Online Rental Application

Please fill in the required fields.

I declare that the information given is correct and that the Landlord/Agent may check on any of the details. I agree to any of the information supplied being given to another Landlord/Agent. I authorize any person or company to provide Mid North Real Estate Ltd with such information as Mid North Real Estate Ltd may reasonably require in response to credit enquries. Credit check enquiries will include Ministry of Justice Overdue Fines Balance Search. I agree that the Landlord/Agent may use any of the information on this application to enforce any judgement or money order obtained against me. I authorize the Landlord/Agent to obtain information against me from Tenancy Services, any electronic tenant screening agency, any postal authority, any power supply company or any telecommunications company. I declare that this authority cannot subsequently be cancelled by me.

This application form collects personal information about you.This information is required for the purpose of: Assessing your eligibility as a tenant; Collecting information which may be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement; Being retained within our office; Being made available to credit bureaux and/or tenant default databases and will be accessible to other people that may inquire of this credit bureau and/or tenant default database; