Logic Realty — Rental Application (PDF Fields)

Selected Rental Property

11B Fulmar Street, Onrus, Hermanus, 7200
R15,560.00 per month
2 bedrooms, 1 bathroom

Address of the Premises

Address of the premises ("the Premises") *

First Applicant — Personal Details

Name(s) *

Surname *

Maiden name (if applicable)

Identity / passport number *

Certified copy to be attached

Date of birth *

Nationality *

Marital status *

Contact Details

Home telephone

Work telephone

Cellular *

Email *

Address & Next of Kin

Physical address

Postal address

Next of kin (name)

Next of kin contact number

Current Residence

Are you the owner where you currently stay?

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

Occupation

Current employer

Employer's address

Period of employment

Gross monthly salary (before deductions and tax)

Nett monthly salary

Current monthly expenses

Second Applicant

Is there a second applicant?

No second applicant — click Next Step to continue.

Personal Details

Full name

Maiden name (if applicable)

Identity / passport number

Date of birth

Nationality

Marital status

Contact Details

Home telephone

Work telephone

Cellular

Email *

Address & Next of Kin

Physical address

Postal address

Next of kin (name)

Next of kin contact number

Current Residence

Are you the owner where you currently stay?

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

Occupation

Current employer

Employer's address

Period of employment

Gross monthly salary

Nett monthly salary

Current monthly expenses

Household Details

Who will be staying at the Premises for the whole period of the lease?

Number of adults

Number of children

Children's ages

Number of pets

Type of pets

Vehicle Information

Vehicle 1 — Type

Vehicle 1 — Registration number

Vehicle 2 — Type

Vehicle 2 — Registration number

Vehicle 3 — Type

Vehicle 3 — Registration number

Legal Declarations

Any judgements / defaults against you?

Under or ever undergone debt review?

Supporting Documents

Upload: Certified ID/passport, proof of current address, 3 months payslips, 3 months bank statements, verified SARS tax number, etc.

📁

Click to upload or drag & drop (PDF, JPG, PNG, DOC up to 10MB each)

Declaration & Signatures

By signing, you declare the information is true and agree to the terms described in the application.

First Applicant

DATED AT (place)

ON (date)

FULL NAME (First Applicant)

Signature — First Applicant *

Draw your signature here

Selected Rental Property

Address of the Premises

First Applicant — Personal Details

Contact Details

Address & Next of Kin

Current Residence

Banking Details

Employment Details

Second Applicant

Personal Details

Contact Details

Address & Next of Kin

Current Residence

Banking Details

Employment Details

Household Details

Vehicle Information

Legal Declarations

Supporting Documents

Declaration & Signatures

First Applicant

Second Applicant

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