Lease Application Form

Property Address*:

Agent*:

Tenant Details*:

Company/Individual*:

Address*:

No. of Directors*:

ABN:

Registered:
Yes No

ACN:

Individual/Director/Guarantor Details 1 (all Directors to complete)

Name*:

Mobile No*:

Email*:

Date of Birth*:

Driver License/Passport number*:

BH Number*:

AH No:

Address*:

Own Rent

Individual/Director/Guarantor Details 2 (all Directors to complete)

Name:

Mobile No:

Email:

Date of Birth:

Driver License/Passport number:

BH Number:

AH No:

Address:

Own Rent

Individual/Director/Guarantor Details 3 (all Directors to complete)

Name:

Mobile No:

Email:

Date of Birth:

Driver License/Passport number:

BH Number:

AH No:

Address:

Own Rent

Business Reference 1

Name:

Mobile Number:

Business Number:

Relation to Application:

Business Reference 2

Name:

Mobile Number:

Business Number:

Relation to Application:

Current Landlords Reference

Name:

Contact Number:

How long in current premises:

Current Rent:

Address:

Previous Landlords Reference

Name:

Contact Number:

How long in previous premises:

Annual Rent:

Address:

Lease Details

Term:

Option:

Commencement Date:

Rental PA*:

Reviews:

Security Deposit:

Bank Guarantee Cash

Use of Premises:

Is the predominant use retail sale or hire of goods or services?: Yes No

OUTGOINGS & CHARGES PAYABLE BY THE APPLICANT: may include but are not limited to

Council Rates
Air Condition(s)*
Water Rates
Insurance/Owners Corporation
Roller Shutter Door(s)
Gardening
Land Tax*
Servicing of Machinery and/or Equipment
Crane(s)

*Subject to the Retail Leases Act

Special Conditions: