Rental Application Form

RESIDENTIAL RENTAL APPLICATION FORM

Please note that for Commercial Rental, you need to phone Peter Kaplan, and don't need to complete this form.

Rental Application

1. Complex

Choose Complex
Please contact Us For Corporate Rental.
  • - select a option -
  • The Wilds
  • Oscars Place
  • Metro Park
  • The Globe
  • Tri Star
  • Warner Park
  • Columbia
  • Lake View
  • Tipperary Mews
  • Bonita Villas
  • Noahs Place
  • Christophers Place
  • Boeing Park
  • The Meadows
  • Stanley Park
  • Nathan Park
  • Sporrie Mews
  • Louisa Park
  • Havannah
  • Lily Port
  • Troy
  • Trafalgar
  • Oak Ridge
- select a option -
Field is required!
Field is required!
Occupation Date
Choose your required date
Select a date
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Field is required!

2. Documentation

Please upload these documents
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Field is required!
Upload Documents Here
Upload your documents...
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3. ITC Check

An ITC check will be perform on all applicants.
Field is required!
Field is required!

4. Terms and Conditions

By completing the electronic application form, the applicant/s acknowledges and agrees that:
Please click each field for validation.
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Field is required!

5. Personal Details

Single or Joint Application
  • - select a option -
  • Single
  • Joint
- select a option -
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Field is required!

Applicant 1

Your First Name
Field is required!
Field is required!
Your Last Name
Field is required!
Field is required!
Your Phonenumber
Field is required!
Field is required!
Your E-mail Address
Field is required!
Field is required!
Marital Status
  • - select a option -
  • ICP
  • OCP
  • DIVORCED
  • SINGLE
- select a option -
Field is required!
Field is required!

Applicant 2

Your First Name
Field is required!
Field is required!
Your Last Name
Field is required!
Field is required!
Your Phonenumber
Field is required!
Field is required!
Your E-mail Address
Field is required!
Field is required!

6. Income & Employment Status

Applicant 1

Employer Name
Field is required!
Field is required!
Your Occupation
Field is required!
Field is required!
Date of Employment
When did you start at the company?
Date of Employment
Field is required!
Field is required!
Monthly Gross Salary
Before Deductions
Monthly Gross Salary
Field is required!
Field is required!
Monthly Nett Salary
Left After All Deductions
Monthly Nett Salary
Field is required!
Field is required!

Applicant 2

Employer Name
Field is required!
Field is required!
Your Occupation
Field is required!
Field is required!
Date of Employment
When did you start at the company?
Date of Employment
Field is required!
Field is required!
Monthly Gross Salary
Before Deductions
Monthly Gross Salary
Field is required!
Field is required!
Monthly Nett Salary
Left After All Deductions
Monthly Nett Salary
Field is required!
Field is required!

7. Applicant and occupants to stay in Unit/House:

Name
Field is required!
Field is required!
ID No.
Field is required!
Field is required!
Tel No.
Field is required!
Field is required!
Relationship
Field is required!
Field is required!

8. Next of Kin: (Other than occupant/s and applicant/s)

Applicant 1

Full Name
Field is required!
Field is required!
ID Number
Field is required!
Field is required!
Cell Phone No
Field is required!
Field is required!
Relationship
Field is required!
Field is required!

Applicant 2

Full Name
Field is required!
Field is required!
ID Number
Field is required!
Field is required!
Cell Phone No
Field is required!
Field is required!
Relationship
Field is required!
Field is required!

9. Current Residence

Applicant 1

Street Address
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Field is required!
City
Field is required!
Field is required!
Are Your Currently...
  • - select a option -
  • Owner Of Property
  • Leasing
- select a option -
Field is required!
Field is required!
How long have you lived there?
Field is required!
Field is required!
Bond or Lease Amount
Field is required!
Field is required!
Landlord Name
Field is required!
Field is required!
Landlord Contact Number
Field is required!
Field is required!

Applicant 2

Street Address
Field is required!
Field is required!
City
Field is required!
Field is required!
Are Your Currently...
  • - select a option -
  • Owner Of Property
  • Leasing
- select a option -
Field is required!
Field is required!
How long have you lived there?
Field is required!
Field is required!
Bond or Lease Amount:
Field is required!
Field is required!
Landlord Name:
Field is required!
Field is required!
Landlord Contact Number
Field is required!
Field is required!

10. Credit Status

Applicant 1

Have You Been Under Debt Counselling?
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Have You Been Insolvent?:
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Have You Been Placed Under Administration?
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Rehabilitation Date?
If yes to any of the above, please provide date of rehabilitation
Select a date
Field is required!
Field is required!

