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Lease Applications
SUITE ADDRESS
(Required)
LESSEE DETAILS
Company / Individual Name
(Required)
Address (for correspondence if required)
Number of Directors
(Required)
ABN / ACN
(Required)
INDIVIDUAL /DIRECTOR / GUARANTOR DETAILS
Full Name
(Required)
Mobile
(Required)
Email
(Required)
Date of birth
(Required)
MM slash DD slash YYYY
Full Name
Mobile
Email
Date of birth
MM slash DD slash YYYY
BUSINESS / TRADE REFERENCES
Reference 1
Name
(Required)
Phone / Mobile
(Required)
Relation to Applicant
(Required)
Reference 2
Name
Phone / Mobile
Relation to Applicant
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MORTGAGEE OR LANDLORD REFERENCE
CURRENT LANDLORD REFERENCE
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Name
(Required)
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Phone/Mobile
(Required)
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How long in Premises
(Required)
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Rental - Please provide copy of ledger
(Required)
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Address
(Required)
CURRENT MORTGAGE REFERENCE
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Name
(Required)
This field is hidden when viewing the form
Phone/Mobile
(Required)
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How long in Premises
(Required)
This field is hidden when viewing the form
Rental - Please provide copy of ledger
(Required)
This field is hidden when viewing the form
Address
(Required)
LEASE DETAILS
Term
(Required)
Commencement Date
(Required)
MM slash DD slash YYYY
Security Deposits
(Required)
Rental
(Required)
Use of Premises
(Required)
Other / Special Conditions
Disclaimer
(Required)
I agree to the disclaimer clause.
By signing the applicant/s acknowledge they will be responsible for the preparation cost of the Lease and credit check ($275.00 +GST ) If the Lessee/ applicant does not proceed with signing a Lease, once both parties have agreed to terms for whatsoever reason, the Lessee will be liable in reimbursing the Lessor for costs incurred by the Lessor. Connect 64Pty Ltd will require to collect, use and disclose your personal information to access your application, to perform personal and business credit checks. From time to time, your personal information will be provided to a third party or more of the following. Organisations or trades people required to carry out maintenance of the premises or to deal with complaints related to the premises. We are providing you with information about the collection, use and disclosure of your personal information. This being in accordance with the National Privacy Principles of the Privacy Act 1988.