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Licensee: s Lovett' ACN 50s497234
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FORM 18
APPLICATION TO RENT RESIDENTIAL PREMISES
RESTDENTTAL TENANCTES ACT 1987 (WA)

.Se-SSr
APPLlcANrorrrr, (-q R edf q.LL
APPLTCANTTwO: Broc \( lso\vrssn
APPLICANT THREE:

DETAILS OF THE PROPERW:

Address: Llh /\At Nqrrn <- r-<:.<S , Le-Arl vJ A,

Lease Term: (6/12 monthr) G .., <:rn\,^(.
ASAP
Start Date:

Adults: L Children: Pets/Type:

Tenant Special Conditions:

Property Special Conditions:

APPLICANT ONE

Name: T" SS, c^= ft., Af . \\ Date of birth O 5 /_A_6J_n cr_

phoneHome: %Sqq OZfB phoneworr: OLi..Ee 81\ 8St+
Phone tvlobile: t= Ltsgi"h -1 tC -1Of Emait address:

currentaddress: \/tq. m\r-i<-\ SV , gc-S *tS 6 [[O

Proof of identification cited eg: driver's licence -'l
5Li ? _\ CIpassport birth certificate

PREVIOUS RENTAL H ISTORY

Address: .A G\\CI
Rent paid $ !gq- per vueek Efortnigf,t Emonth E
Rent paid to' C.r-nL tr n phone: t t+ t b 23 C O
(property manager or lessor's name)
CI\
(property manager or lessor's address)
Rentedfrom \% / Ofi / \6 to tB l_o'fu i-'l
Reasons for leaving:
 EMPLOYMENT DETAILS (if self-ernployed less than one year, give previous employer)

Occu pation : Employer:

/\
Employer's address: \ \\i
Employedfrom2\ J-!D / \b ,o C{
Contact name: T*SSi.* Qo-o\p*$^ Phone: oUSq I3\ 8{V
Net income S 6o0 per week E fortnight E month E
Net weekly income from other sources 5 per week E fortnight fl month I

PERSONAL REFERENCES
Nrr"t-5* ru- q\^o-* *
1'. to applicant:
Qr. o-^d,
Relationship
f
Contact phone: c\\fl uttLT SqAddress:
2. Name: 35I- \ r e- rn rob".4*.SS.S--Relationship to applicant:
Q*-., .. ,& .

Contact phone:

NEXT OF KIN

Name: 'B-."*V XoL.n$r.,r. Relationship to applicant: F<ir\ne -

Phone home: Phone work: Phone mobile:t}t+Qt* -1GG 1A-7
Address: \/ r3 nnr,"l,c\ SL- , gr,S^..US \^] ft (1 \Cr
EMERGENCY CONTACT

Name:5".rr^\ Q*"\f,aL\ Retationshiptoappticant: Si\L*.-v-

Qif LS \ '?.
Phone home: \\ phone work: Phone mobile:
Address: Lrt b.o.,".al,r. Prc>rrl h.^\Ai,riJ
,
Applicant agrees and acknowledges that for this application the Lessor or Ploperty Manager may make enquires of the
persons given as a referees, next of kin or emergency contacts provided by the applicant and may also make enquires

of such other persons or agencies as the Lessor or property Manager sees fit.

The personal information you give in this application or collected from other sources is necessary for the lessor or

Property Manager to verify your identity, to process and evaluate the application and to manage the tenant to conduct

Property Manager business. Personal information collected about you in this application and during the course of the

tenancy if the application is successful may be disclosed for-the purpose for which it was collected to other parties

including the Lessor, referees, other Property Managers and prospective lessors, third partyoperators of residential

tenancy databases and prospective buyers of the premises. Information already he[d on residential tenancy databases

may also be disclosed to the Property Manager or Lessor.

lf you enter into the residential tenancy agreement or you fail to complete your obligations under the residential
tenancy agreement that fact and other relevant personal information collected about you during the course of this
application or the residential tenancy agreement may also be disclosed to the lessor, third party operators of tenancy

reference databases (to the extend allowable by law) other property managers, prospective lessors and prospective
buyers of the premises.

lf you would like to access the personal information the lessor or property manager holds, you can do so by contacting

the property manager.

