Property Details

How many people will be living in this property?

Ages

Ages


Applicant Details

Have you ever been known by any other name? (If so, please state)







Yes  No

Yes  No


Address for service

(Emergency contact who can pass on mail)


References

(No family members please)

Period of Time at Current Address *


Period of Time at Previous Address


Tenant's Declaration, Waivers and Authorities

Please read ALL of the declarations below and tick them to continue

I agree to this information being given to another landlord, credit bureau or tenant default agency. I agree that the landlord may use any of the information on this form, or any further information obtained during the term of the tenancy, to enforce judgement or money orders obtained against me. I authorise the landlord to obtain information about me from Tenancy Services, any Postal Authority, Power Supply, Gas or Telecommunications Company, any Debt Collection Agency, Housing NZ, WINZ or Department of Courts.

I declare that the above particulars are true and correct and the landlord may check on any details provided in this application. I authorise HOT GROUP to obtain a credit check. I understand the above authority to obtain information cannot subsequently be cancelled by me.

By ticking this box you acknowledge that the ticks before the above 2 paragraphs are intended to take the place of a written signature.



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