Harcourts Rentals Hamilton
APPLICATION FOR A RESIDENTIAL TENANCY

Please fill out all the applicable fields completely.  This form will take 5 minutes to complete
Start
 
Address of property I am applying for:

 
Intended moving date if application successful:

 
Number of people to reside at premises:

 
Pets?

     
 
If yes to Pets - what are they and how many do you have:

 
Where did you hear about this property:

 
OCCUPANT 1:

 
First Names:

 
Surname  Mr/Mrs/Miss/Ms

 
Date Of Birth:

 
Type Of Photo ID Attached:


 
Current Address:

 
How Long At Current Address:

 
Current Landlord - Name And Phone Number(s)

 
Reason for leaving:

 
Previous address and landlord:

 
Occupation:

 
Current employment:

 
Net weekly income:

 
Email address:

 
Contact phone number:

 
Next of kin:

 
APPLICANT 2:

 
First Names:

 
Surname  Mr/Mrs/Miss/Ms

 
Date Of Birth:

 
Type Of Photo ID Attached:


 
Current Address:

 
How Long At Current Address:

 
Current Landlord - Name And Phone Number(s)

 
Reason for leaving:

 
Previous address and landlord:

 
Occupation:

 
Current employment:

 
Net weekly income:

 
Email address:

 
Contact phone number:

 
Next of kin:

 
Applicant Consents   
I agree to the collection, use & disclosure of my personal information for the following purposes:

Applicant Consents   
I agree to the collection, use & disclosure of my personal information for the following purposes: 
·Checking any of the details contained in this application form with third parties including any tenant information database and the New Zealand Transport Authority 
· Making enquiries with third parties in relation to my creditworthiness, including any credit reporting agency. 
·Placing any of the information regarding my identity supplied on this application form on a national online database 
·Using any of the information contained on any Tenancy Tribunal Order to assist the enforcement of any unsatisfied Money Order made against me by listing details of the order on an online national database 
·Using any of the information on this application form to assist in the enforcement of any unsatisfied Order made against me by the Tenancy Tribunal 
·Debt  recovery purposes including appointing an agent to collect any outstanding debts and listing defaults with any credit reporting agency 
·Checking the Ministry of Justice fines database. This may be undertaken by a credit reporting agency on our behalf which will require my personal information to be collected by and disclosed to the credit reporting agency.  

I understand that any credit reporting agency to whom you may disclose my personal information may: 
·Hold that information on their credit reporting database 
·Use that information for the purpose of credit reporting or for any other lawful purpose 
·Disclose that information to their subscribers for the purpose of credit checking or debt collection of for any other lawful purpose.   I understand that if I have provided to you driver license information that the provision of this information was voluntary I confirm the information is true and correct ant that I have read and signed the Cautions under the Privacy Act 1993. I agree that if I enter a tenancy agreement then this application will form part of the tenancy agreement. 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: 
1.   Requests information – this application form ask you to provide personal information and 
2.   Purpose of collection – the information collected on this form is required so that the landlord is better able to assess whether you would be the best applicant on merit for the tenancy and to record limited information contained in the application form on a web-based database. 
3.   Recipient of information – the information is provided by you to the Owner/Landlord/Agent/Property Manager 
4.   Sight Information – i/we advise you that you have the right to see the information I/we hold about you. 
5.   Correct information – to correct that information if it is incorrect in accordance with the Privacy Act 1993 
6.   Holding information – if you do not enter a tenancy agreement with the landlord referred to on this application form, the application form will be destroyed 
7.   Uses of Information – you are advised that some information relating to your identity and last known address my be supplied to a national web-based database 
  
UNDERSTANDING By submitting electronically 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 Monarch Realty Ltd introduce me to a property. I confirm that all the information given in this form is true and correct.  I give my permission for Monarch Realty Ltd to check the information given, complete credit checks and lodge my details on Baycorp, NTD, or any other relevant database.     

Agreement of Applicant is shown on the next tab­­­­­­­­

The successful applicant will be contacted within 48 hours of their application being received. Should you not hear from us by this time you were not successful. 

Thank you.
     
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