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TENANCY APPLICATION REQUEST

* Denotes required before submitting

To help us process your application faster please upload any supporting documentation at the end of the form.

PROPERTY APPLYING FOR
Address of Property Lease start dateLease period
How did you hear about First Avenue?
PERSONAL DETAILS We require separate applications from all people over the age of 18 years
Full Name(s) *
Current Address *
Home Phone
Work Phone Mobile
Email
Drivers Licence No Version (5b on Card) Date of Birth * DD / MM/ YYYY
Car Registration Car Make Car Model
NAMES OF OTHER INTENDED OCCUPANTS (INCLUDING CHILDREN)
1. NameAgeOccupationContact Phone Number
Name To Lease
2. NameAgeOccupationContact Phone Number
Name To Lease
3. NameAgeOccupationContact Phone Number
Name To Lease
4. NameAgeOccupationContact Phone Number
Name To Lease
5. NameAgeOccupationContact Phone Number
Name To Lease
ADDRESS FOR SERVICE This is a New Zealand Government requirement for the lodging of bonds

Emergency contact. Usually a Mother, Brother, Guardian etc.

Full Name(s) *Relationship *
Address *
Phone *
Mobile * Email *
NEXT OF KIN
Full Name(s)Relationship
Address
Phone
Mobile Email
CURRENT LEASE DETAILS
Length of time at current address Rent Paid
Reason for leaving
Name of Landlord / Agent Phone
PREVIOUS RENTAL HISTORY (if less than 3 years at current address)
Previous Address
Length of time at above address Rent Paid
Name of Landlord / Agent Phone
CURRENT OCCUPATION
Current Employment Self Employment Study WINZ
OccupationCurrent Employer
Employer Address
Contact Name (pay roll / manager)Contact Number
Length of EmploymentNet Income
Company NameBusiness Type
Business Address Poisiton Held
Accountant NamePhone
Net Income
Place of StudyCourse Name
Course Length
Enrolment / Student No
Case ManagerCase Office
Case Number
Benefit Type
REFEREES
1st Referee Name * Relationship #1
Phone #1
2nd Referee NameRelationship #2
Phone #2
PLEASE ANSWER THE FOLLOWING
Have any of your previous tenancies been terminatedYesNo
Are you in debt to another Lessor or Agent?YesNo
Do you or any other intended occupants smoke?YesNo
Do you have any pets?YesNo
How many and what breeds?
Is there any reason that may affect your rent payment?YesNo
Do you have a criminal conviction?YesNo
APPLICANT CONSENTS

I agree to the collection, use and disclosure of my personal information for the following purposes:

  • Checking any of the details contained in this application form with third parties including any tenant information database and the New Zealand Transport Authority.
  • Making any enquiries with third parties in relation to my creditworthiness, including any credit reporting agency.
  • Placing any of the information regarding my identity supplied on this application form on a national online database.
  • Using any of the information contained on any Tenancy Tribunal Order to assist the enforcement of any unsatisfied Money Order made against me by listing details of the order on an online national database.
  • Using any of the information on this application form to assist in the enforcement of any unsatisfied Order made against me by the Tenancy Tribunal.
  • Debt recovery purposes including appointing an agent to collect any outstanding debts and listing defaults with any credit reporting agency.
  • Checking the Ministry of Justice fines database. This may be undertaken by a credit reporting agency on our behalf which will require my personal information to be collected by and disclosed to the credit reporting agency.

I understand that any credit reporting agency to whom you may disclose my personal information may:

  • Hold that information on their credit reporting database;
  • Use that information for the purpose of credit reporting or for any other lawful purpose;
  • Disclose that information to their subscribers for the purpose of credit checking or debt collection or for any other lawful purpose.

I understand that if I have provided to you a driver licence information that the provision of this information was voluntary.

I confirm the information in this form is true and correct and that I have read and signed the Cautions under the Privacy Act 1993.

I agree that if I enter a tenancy agreement then this application will form part of the tenancy agreement. Cautions provided pursuant to the Privacy Act 1993 and other information before applying for a residential tenancy.

In Terms of the Privacy Act 1993 you are given notice that:

  1. Requests information - this application form asks you to provide personal information and
  2. Purpose of collection - the information collected on this form is required so that the landlord is better able to assess whether you would be the best applicant on merit for the tenancy and to record limited information contained in the application form on a web-based database. The limited information concerns your identity and your last known address. This information is required to assist the landlord in locating you to enforce any unsatisfied oney order made by the Tenancy Tribunal.
  3. Recipient of information - the information is provided by you to the Owner/Landlord/Agent/Property Manager.
  4. Sight information - I/we advise you that you have the right to see the information I/we hold about you.
  5. Correct information - to correct that information if it is incorrect in accordance with the Privacy Act 1993.
  6. Holding information - if you do not enter a tenancy agreement with the landlord referred to on this application form, the application form will be destroyed.
  7. Uses of information - you are advised that some information relating to your identity and last known address may be supplied to a national web-based database.
  8. Agree to pay letting fee on entering premises.

Other information drawn to your attention:

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 all the information requested (other than the driver licence information) in this application form you may not be considered as the best applicant for the rental property or properties available.

PLEASE NOTE: A separate completed application form is required for each person who proposes to enter a tenancy agreement.

DECLARATION

I hereby offer to rent the property from First Avenue Property Limited.
I acknowledge that I will be required to pay the following amounts

First payment of one weeks rent in advance$
Rental Bond (equivalent to four weeks rent)$
Tenant Letting Fee (equivalent to one weeks rent plus GST)$
Total amount payable on Signing Tenancy Agreement$
ACKNOWLEDGEMENT

I acknowledge that this application is subject to the approval of the property owner. I declare that all information contained in this application is true and correct and given of my own free will.
I declare that I have inspected the premises and am satisfied with the current condition and cleanliness of the property.

APPLICATION SUBJECT TO CONSENT

Processing of this application will not commence unless all sections have been completed and relevant documentation provided at the time of submission of the application to First Avenue Property Limited.

YesPlease check YES to confirm all above details are true and correct *
Add your full name *
Supporting documents
VERIFICATION CODE
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