47 Alexander Street, Crows Nest NSW 2065
Should there be more than one applicant a separate application form should be completed for each applicant
Fields marked with an asterisk (*) are mandatory fields
Address of premises applied for *
Rent per week *
Preferred Commencement Date *
Preferred Lease Term *
Title * Mr Mrs Miss Ms Other
Full Name *
Date of Birth *
Present Address *
Home Phone
Work Phone
Mobile Phone *
Email *
Adults *
Children *
Ages of Children *
Pets * Yes No
Age *
Type *
Smokers * Yes No
Name of present Landlord/Agent *
Contact number *
How long at present address *
Current rent paid *
Name of previous Landlord/Agent
Contact number
Address of previous rented premises
How long at previous address
Rent Paid
Occupation *
Currently Employed with *
Date Commenced *
Contact Name of Manager/Supervisor *
Contact Number *
Previous Employment Occupation
Previous Employed with
Period of employment from
Period of employment to
Contact Name of Manager/Supervisor
Contact Number
Name *
Address *
Email
Relationship
Information that must be submitted with applications:
These items can be submitted the as follows:
In person at:
Raine & Horne Crows Nest
47 Alexander Street
Crows Nest NSW 2065
Via Fax: (02) 9438 1597
Via Email: propertymanagement@rhcrowsnest.com.au
or peta@rhcrowsnest.com.au