Untitled

Utility Application Form

Ray White - Clare 326 Main North Road, CLARE SA 5453 Ph: (08) 8842 4128 Fax: (08) 8423 0207 email: [email protected]

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. CONNECTION DETAILS What is the address of the property you are moving into?

Postcode

Utility connection date? Day

Month

Year

Please tick utilities as required Mains Connected Gas

Electricity

Phone

Internet

Insurance

Removalists

APPLICANT DETAILS Please give us your details

Dr

Mr

Mrs

Email address

Miss

Surname

Ms

Other

Given Name/s

Date of Birth

Please provide your contact details Home phone no.

Mobile phone no.

Work phone no.

Fax no.

PLEASE PROVIDE AT LEAST ONE FORM OF IDENTIFICATION Driver’s licence number

Driver’s licence expiry date

Driver’s licence state

Medicare number

Passport no.

Passport country

Pension no. (if applicable)

Pension type (if applicable)

DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect arranging for the connection and disconnection of the nominated utility services and to providing information contained in this application to utility providers for this purpose; acknowledge having been provided with terms and Conditions of Supply of Direct Connect and having read and understood them together with the Privacy Collection Notice set out below; declare that all the information contained in this application is true and correct and given of their own free will; expressly authorise Direct Connect to provide any information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; expressly authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; consent to Direct Connect contacting me by telephone or by SMS in relation to the marketing or promotion of all of the services listed under the heading “Utility Connections” above even if we/I have not applied for the connection of those services in this application. This consent will continue for a period of 1 year from the date of our/my execution of this application/until [28] days after we/I disconnect the last of the services in respect of which this application is made; acknowledge that this consent will permit Direct Connect to contact us/me even if the telephone numbers listed on this application form are listed on the Do Not Call Register; understand that under the requirements of the Privacy Act 1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately collected, used, disclosed and transferred and will be stored safely and protected against loss, unauthorised access, use, modification or disclosure and any other misuse; authorise the obtaining of a National Metering Identifier (NMI) for my residential address to obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone number); declare and undertake to be solely responsible for all amounts payable in relation to the connections and/or supply of the Services and hereby indemnify Direct Connect and its officers, servants and agents and hold them indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of the services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, the nominated utilities; acknowledge that whilst Direct Connect is a free service I/we may be required to pay standard connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us and that after hours connections may incur additional service fees from utility providers; acknowledge that the real estate agent listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being provided to me/us by Direct Connect; and acknowledge the entitlement of Direct Connect and its associates, agents and contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration will not be refunded to me as a rebate in connection with the provision of the utility connection services.

By signing this application form, I warrant that I am authorised to make this application and to provide the consents, acknowledgements, authorisations and other undertakings set out in this application form on behalf of all applicants listed in this application form.

Signature

Date

Property Manager

PO Box 1519, Box Hill, Victoria 3128. P: 1300 664 715 F:1300 664 185. www.directconnect.com.au

Application sent to Direct Connect

Submitted on-line

Faxed to: 1300 664 185

Important Information and Tenancy Declaration Your Application for Tenancy cannot be accepted unless this has been completed in full and signed. TENANCY ACCEPTANCE

RENT PAYMENT

We understand that finding and selecting a rental property is often difficult. We will process your application as quickly as possible, but please remember we may be processing many applications at the same time. To assist us please fill out ALL required details on the application and ensure your completed application is returned to our office as quickly as possible.

The method by which the rent must be paid:

UNSUCCESSFUL APPLICATIONS Should your application be unsuccessful you will be advised. However, should you wish to apply for another property we will hold over your application for you for a period of 7 days.

SUCCESSFUL APPLICATIONS Should your application be successful you will be required to pay a nonrefundable holding deposit of 1 weeks rent to secure the tenancy. At the commencement of the lease date you will be required to pay 4 weeks rent as Bond and the balance of the 2 weeks rent in advance in the form of an EFT transfer money order or bank cheque only. Under no circumstances do we accept personal cheques or cash payments.