You can also correct this information if it is inaccurate, incomplete or out of date. lf any of the information is not
provided, the property manager may not be able to complete the application process, or the residential tenancy
agreement or manage the tenancy properly.

Date: \O-8-\"7

APPLTCANT flvq
Name: fl-.---h- -S*L*rS<"+ Date of birrh clS l_g GJ t ct E*
Phone home: Sqq" eZ17
4 phone*ork' tA--.JL-- To-g3 fe\ Lj,Sfrd,^J=_q&,.
t
Phone mobile: crq'?+ -166 1
"-1C)
Emait addresr, '
current address: i / i ?, ,-n l-n-. n\ , boq^<,\\ S -U)--h-{l io
SL
Proof of identification cited eg:clriver's licence t-t'thbe (O passport birth certificate

PREVIOUS RENTAL HISTORY

Address: \/ra ,.n.,.",r\ S\- , S<rg,.re\\S t t. sl (l lO

Rent paid 5 LtO per week I fortnight E month E
Rent paid to: Phone:
(property m or lessor's name)
Address: t\- \O\ Qo,r-<L t6lva,-9 Ol. '
' (property manager or lessor's address)

Rentedfrom \t /_:6_J_l_L_to tt / t / \"

Reasons for leaving:

EMPLOYMENT DETAILS (if self-employed less than one year, give previous employer)

occupation: c.r.\.a.n\<.c\ q..L4 Emptoyer: S-\R e.ntf toS-&

Employer's address: \/ r3
- 5L , - gss< ^.\[s
{nr.riA (tF*^) \r.r -N ( t [O
Employedfromo t / o\F /z.ot\to
Contact name:{(rptp T...'rr.*.q..,,^ Phone: 6+r+ 16G *1o ?
Net income SL-l;}j>per week fl fortnight.El month E]

Net weekly income from other sources $ per week I fortnight E month E
PERSONAL REFERENCES r
1. Name: T-(t-., .* Lr C-r,, e-B Relationship to applicant:

Contact phone: O Ltt\ f f OeC + Address: A, f\

2. Name: -5".'nn-5 nnc:\\-S Retationshiptoapplicant: o\d Qoo"n nnq\*

Contact phone: c\t$ :fC \55_Address: 4., ft
NEXT OF KIN

Name:J<;ji:-"=_Q.<,Je{!t- Relationshiptoapplicant: *lrLnor

*?c2""?
Phone home: Phone work: phone mobite: eL+8S 16G

EMERGENCY CONTACT

Nanre: {\-,-c--\} -E:\-,-.i".,:. Relationship to applicant: 0*H^a-

Phone home: Phone work: Phone mobile:(:+88 61 'Zi f C:
Address: 1o u;..t.\o <\ , f r\uc-rS\*r.<- \*S 6f 3<f'
Applicant agrees and acknowledges that for this application the Lessor or Property Manager may make enquires of the
persons given as a referees, next of kin or emergency contacts provided by the applicant and may also make enquires

of such other persons or agencies as the Lessor or Property Manager sees fit.

The personal information you give in this application or collected from other sources is necessary for the lessor or

Property Manager to verify your identity, to process and evaluate the application and to manage the tenant to conduct

Property Manager business. Personal information collected about you in this application and during the course of the

tenancy if the application is successful may be disclosed for the purpose for which it was collected to other parties
including the Lessor, referees, other Property Managers and prospective lessors, third party operators of residential

tenancy databases and prospective buyers of the premises. lnformation already held on residentialtenancy databases

may also be disclosed to the Property Manager or Lessor.

lf you enter into the residential tenancy agreement or you fail to complete your obligations under the r*idential
tenancy agreement that fact and other relevant personal information collected about you during the course of this

application or the residential tenancy agreement may also be disclosed to the lessor, third party operators of tenancy

reference databases (to the extend allowable by law) other property managers, prospective lessors and prospective

buyers of the premises.

lf you would like to access the personal information the lessor or property manager holds, you can do so by contacting

the property manager.

You can also correct this information if it is inaccurate, incomplete or out of date. lf any of the information is not
provided, the property manager may not be able to complete the application process, or the residential tenancy
agreement or manage the tenancy properly.

rs'- i - \-l