Application to Lease -

Applicaton to Lease

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Property Details:

Property ID*

Property Address*

Your Contact Details:

Registered Company Name

Contact Name*

Address

Postcode

Mobile Phone

Work Phone

Home Phone

ABN

ACN Number

Lease Details:

Proposed Lease Start Date*

Proposed Lease Length*

Proposed Rent Per Annum*

Lease Renewal Options

Proposed Use For Premises*

Does your proposed use supply goods or services to the public?*

Conditions

Your Trade Experience:

1. Company

1. Contact's Name

1. Contact's Phone

2. Company

2. Contact's Name

2. Contact's Phone

3. Company

3. Contact's Name

3. Contact's Phone

Current or Previous Landlord:

Landlord Company Name

Contact's Name

Contact's Phone

Finances:

Are you or any of your business partners an undischarged bankrupt or have any of you assigned your estate for the benefit of creditors or had a judgement record against you?*

Assets and Liabilities:

Value

2. Other Assets

Detail

Detail

Value

2. Other Liabilities

Detail

Value

I/We hereby certify that the above information is true and correct as the date of this application and that the assets as stated are held solely by me/us and are not held in a trust capacity. *

In accordance with Section 18n(1) (b) of the Privacy Act I authorise you to give information to and obtain information from all credit providers and references named in this application. I understand this can include information about my credit worthiness, credit standing, credit history or credit capacity. I understand this information may be used to assess my application.I/We hereby certify that the above information is true and correct as the date of this application and that the assets as stated are held solely by me/us and are not held in a trust capacity.*