Harcourts Vision online tenancy application form

Property Details

Address of property I'm applying for:

Intended moving date if application successful:

Applicants Details

Surname:

Title:

First Name(s):

DOB:

Photo ID supplied:

Type of ID supplied:

WINZ ID:

Source of income:

Total weekly income:

Employer:

Time with employer :

Occupation:

Email Address (req):

Phone (Work):

Phone (Home):

Phone (Mobile):

Partner/Spouse Details

Surname:

Title:

First Name(s):

DOB:

Photo ID supplied:

Type of ID supplied:

WINZ ID:

Source of income:

Total weekly income:

Employer:

Time with employer :

Occupation:

Email Address:

Phone (Work):

Phone (Home):

Phone (Mobile):

Motor Vehicle Details (all if more than one)

Make / Model / Year

Rego number:

Tenancy Details

Do you or any occupants intend on smoking?

Do you have pets?

Number of Dogs:

Dog Breed(s):

Number of Cats:

Occupants

Number of Adults:

Number of Children:

Ages of Children:

Current Address:

Yrs/Mths at address:

Reason for leaving:

Landlords name:

Landlords phone:

Previous Address:

Yrs/Mths at address:

Have you ever had a tenancy terminated?:

Reason why tenancy terminated (if applicable):

Have you ever had money deducted from bond?:

Reason why money deducted from bond (if applic):

Do you own a property?

Do you intend to purchase a property?

References

Are we able to contact your current landlord?:

Please list your references below

1. Name:

1. Phone:

2. Name:

2. Phone:

3. Name:

Nearest Relative

Name:

Relationship:

Address:

Phone:

Any flatmates / other occupants (sep application form required)

Name:

Age:

Name:

Age:

Name:

Age:

Comments (optional)

Comments:

Terms and Conditions

Please type AGREE in the box if you agree to the terms and conditions below:

I agree to pay your fee of one week’s rent (plus GST) should Vision Property Management introduce me to a property. I confirm that all the information given
in this form is true and correct. I give my permission for Vision Property Management to check the information given ,complete credit checks and lodge my
details on Baycorp, LTD, or any other relevant database.

Don't forget to click the button below to submit your form!

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:

Request Information: This application asks you to provide personal information and
Purpose of Collection: The information on this form is required so that the landlord is better able to assess whether you are the
best applicant on merit for the tenancy and
Recipient of Information: This information is provided by you for Vision Property Management, MREINZ and
Sign of Information: I/We advise you that you have the right to see the information I/we hold about you and
Correct Information: To correct that information in accordance with the Privacy Act 1993.

Other information drawn to your attention:

Understanding: By completing this form you are applying for a residential house/flat/apartment and;
You are further advised that: If you do not supply all the information requested in this form you may not be considered as the best
applicant for the property or properties available and

Please note: A separate application form is required for each person who proposes to enter a tenancy agreement.

I agree to pay your fee of one week’s rent (plus GST) should Vision Property Management introduce me to a property. I confirm that all the information given in this form is true and correct. I give my permission for Vision Property Management to check the information given ,complete credit checks and lodge my details on Baycorp, LTD, or any other relevant database.