Tenancy Application

We at Raine & Horne are happy to help you find the ideal rental property.  Please fill out the form. 

how did you find out about this property?

lease preferences
*Denotes a required field


your details

Where have you lived for the last 10 years? Please start from the most recent.
Address Time at this Address Rental Amount Paid Landlord/Selling Agent Name &
Phone No.(s)
Reason for leaving this address
If you do not provide phone numbers we will not be able to process your application.

All occupants who are going to be registered on the lease must complete a seperate application form.
If this application is being submitted along with others please provide names below of the other applicants or please dentify all people who will reside in the premises (including children).
Name Age Relationship
to this applicant
Name on Lease
  Yes No
  Yes No
  Yes No
  Yes No

  Yes No

Emergency Contact Details


Additional information

Before submitting this form please read the Privacy Statement and Declaration

I hereby offer to rent the property from the owner under a lease prepared by the Agent, should this application be accepted by the landlord I agree to enter into a Residential Tenancies Agreement pursuant to the Residential Tenancies Act 2008.

I acknowledge this application is subject to the approval of the owner/landlord. I declare that all the 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 I am not bankrupt. I confirm and acknowledge that the information contained on this application is true and correct and that I am over the age of eighteen years and the rental payments are with-in my means.

I authorise the agent to obtain personal information from: (a) the owner or the agent of my current or my previous residence; (b) my personal referees and employer(s), (c) any records, listing or database of defaults by tenants;

If I default under a rental agreement the agent may disclose details of any such default of any tenancy default database, and to agent/landlords of properties I apply for in the future.

I am aware that the agent will use and disclose my personal information in order to:

(a) communicate to the owner to select a tenant; (b) prepare lease/tenancy documents; (c) allow organisations/tradespeople to contact me; (d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority; (e) refer to Tribunal/Courts and Statutory Authorities(where applicable); (f) refer to collection agents/lawyers (where applicable); (g) complete a credit check with NTD (national tenancies database)

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the agent cannot provide me with the lease/tenancy of the premises. I am aware that you may access personal information on the contact details of above.

I/we understand that the information provided will form part of the Tenancy Agreement and that my application will be approved on this basis and that I have read and understand the above information.

I/we understand that if this property is currently tenanted or under construction/reconstruction, this application will be processed subject to the availability of the property on the due date and no action shall be taken by the applicant against the lessor or the agent should any circumstance arise whereby the property is not available for occupation on the due date.

  I have read and agree with the Privacy Statement