Applicant 2

Have You Been Under Debt Counselling?
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Have You Been Insolvent?
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Have You Been Placed Under Administration?
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Rehabilitation Date?
If yes to any of the above, please provide date of rehabilitation
Select a date
Field is required!
Field is required!

11. Income and Expenses

Applicant 1

INCOME

Gross Salary
Field is required!
Field is required!
Nett Salary
Field is required!
Field is required!
Other Income
Field is required!
Field is required!
Total Nett IncomeR0.00
Field is required!
Field is required!

BANK FACILITIES

Credit_Card
Field is required!
Field is required!
Store_Cards
Field is required!
Field is required!
Overdrafts
Field is required!
Field is required!
Personal Loans
Field is required!
Field is required!
Bond
Field is required!
Field is required!
Vehicle Finance
Field is required!
Field is required!
EXPENSES Part 1R0.00
Field is required!
Field is required!

EXPENSES

Current Rent
Field is required!
Field is required!
Groceries
Field is required!
Field is required!
Medical Scheme
Field is required!
Field is required!
Medical Cost
Field is required!
Field is required!
Insurance Short Term
Field is required!
Field is required!
Life Insurance
Field is required!
Field is required!
Education
Field is required!
Field is required!
Domestic Wages
Field is required!
Field is required!
Cellphone/Wifi
Field is required!
Field is required!
Rate and Taxes
Field is required!
Field is required!
Fuel/Travel
Field is required!
Field is required!
Other
Please specify in Comment field below
Field is required!
Field is required!
Total ExpensesR0.00
Field is required!
Field is required!
NETT SURPLUSR0.00
Field is required!
Field is required!

Applicant 2

INCOME

Gross Salary
Field is required!
Field is required!
Nett Salary
Field is required!
Field is required!
Other Income
Field is required!
Field is required!
Total Net IncomeR0.00
Field is required!
Field is required!

BANK FACILITIES

Credit_Card
Field is required!
Field is required!
Store_Cards
Field is required!
Field is required!
Overdrafts
Field is required!
Field is required!
Personal Loans
Field is required!
Field is required!
Bond
Field is required!
Field is required!
Vehicle Finance
Field is required!
Field is required!
EXPENSES Part 1R0.00
Field is required!
Field is required!

EXPENSES

Current Rent
Field is required!
Field is required!
Groceries
Field is required!
Field is required!
Medical Scheme
Field is required!
Field is required!
Medical Cost
Field is required!
Field is required!
Insurance Short Term
Field is required!
Field is required!
Life Insurance
Field is required!
Field is required!
Education
Field is required!
Field is required!
Domestic Wages
Field is required!
Field is required!
Cellphone/Wifi
Field is required!
Field is required!
Rate and Taxes
Field is required!
Field is required!
Fuel/Travel
Field is required!
Field is required!
Other
Please specify in Comment field below
Field is required!
Field is required!
Total ExpensesR0.00
Field is required!
Field is required!
NETT SURPLUSR0.00
Field is required!
Field is required!

12. Pets

ABSOLUTELY NO CATS ARE ALLOWED!

APPLICATION FOR ONE SMALL DOG PER UNIT: (Where possible and on discretion of management)

A photo of the dog must accompany the application.
Breed
Please state N/A if you don't have a dog.
Field is required!
Field is required!
Sterilised
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!
Gender
Field is required!
Field is required!
Did Dog Get Latest Vaccination?
  • - select a option -
  • YES
  • NO
- select a option -
Field is required!
Field is required!

13. Vehicle Information

Only two vehicles per unit are permitted

Vehicle 1

Registration No.
Field is required!
Field is required!
Make
Field is required!
Field is required!
Model
Field is required!
Field is required!
Colour
Field is required!
Field is required!

Vehicle 2

Registration No.
Field is required!
Field is required!
Make
Field is required!
Field is required!
Model
Field is required!
Field is required!
Colour
Field is required!
Field is required!
14. How did you hear about us?
  • - select a option -
  • Signboards
  • Website
  • Pamphlets
  • Private Property
  • Show Office
  • Word of mouth
- select a option -
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Field is required!
Submit

LET US CONTACT YOU:

Please fill in your contact details and we will contact you as soon as possible.

Name
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Field is required!
Last Name
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Field is required!
Phone Number
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Field is required!
E-mail Address
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Field is required!
Field is required!
Field is required!
Submit

CONTACT US

Should you which to contact us directly, herewith our contact details.

Office telephone number:   

Tel: 012 807 0760

Residential Properties

Babs Koekemoer

Email:  babskoekemoer@mweb.co.za

Commercial Properties

Peter Kaplan

Mobile: 076 964 9560

Email:  peter@larc.co.za

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