Joseph Louis, North Melbourne, Real Estate, Agent, Queensberry St-
Joseph Louis, North Melbourne, Real Estate, Agent, Queensberry St-

Online Residential Application Form

For your application to be processed you must answer all questions. Please complete & click submit to apply.

    A. Agent Details

    Joseph Louis Realty

    Address : 496 Queensberry Street North Melbourne VIC 3051
    Phone : 03 9329 5050
    Fax : 03 9329 5150
    Email : info@jlr.net.au
    Web : www.jlr.net.au

    B. Property Details

    1. What is the address of the property you would like to rent?

    2. Lease commencement date

    3. Rental Amount (Enter Amount in Dollar $)

    4. Lease Term

    5. How Many adults will occupy the property?

    C. Personal Details

    6. Please give us your details

    7. Please provide your contact details

    8. What is your current address?

    YesNo

    D. Utility Connections

    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.

    ElectricityPhoneInternetPay TVGasWaterInsurance

    Note: Please check, sign and date the 'Utility Connections' section when you meet with your property manager.

    F. Applicant History

    9. How long have you lived at your current address?

    10. Why are you leaving this address?

    11. Landlord/Agent details of this property (if applicable)

    12. What was your previous residential address?

    13. How long did you live at this address?

    14. Landlord/Agent details of this property (if applicable)

    G. Employment History

    15. Please provide your employment details?

    Full TimePart TimeCasual

    16. Please provide your previous employment details?

    H. Contacts / References

    17. Please provide a contact in case of emergency?

    18. Please provide 2 personal references (not related to you)

    Person 1

    Person 2

    I. Other Information

    19. Car Registration

    20. Please provide details of any pets

    Pet 1

    Pet 2

    Other Details

    Please Note:

    Initial payments must be made by cash, bank check or money order within 24 hours after approval of application. No Personal Cheques accepted. Keys will not be handed over until the lease agreement has been signed by all applicants. This application is accepted subject to the availability of the property on the due date and no action shall be taken by the agent should any circumstances arise whereby the property is not available for occupation on the due date.

    How did you find out about this property?

    The AgeThe InternetLocal PaperBoardCounter ListRelocation CompanyReferralOther

    Please provide us with 100 points of identification - when you meet with your property manager

    Driver's License 50
    Passport 50
    Proof of Age Card 50
    Student ID Card 50
    Copy of Mobile Phone Account 50
    Copy of Medicare Card 50
    Concession / Pension Card 50
    Copy of Gas / Water / Electricity account 30 each

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