please attach the following with your application:
1. A scanned copy of your drivers licence or passport
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2. A scanned copy of your most recent payslip or Employment Contract or Bank Statement
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3. Any other documentation you want to add to support your application (not mandatory)
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By ticking this box this becomes my signature and I accept the terms and conditions as specified in this application form.
Dated:
If you have any issues uploading documentation please email them to desiree@eastwickproperty.co.nz