Application for Lease or Licence

Proposed Property Address to be Leased

Site Plan / Map

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Please upload a marked up aerial map image or site plan clearly identifying the Property

Proposed Tenant Name

Address

Address Line 1

City

State / Province / Region

Postal Code

Phone

Email

Proposed Use of Property

Please be as specific as possible (eg car parking for adjoining restaurant business, storage of caravans). Note that the applicant is required to ensure the proposed use is allowed under the property’s zoning and apply for a planning permit if needed. We recommend you contact the relevant Council’s planning team prior to submitting your application.

Proposed alterations to the Property

Items to consider are any potential traffic impacts to the Property, anticipated volume of vehicles to the property for the propose use, hours of operation, whether a new or expanded crossover will be required, if fencing is required etc.

Plan / map for the above information

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Preferred Commencement Date

Preferred Lease Term

Is the land to be used for business purposes?

Yes, it is for business purposes
No (proceed to Personal References section)

If yes, do you have a current business?

Yes
No

If yes, Current Business Trading name

How long have you been in this Business?

What type of Business is this?

Proposed Business Structure

Sole Trader
Partnership
Company - Private
Company – Public

Registered Trading Name

Office Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone/Fax Number

Residential Address

Address Line 1

City

State / Province / Region

Postal Code

Phone/Fax Number

Registered Trading Name

Office Address

Address Line 1

City

State / Province / Region

Postal Code

Partners; Name

Address

Address Line 1

City

State / Province / Region

Postal Code

yes, entering Use

Phone

Type of Partnership

Tenants in common in the shares of

Joint Tenants

Other Details

Private Company

Registered Trading Name

Registered Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

ACN

Public Company

Registered Trading Name

Registered Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

ACN

Authorised Directors

Board Resolution Required

Yes
No

General Manager/Secretary

Copy of Last Annual Report

Yes - Last Annual report

Yes

F.Y.E.

No - Last Annual report

No

If not, why?

Business References

Please supply written references from below.

Company 1

Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email

Company 2

Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email

Company 3

Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email

Upload references

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Guarantors (if Pty Ltd Company)

1. Full Name

Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email

2. Full Name

Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email

If land is NOT for business purposes

Personal References

1. Name

Phone

Email

Relationship

2. Name

Phone

Email

Relationship

As you would appreciate, for us to enter into an arrangement with you, it is important to gain certain knowledge about you. Please complete the previous pages truthfully and completely. It will be necessary for us to contact your referees and we suggest you contact these people to let them know we will be contacting them. Further to the above, we require the below documents to be provide to our agency:

Photo ID & 100 Points of ID – From all parties who will be entering into this agreement including guarantors

Please provide a copy of a valid Certificate of Currency

Yes

Relevant references from your Accountant, Legal representative, creditors etc to support your application (if applicable)

Yes

Copy of confirmation of ABN & Registered business address and/or ASIC extract (if applicable)

Yes

I/We acknowledge that this preliminary application does not signify any contractual obligation from either party in respect of leasing premises.

I/We further understand that additional information may be required.

I/We declare that I/we nor any of the proposed Lessee Company Directors or Owners are Undischarged Bankrupts.

I/we understand that until final approval is given by BGIS Pty Ltd, or the owner of the Land, we must not occupy the land.

I/We declare that all information contained in this application including additional documentation to accompany this application is true and correct and given of my own free will. I/We declare that I/we have inspected the land and am/are not bankrupt.

I/We authorise the Agent to obtain personal information about me/us from:

My/our business referees (if applicable)
My/our personal referees
Any record listing or database of defaults by tenants such as VEDA, NTD, TICA or TRA for the purpose of checking your tenancy history

I/We am aware that I/we may access my/our personal information by contacting:

NTD: 1300 563 826
TICA: 1902 220 346
TRA: (02) 9363 9244
VEDA: 13 8332

If I/we default under the agreement, I/we agree that the Agent may disclose details of any such default to a default database, and to agents/landlords of properties I/we may apply for in the future.

I/we am/are aware that the Agent will use and disclose my personal information in order to:

Communicate with the owner and select a tenant
Prepare lease/tenancy documents
Allow tradespeople or equivalent organisations to contact me
Lodge/claim/transfer to/from a Security deposit account
Refer to Tribunals/Courts & Statutory Authorities (where applicable)
Refer to collection agents/lawyers (where applicable)
Complete a credit check (where applicable)

I/We am/are aware that if the information is not provided or I/we do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the land.

Signed

Dated