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RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISESENTAL APPLICATI
I / We
victor@vicprop.co.za
083 270 3443
Apply to rent a flat/house (the Premises) from the Owner/Landlord.
The address of the Premises is
APPLICANT 1
DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES
Full Name:
(copy to be
attached);
(copy to be
attached);
ID No:
Passport No:
Date of Birth:
Nationality:
Marital Status:
If Married: In
Community of
Property
Telephone: (Home)
Telephone:
(Mobile)
Address where you
currently stay:
ANC:
Accrual
System
(Work)
Email
Address/es:
Fax:
Postal Address:
Postal Address: Are you the Owner of the property where you currently stay? YES / NO
If No, please give us the following information: Rental
Paid
How long have you rented there
Name of Rental Agent / Landlord
Office number
Mobile
Email address/es
Initial
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APPLICANT 1
DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES
BANKING DETAILS
Bank
Branch & Code
Account number
Type of Account
EMPLOYMENT DETAILS:
Self-employed: YES / NO
Occupation
Current Employer
Employer's address:
Period of employment
LICATION FORM FOR RESIDEN
APPLICANT 2
DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES
Full Name:
Relationship to first
person:
(copy to be
attached);
(copy to be
attached);
ID No:
Passport No:
Date of Birth:
Nationality:
Marital Status:
If Married: In
Community of
Property
ANC:
Accrual
System
Telephone: (Home)
Telephone:
(Mobile)
Address where you
currently stay:
(Work)
Email
Address/es:
Fax:
Postal Address:
Initial
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Are you the Owner of the property where you currently stay? YES / NO
If No, please give us the following information: Rental Paid
How long have you rented there
Name of Rental Agent / Landlord
Office number
Mobile
Email address/es
BANKING DETAILS
Bank
Branch & Code
Account number
Type of Account
POPI Clause
I/We hereby consent and authorize the Landlord or the agent of the Landlord,
to make available the information in the Landlords or his agents possession,
insofar as that information is required and relevant to enable the providers of
the Guarantee which is acceptable to the Landlord, to assess the application
for the said Guarantee.
APPLICANT 2
DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES EMPLOYMENT DETAILS:
EMPLOYMENT DETAILS:
Self-employed: YES / NO
Occupation
Current Employer
Employer's address:
Period of employment
Initial
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GENERAL DETAILS:
Who will be staying at the Premises for the whole period of the Lease? Number of adults: ________________________
Number of children: ___________________
Childrens ages: 1
Names of Schools attended by children
;2
Number of vehicles at Premises:
1. Type:
2. Type:
;3
;4
Registration
Registration
3. Type:
ICATION FORM FOR RESIDENTIAL PREMISES
Registration
GENERAL DETAILS:
Have you (or both of you) ever had any judgments / defaults granted
against you?
Yes / No
If Yes, please give details:
POPI Clause
I/We hereby consent and authorize the Landlord or the agent of the Landlord, to
make available the information in the Landlords or his agents possession, insofar
as that information is required and relevant to enable the providers of the Guarantee
which is acceptable to the Landlord, to assess the application for the said Guarantee.
Upon acceptance by the Landlord and the presenting of an Agreement of Lease, I/we agree to pay the following:
Deposit:
R 15 000.00
Key deposit:
200.00
Electricity deposit:
n/a
Lease fee:
250.00
Pro-rata rent:
n/a
1st Month rent:
R 7500.00
Total:
R 22 950.00
Initial
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SUPPORTING DOCUMENTS TO BE ATTACHED WITH THIS APPLICATION
First Person
RSA ID Document / Passport
Valid work permit if applicable
Proof of current address
Pay slip
3 Months bank statements
Second Person
RSA ID Document / Passport
Valid work permit if applicable
Proof of current address
Pay slip
3 Months bank statements
I/We agree and allow the Landlord or Agent at all times to:
1. 1.Contact, request and obtain information from any credit provider (or potential credit provider) or registered
credit bureau that may be necessary to assess my/our behaviour, profile, payment patterns, indebtedness,
whereabouts, and creditworthiness;
1. 2.Furnish information concerning the behaviour, profile, payment patterns, indebtedness, whereabouts, and
creditworthiness of me/us to any registered credit bureau or to any credit provider (or potential credit provider)
seeking a trade reference regarding my/our dealings with the Landlord.
Signed by the Applicant at
on this the
day of
20
APPLICANT Signature:_______________________
Signed by the Second Applicant at
on this the
day of
20
SECOND APPLICANT Signature:___________________________
(SIGNATURES REQUIRED OF BOTH HUSBAND & WIFE, OR PERSONS SHARING)
Initial
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Personal Statement of Monthly Income
Name
Date
Income
Client
Spouse / Life Partner
Salary
Commission
Other income
Source of other income
Total
Expenses
Salary deductions e.g. tax, pension etc.
Medical aid (unless a salary deduction)
Bond repayment / rent
Car repayment
Loan repayment
1. Student loan
2. Department stores
3. Credit card
4. Other
Food
Home security
Water, electricity
Petrol and vehicle maintenance
Insurance / Assurance
1. Life
2. Motor vehicle
3. Household
Savings e.g. unit trusts
Maintenance / Alimony
Entertainment
Education
Clothing
Other
Total
Net Surplus/ Deficit
Initial
