Please fill the form below. If you prefer a printed version, click here to download.
Fill the form and fax it to 07 865 7490
Application for Residential tenancy
100 POINTS, PHOTO IDENTIFICATION & PROOF OF INCOME ARE REQUIRED FROM EACH
APPLICANT BEFORE THIS APPLICATION CAN BE PROCESSED.
PHOTO ID – Drivers licence or passport = 20 Points
PROOF OF ADDRESS - Phone bill, Electricity bill, Car registration, Tax Return = 20 Points
PROOF OF INCOME – Pay slips, WINZ confirmation statement, Bank Statement = 20 Points
CONFIRMATION OF RENT PAYMENTS – Rents receipts or Agency confirmation = 20 Points
CREDIT CHECK - Obtained through First National $20 Incl GST = 20 Points
Please complete this form to apply for a Tenancy. The information you provide is for the purpose of
applying for a Tenancy only and may be used for a credit and reference check. Your privacy is
protected under the Privacy Act 1993.
Personal information is collected from tenants or potential tenants in the course of a Tenancy
Application and any subsequent Tenancy as is necessary for Whangamata Rental s to verify the
potential tenants identity and to process and evaluate the application and to manage the
I/we acknowledge and understand that it is the policy of Whangamata Rentals to hold this
application open for 30 days and may retain this application if the application has not been
I/we acknowledge that personal information collected in the application and during the course of
the Tenancy, including previous tenant history, credit worthiness, credit standing or capacity,
gained through property inspection reports, or other means may be disclosed to other parties
including the Landlord, Employment and Other referees, as well as Trades people, Government
and Statutory Authorities, Financial institutions and other agents and operators of Tenancy
reference databases and to third parties as required by law.
I/we acknowledge that if the applicant fails to comply with their obligations u nder the Tenancy
Agreement, that fact may be disclosed to the Landlord, and other agents.
I/we agree that should I/we fail to provide Whangamata Rentals with the information and
acknowledgements it may not proceed with my/our Tenancy Application.