Residential > Forms

Online Residential Application Form

For your application to be processed you must answer all questions. Please complete & click submit to apply.

A: Agent Details
Joseph Louis Realty
496 Queensberry Street
North Melbourne VIC 3051
Phone: 03 9329 5050
Fax: 03 9329 5150
Email: info@jlr.net.au
Web: www.jlr.net.au
B: Property Details
1.
What is the address of the property you would like to rent?

Post Code
2.
Lease commencement date

Day Month Year
3.
Rental Amount

 $  Per Week         $ Per Month
4.
Lease term

Years Months
5.
How Many adults will occupy the property?

Adults Children
C: Personal Details
6.
Please give us your details


Surname
Given Names
Date of birth
Driver's license number

Driver's licence expiry date
Drivers licence state

Passport no.
Passport Country
Pension (if applicable)
Pension type (if applicable)
7.
Please provide your contact details

Home phone no.
Mobile
Work phone no.
Fax no.
Email address
8.
What is your current address?

Post Code Property Manager Name
Application Fax to Direct Connect (If Required)
D: Utility Connections

This is a free service that connects all your utilities

Once we have received this application we will call you to confirm your details. Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working day on receipt of this Application to confirm the information on this Application and explain the details of the services offered. Direct Connect is a utility one stop connection service.

Please tick utilities as required


Note:
Please check, sign and date the 'Utility Connections' section when you meet with your property manager.
E: Declaration
Note:
Please check, sign and date the 'Utility Connections' section when you meet with your property manager.
F: Applicant History
9.
How long have you lived at your current address?

Years Months
10.
Why are you leaving this address?

11.
Landlord/Agent details of this property
(if applicable)

Name of landlord or agent
Landlord/agent's phone no.
Weekly Rent $
12.
What was your previous residential address?

Post Code
13.
How long did you live at this address?

Years Months
14.
Landlord/Agent details of this property
(if applicable)

Name of landlord or agent
Landlord/agent's phone no.
Weekly Rent $
Was bond refunded in full?
If not why not?


G: Employment History
15.
Please provide your employment details?

What is your occupation?
What is the nature of your employment?

Employer's name (inc. accountant if self
employed or institution if student)
Employer's address Post Code Contact Name
Phone no.
Length of Employment
Years Months
Net Income $
16.
Please provide your previous
employment details?

Occupation?
Length of Employment
Years Months
Net Income $
H: Contacts / References
17.
Please provide a contact in case
of emergency?

Surname
Given name/s
Relationship to you
Phone no.
18.
Please provide 2 personal references
(not related to you)

Person 1: Surname
Given name/s
Relationship to you
Phone no
Person 2: Surname
Given name/s
Relationship to you
Phone no
I: Other Information
19.
Car Registration

20.
Please provide details of any pets

Pet 1: Breed / type
Pet 1: Council registration / number
Pet 2: Breed / type
Pet 2: Council registration / number


PLEASE NOTE
Initial payments must be made by cash, bank check or money order within 24 hours after approval of application. No Personal Cheques accepted. Keys will not be handed over until the lease agreement has been signed by all applicants. This application is accepted subject to the availability of the property on the due date and no action shall be taken by the agent should any circumstances arise whereby the property is not available for occupation on the due date.

How did you find out about this property?





Please profvide us with 100 points
of identification - when you meet with
your property manager
Driver's License
50
Passport
50
Proof of Age Card
50
Student ID Card
50
Copy of Mobile Phone Account
50
Copy of Medicare Card
50
Concession / Pension Card
50
Copy of Gas/Water/
Electricity account
30 each

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