APPLICATION TO LET RESIDENTIAL PREMISES

Once Completed send to Fax: 086 720 1198 or grant@remaxliving.co.za Cell: 0764933520
Premises applied for ....... Date of Application:. Rental period required - (1 12 months) . As from ..... Full name and Surname ID Number . (Include a copy with your application) Are you a South African Citizen YES/NO (if no please supply residence permit number . (Include a copy with your application) Your Email address: Your Cell number: .. Other numbers (landline) . Office: ... Current address: .. How long did you rent there? : . Rental previously paid?: Previous Landlord/agent name: Previous Landlord/agent Contact Details?. Current Employer: . Period Employed: . Monthly income: Physical Address of Employment: . (attach proof) Bank Details: (For any refunds due or refund of your application fee)

Co-Tenant/Spouse Details
Full name and Surname ID Number . (Include a copy with your application) Are you a South African Citizen YES/NO (if no please supply residence permit number . Other numbers (landline) Office: .. (Include a copy with your application) Email addresses: .Cell number: . Current address: .. How long did you rent there? : . Rental previously paid?: Current Employer: . Period Employed: . Monthly income: Physical Address of Employment: . (attach proof) Total No. of persons who will occupy the premises Names and ages . (In the event that the resident is not the leaseholder all relevant contact details of resident adults will be required) PETS: NO PETS ALLOWED UNLESS WRITTEN CONSENT FROM LESSOR/BODY CORPORATE IS OBTAINED IF SUCCESSFUL THE FOLLOWING WILL BE REQUIRED ON SIGNATURE OF THE LEASE AGREEMENT First months Rent R_______________ The balance of the Lease Fee R___________________ Deposit R _____________________________

The total due will be R___________________________________________ (1,5 mths DEPOSIT for unfurnished/ 2 mths DEPOSIT for furnished) REFERENCE: ALWAYS USE THE PROPERTY ADDRESS AND NOTHING ELSE EVER! PENALTIES ARE PAYABLE FOR WRONG REFERENCES The undersigned hereby confirm that I have viewed the Interior of the premises applied for and that I agree to let the premises in the condition in which it was viewed unless otherwise agreed in writing and warrant that the above information is correct subject to the owner/agents confirmation. I agree to sign their form of lease (subject to reasonable changes acceptable to the Landlord) and pay monies due within 24hrs or forfeit the entire application fee. I hereby consent that, and authorize the agent to at all times (a) contact, request and obtain information from any credit provider (or potential credit provider) or registered credit bureau relevant to an assessment of my behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness (b) furnish information concerning my behaviour, profile, payment patterns indebtedness, whereabouts, and creditworthiness of myself to any registered credit bureau or to any credit provider (or potential credit provider) seeking a trade reference regarding my dealings with the landlord. If it comes to light that that any negative aspect of the application process was not adequately divulged by the applicant then the application fee will be immediately forfeited. The final decision to proceed with a lease is entirely at the Landlords discretion and no reason for an unsuccessful application will be given. The entire application will be refunded in the event that the applicant is unsuccessful in their application by virtue of the Landlord accepting an alternative applicant. The application fee to be refunded to the nominated account herein or to be emailed to the agent within 7 days of the application or the application fee will be forfeited. All cash deposit handling fees for the cost of the tenant at all times and the charges to be added with every cash payment or payable on demand.

Date Signature NOTE: Your application is to accompany a proof of payment of the application/lease fee. This amount is non-refundable if you decide to withdraw your application. The amount of R250 to be deposited into the account of Rentals By Grant and proof payment to accompany your application and supporting documents. Your application will NOT be processed without this payment. Pure Abundance Properties CC Standard Bank Cape Gate Branch - 023910 - Account 202061507 - Ref: The Property Address NOTE: Cash payments of application fees will have cash handling fees deducted before being refunded. The application fee may also be paid in cash at the offices of Remax 76 Kloof Street Gardens. If this method is used, refunds will need to be collected within 7 days of being notified thereof or this will be forfeited.