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Trevor
Andrew Real Estate
ABN: 33 007 118 550
33 Wills Street, Bendigo Vic, 3550
Ph: (03) 5443 7088
Fax: (03) 5442 4440
Email: rentals@trevorandrew.com.au |
1. What is the address of the property you would like to
rent? (if applying for more than one property, please list in order
of preference)
Property
Address |
Weekly
Rent $ |
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This is a free service that connects all your utilities
Once we have received this application we will call you to confirm your details.
Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working day
on receipt of this Application to confirm the information on this Application and explain the details of the
services offered. Direct Connect is a utility one stop connection service.
DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect arranging for the connection and disconnection of the nominated utility services and to providing information contained in this application to utility providers for this purpose; acknowledge having been provided with terms and Conditions of Supply of Direct Connect and having read and understood them together with the Privacy Collection Notice set out below; declare that all the information contained in this application is true and correct and given of their own free will; expressly authorise Direct Connect to provide any information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; expressly authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; consent to Direct Connect contacting me by telephone or by SMS in relation to the marketing or promotion of all of the services listed under the heading “Utility Connections” above even if we/I have not applied for the connection of those services in this application. This consent will continue [for a period of 1 year from the date of our/my execution of this application/until [28] days after we/I disconnect the last of the services in respect of which this pplication is made]; acknowledge that this consent will permit Direct Connect to contact us/me even if the telephone numbers listed on this application form are listed on the Do Not Call Register; understand hat under the requirements of the Privacy Act 1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately collected, used, disclosed and transferred and will be stored safely and protected against loss, unauthorised access, use, modification or disclosure and any other misuse; authorise the obtaining of a National Metering Identifier (NMI) for my residential address to obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone number); declare and undertake to be solely responsible for all amounts payable in relation to the connections and/or supply of the Services and hereby indemnify Direct Connect and its officers, servants and agents and hold them indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of the services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, the nominated utilities; acknowledge that whilst Direct Connect is a free service I/we may be required to pay standard connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us and that after hours connections may incur additional service fees from utility providers; acknowledge that the real estate agent listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being provided to me/us by Direct Connect; and acknowledge the entitlement of Direct Connect and its associates, agents and contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration will not be refunded to me as a rebate in connection with the provision of the utility connectionBy signing this application form, I warrant that I am authorised to make this application and to provide the consents, acknowledgements, authorisations and other undertakings set out in this application form on behalf of all applicants listed in this application form.
I hereby offer to rent the property from the owner under a lease
to be 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 1997.
I acknowledge that this application is subject to the approval of
the owner/landlord. I declare that all information contained in
this application (including the reverse side) is true and correct
and given of my own free will. I declare that I have inspected the
premises and am not bankrupt.
I authorize the Agent to obtain personal information form:
(a) the owner of the Agent of my current or previous residence;
(b) my personal referees and employer/s;
(c) any record, listing or database of defaults by tenants;
If I default under a rental agreement, the Agent may disclose details
of any such default to a tenancy default database, and to agents/landlords
or properties I may apply for in the future.
I am aware that the Agent will use and disclose my personal information
in order to:
(a) communicate with the owner and select a tenant;
(b) prepare lease/tenancy documents;
(c) allow organizations/tradespeople to contact me;
(d) lodge/claim/transfer to/from the Residential Tenancies Bond
Authority;
(e) refer to Tribunals/Courts & Statutory Authorities (where
applicable);
(f) refer to collection agents/lawyers (where applicable);
(g) complete a credit check with NTD (National Tenancies Database);
(h) transfer water account details into my name (where applicable);
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
I may access personal information on the contact details above.
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REFEREES (Family & friends not permitted) |
• Security deposits are to be paid separately by bank cheque made out to the RTBA within 24 hours after approval of application.
• Initial payments must be made by bank cheque or money order within 24 hours after approval of application.
• Keys will not be handed over until the lease agreement has been signed by all applicants and bond and rent fully paid.
• This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against he landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.
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