All accepted applicants will be offered Payment Gateway as preferred payment options. Other alternative payment options are cheque, money order, deduction from pay and center pay. Please put a tick in the appropriate box below to assist us with your preferred method of payment. Payment Gateway – Recurring direct debit, Tenant initiated (Phone/Internet); BPAY; Australia POST; and Credit Card *** Tenants are charged for the use of the Payment Gateway service by a third party payment processor (IP Payments). The Fees for the use of the Payment Gateway service are outlined below:  Bank Account: $1.65  BPAY: $3.00  Cash/EFTPOS: At Australia Post $4.00  Credit Card: 2.2% Deduction from pay / Centre Pay Cheque / Money Order ***If you choose the option of Cheque, please note that you’ll need to

Keys will be handed out when all parties have signed the Residential make the cheque for presentment 5 days before the rent due date to Tenancy Agreement, Payment Request form, Bond Lodgement form and allow cheque clearance/bank processing time. *** all monies paid. No action will be taken against the landlord or the agent if the application is unsuccessful or upon acceptance should the property be unavailable for occupation on the date for whatever reason.

BOND PAYMENT The initial payments of two (2) weeks rent and four (4) weeks bond is to be paid by MONEY ORDER OR BANK CHEQUE ONLY. Under no circumstances will personal cheques or cash be accepted for this payment The first one week’s rent is to be paid at the time of approval and the balance when you sign the lease and collect the keys on the lease start day. It will be credited to your rental account commencing with the first day of your tenancy. Bond transfers are NOT accepted. Payment of this money must be in cleared funds – Money Order or Bank Cheque only payable Ray White Clare Valley.

***In the event of your cheque being dishonoured, you the tenant accept to take all responsibilities and bear all costs incurred to us “your managing agent” by the bank. Failure to adhere to this process will result in termination of the lease. ***

I acknowledge that due to bank processing times, payments made via Payment Gateway are required to be paid 4 business days prior to the due date. Due to bank processing times; ideally rent payments should commence the day you move in. I understand that the Agent will also offer me an alternate facility (that do not incur a charge other than a bank fee) to pay rental and other payments to the agency by Cheque, money order and deduction from pay. I acknowledge that it is the office’s policy to not accept cash as a method for rental and other payments because of risks associated with cash payments and keeping cash on premises.

Signed by the Applicant THIS OFFICE DOES NOT ACCEPT PAYMENTS BY CASH.

Print Name Witness (The Managing Agent)

TENANCY APPLICATION CHECKLIST Please complete the Tenancy Application Checklist and submit it together with your Tenancy Application. Before I submit this Application, I confirm I have… Attached photocopies of documents to 100 or more points of ID as well as my last 2 pay slips, and a copy of the bank statement as listed on the Tenancy Application.

Attached a copy of recent rental ledger from the landlord or managing agent

Inspected the property both internally and externally

Completed all details in full on the Tenancy Application

Provided all contact details and documentation for confirmation of income source. Filled in Current & Previous Address details, Current & Previous Occupation, Business, Personal and Emergency Contacts - this has to be someone whom you are not living with. Read & signed Application for Residential Tenancy and Tenants Personal Information Form of the Tenancy Application.

Read & signed the Important Information and Tenancy Declaration

PLEASE NOTE THAT APPLICATIONS ARE NOT ACCEPTED IF INCOMPLETE Only submit your application if all of the above check boxes have been ticked off. Only tick the boxes if you have completed and attached all necessary photocopied paperwork etc. * PLEASE NOTE: OUR OFFICE IS UNDER NO OBLIGATION TO DISCLOSE ANY REASONS WHY YOUR APPLICATION IS NOT SUCCESSFUL.

PROPERTY ADDRESS

APPLICANT NAME

Signature & Date

SUCCESSFUL APPLICATIONS On Approval Of An Application - All initial monies due (BOND & 2 Weeks Rent) must be PAID IN FULL within 48hrs to secure the property by the following ways: 1. At our office through Money Order or Bank Cheque made payable to Ray White Clare Valley For Ongoing rent payments - All accepted applicants will be offered Payment Gateway as preferred payment options. Other alternative payment options are bank cheque, money order, and deduction from pay and Centre Pay. Please carefully choose the option that best suits you.