Rental Application Form Completing

P.
O Box 1376 | Hermanus | 7200

E-mail: Bandiolli@me.com | Cell: +2782 782 4336 / +2782 696 2440 | +2728 316 3375
Reg. No 2004/046636/23
RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES
Amy Leigh Williams
I / We
apply to rent a flat/house (the Premises) from the Owner/Landlord.

The address of the Premises is
Strelitzia Ridge, 12 Robertbroom Drive
DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES
Amy Leigh Williams
Full Name
Identity Number
(certified copy to be attached); or
9206230150082
Passport Number
(certified copy to be attached)
Date of Birth
23/06/1992
Nationality
South African
Marital Status
Single
If Married: In Community of Property;

Telephone
(Home)
0609108763
(Mobile)
0609108763
Address where you currently stay
ANC;
Accrual System
(Work)
Email address/es
(Fax)
williamsamy2306@gmail.com
7 Cranborne Road, Ottery, Cape Town, 7800
7 Cranborne Road, Ottery, Cape Town, 7800
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
Page 1 of 6
Version 2.4
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answers to wiki questions please visit wiki.leasepack.co.za
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
AFFORDABILITY DETAILS
Gross monthly salary (before deductions & tax)
(certified copy of payslip attached)
Salary payment date

Current monthly expenses
DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES

Full Name
Identity Number
(certified copy to be attached); or
Passport Number
(certified copy to be attached)
Date of Birth
Initial
Page 2 of 6
Version 2.4
DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES

Nationality
Marital Status
If Married: In Community of Property;
Telephone
ANC;
(Home)
(Work)
(Mobile)
Email address/es
Accrual System
(Fax)
Address where you currently stay
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
BANKING DETAILS
Bank
Branch & Code
Account number
Type of Account
Initial
Page 3 of 6
Version 2.4
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
AFFORDABILITY DETAILS
Gross monthly salary (before deductions & tax)
(certified copy of payslip attached)
Salary payment date

Current monthly expenses
GENERAL DETAILS
Who will be staying at the Premises for the whole period of the Lease?
Number of adults
Number of children
Childrens ages
;2
;3
;4
Names of Schools attended by children

Number Pets owned
; Type:
Number of vehicles at Premises

1. Type
Registration
2. Type
Registration
3. Type
Registration
Initial
Page 4 of 6
Version 2.4
GENERAL DETAILS
Have you (or both of you) ever had any judgments / defaults granted against you?
Yes
No
If Yes, please give details
I / we declare that the information we have given in this application form is true and correct to the best of my/our knowledge and that I/we have not
failed to provide any information which, if the Landlord had known such information, would have not allowed the application to be successful.
Upon acceptance by the Landlord and the presenting of an Agreement of Lease, I/we agree to pay the following:
Deposit
Key deposit
Electricity deposit
Lease fee
Pro-rata rent
1st Month rent
Total
Initial
Page 5 of 6
Version 2.4
SUPPORTING DOCUMENTS TO BE ATTACHED WITH THIS APPLICATION

First Person
Second Person
Certified RSA ID Document / Passport
Certified RSA ID Document / Passport
Certified Proof of current address
Certified Proof of current address
3 x Certified Pay slips
3 x Certified Pay slips
Certified 3 Months Original or BankStamped bank statements
Certified 3 Months Original or BankStamped bank statements
Certified SARS Tax Number Verification
N/A
Certified SARS Tax Number Verification
N/A
I/We agree and allow the Landlord or Agent at all times to:
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;
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
on this the
day of
20
APPLICANT
Signed by the Second Applicant at
SECOND APPLICANT
(SIGNATURES REQUIRED OF BOTH HUSBAND & WIFE, OR PERSONS SHARING)
Initial
Page 6 of 6
Version 2.4

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P.

O Box 1376 | Hermanus | 7200

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

Amy Leigh Williams

apply to rent a flat/house (the Premises) from the Owner/Landlord.

Strelitzia Ridge, 12 Robertbroom Drive

DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES

Amy Leigh Williams

(certified copy to be attached); or

(certified copy to be attached)

If Married: In Community of Property;

Address where you currently stay

7 Cranborne Road, Ottery, Cape Town, 7800

7 Cranborne Road, Ottery, Cape Town, 7800

If No, please give us the following information:

How long have you rented there

Name of Rental Agent / Landlord

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES

(certified copy of payslip attached)

Salary payment date

DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES

(certified copy to be attached); or

(certified copy to be attached)

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES

Address where you currently stay

If No, please give us the following information:

How long have you rented there

Name of Rental Agent / Landlord

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES EMPLOYMENT DETAILS

(certified copy of payslip attached)

Salary payment date

Names of Schools attended by children

Number of vehicles at Premises

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

If Yes, please give details

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

SUPPORTING DOCUMENTS TO BE ATTACHED WITH THIS APPLICATION

Certified RSA ID Document / Passport

Certified RSA ID Document / Passport

Certified Proof of current address

Certified Proof of current address

3 x Certified Pay slips

3 x Certified Pay slips

Certified 3 Months Original or BankStamped bank statements

Certified 3 Months Original or BankStamped bank statements

Certified SARS Tax Number Verification

Certified SARS Tax Number Verification

Signed by the Applicant at

Signed by the Second Applicant at

(SIGNATURES REQUIRED OF BOTH HUSBAND & WIFE, OR PERSONS SHARING)

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