Wanda Bollo Estate Agents cc

1995/026659/23
8 Bradford Road, Bedfordview
Telephone: 011 6223600
P O Box 757 Bedfordview 2008
E-mail: [email protected]
Website: www.wandabollo.co.za
Est. 1978 VAT No: 4960 151 654
FFC: 103289

RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

Address of the premises in
respect of which ("the Premises")
application is made

DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES ("First Applicant")

Full name

Maiden name (if applicable)

Identity / passport number (certified copy to be attached)

Date of birth

Nationality

Marital status

If married: community of property ANC accrual system

Home telephone

Work telephone

Cellular

Email

Physical address

Postal address

Next of kin contact number

Are you the owner of the property where you currently stay? yes no

If no, please provide us with the following information:

Rental paid R

How long have you rented there?

Name of property practitioner / landlord

Contact number

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BANKING DETAILS:

Bank

Branch

Branch code

Account number

Type of account

EMPLOYMENT DETAILS

Self-employed yes no

Occupation

Current employer

Employer's address

Period of employment

Gross monthly salary (before deductions (certified copy of payslip

and tax) attached)
(certified copy of payslip
Nett monthly salary
attached)

Currently monthly expenses

DETAILS OF THE SECOND PERSON APPLYING TO RENT THE PREMISES ("Second Applicant")

Full name

Maiden name (if applicable)

Identity / passport number (certified copy to be attached)

Date of birth

Nationality

Marital status

If married: community of property ANC accrual system

Home telephone

Work telephone

Cellular

Email

Physical address

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Postal address

Next of kin contact number

Are you the owner of the property where you currently stay? yes no

If no, please provide us with the following information:

Rental paid R

How long have you rented there?

Name of property practitioner / landlord

Contact number

BANKING DETAILS:

Bank

Branch

Branch code

Account number

Type of account

EMPLOYMENT DETAILS

Self-employed yes no

Occupation

Current employer

Employer's address

Period of employment

Gross monthly salary (before deductions (certified copy of payslip

and tax) attached)
(certified copy of payslip
Nett monthly salary
attached)

Currently monthly expenses

GENERAL DETAILS:

Who will be staying at the Premises for the whole period of the lease if an agreement (“Lease Agreement”) is concluded with
the landlord of the Premises (“Landlord”)?

Number of adults

Number of children

Children's ages: 1 (One) 2 (Two) 3 (Three) 4 (Four)

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 Number of pets owned type of pets

Number of vehicles at the Premises:

1. Type registration number

2. Type registration number

3. Type registration number

Have you (or both of you) ever had any judgements / defaults granted against you? yes no

If yes, please provide details

Are you (or both of you) presently under, or have ever undergone, debt review
yes no
proceedings?

If yes, please provide 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 of the Premises had known such information, would not
have allowed the application to be successful.

I / we undertakes to inform the Landlord or his / her / its Property Practitioner in writing of any changes to any information
provided in this application form.

Upon acceptance of this application by the Landlord and the conclusion of a Lease Agreement, I / we agree to pay the following:

Deposit R

Key deposit R

Utility deposit R

Lease fee R

Pro-rata rent R

1st (First) month's rent R

Total R

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 Email address where the below documents must be submitted to

First Applicant Second Applicant

RSA identity document / passport RSA identity document / passport

Proof of current address Proof of current address

3 (Three) x payslips 3 (Three) x payslips

3 (Three) months original or bank stamped bank 3 (Three) months original or bank stamped bank
statements statements

SARS tax number SARS tax number

I / We agree and allow the Landlord or Property Practitioner at all times to:

1. contact, request and obtain information from any credit provider (or potential credit provider), bank 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.

DATED AT (place) ON 20

FULL NAME ( First Applicant) SIGNATURE

DATED AT (place) ON 20

FULL NAME ( Second Applicant) SIGNATURE

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