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Tenant Form

Please complete fully, the more information you give us the easier it is for us to help you.

Tenant particulars

Surname:	Date of Birth:
First Names:	Smoker: Yes No
Current Address: City:
Length of Time Living in City:	No. of Dependents:	Ages of Depedents:
Phone No:	Mobile No:	Business No:
Email Address:	Pets: Yes No	Pet Type:

Motor Vehicle Particulars

Will you be parking a motor vehicle at the premise?: Yes No		If yes please give details below.
Reg No:	Make:	Model:	Year:

Next of Kin (not to be living with you)

Name:	Relationship:	Kin Phone No:
Kin Current Address:	City:	Kin Business No:
Kin Mobile No:

Income

Your Income Source:	Occupation:
Employer:	Length of Employment:
Employer's Address:	City:
Phone No:	Mobile No:

Current / Previous Landlord

Landlord Current / Previous: Current Previous (They may also be rung for a reference.)
Landlord Name:	Phone No:
Current Address:	City:

References (person who can vouch for you). Written references preferred with this form.

Name:	Phone No:
Current Address:	City:

Property Details

Is anyone else going to be living with you at the property? Yes No (if yes they will also need to complete a form).
No. of Bedrooms Required:	Rent per Week: $
Property Required: House Flat	Web Property Interested In

Contents Insurance Policy

Company:

Policy No:

Terms & Conditions

I agree to any of this information or any information obtained about me to be given to another lanlord, credit bureau / collection agency or tenant default database.
I authorise the landlord to report any breach of the tenancy agreement or breach of the Residential Tenancy Act.
I agree that the landlord may use any information on this form to enforce any judgment or money order obtained against us.
I authorise any electric power, gas, or telecommunications supplier, Housing New Zealand Corporation, Work and Income Department, Ministry of Justice, or postal service or any person or agency under their respective control to give the landlord any information about my past, present or future address.

I warrant that the above particulars are true and correct and authorise Morton & Co Ltd to provide particulars to anyone who may enquire concerting the same. I also authorise the organizations and people details above to divulge any information to Morton & Co Ltd may request. I make the above authorisation irrevocable.

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I have read & agreed to the above conditions.