PHONE: 03 341 0985 - Specialists in Property Management

Tenancy Application Request

* Denotes required before submitting

PROPERTY APPLYING FOR
Address of Property Lease start dateLease period
How did you hear about Quality Property Management?
PERSONAL DETAILS
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 in case we cannot find you. 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
PRIVACY STATEMENT

PRIVACY DISCLOSURE STATEMENT OF QUALITY PROPERTY MANAGEMENT LTD
We are an independently owned and operated business. We are bound by the Privacy Act 1993. We collect personal information about you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or letting agents, your current employer, credit agencies and your referees. Your consent to us collecting this information is set out below. We may disclose personal information about you to the owner of the property to which this application relates. If this application is successful we may disclose your contact details to maintenance contractors and the landlord's insurers. We may also send personal information about you to the owners of any other properties at your request. You have the right to access personal information that we hold about you by contacting our office. If you do not complete this form or do not sign the consent below then your application for a residential tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected.

PRIVACY CONSENT

I the Applicant acknowledge that I have read the Privacy Notice of Quality Property Management Ltd. I authorise Quality Property Management Ltd to collect information about me from: 1. My Previous letting agents and/or landlords, 2. My personal referees, 3. Any Tenancy Default Database which may contain personal information about me. I also authorise Quality Property Management Ltd to disclose details about any defaults by me under the tenancy to which this application relates to any tenancy default database to which it subscribes including Department of Housing & Building National Tenancy Database (NTD). I authorise Quality Property Management Ltd to disclose the personal information it collects about me to the owner of the property even if the owner is resident outside New Zealand and to any third parties valuers, contractors, sales people, insurance companies, body corporates, other agents and tenancy default databases.

CREDIT REPORTING PRIVACY CONSENT

I the Applicant understand that you Quality Property Management Ltd trading as Quality Property Management are asking me for personal information about me so as to use Veda Advantages credit reporting service to credit check me. I understand that; 1. Veda Advantage will give you information about me for that purpose. 2. You will give my personal information to Veda Advantage, and that Veda Advantage will hold that information on their systems and use it to provide their credit reporting service. 3. When other Veda Advantage customers use the Veda Advantage credit reporting service, Veda Advantage may give the information to those customers. 4. You may use Veda Advantages credit reporting services in the future for purposes relating to the provision of credit to me. This may include using Veda Advantages monitoring services to receive updates if any of the information held about me changes. 5. If I default in my payment obligations to you, information about that default may be given to Veda Advantage, and Veda Advantage may give information about my default to other Veda Advantage customers.

DECLARATION

I hereby offer to rent the property from Quality Property Management Ltd.
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 Quality Property Management Ltd.

YesPlease check YES to confirm all above details are true and correct *
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VERIFICATION CODE
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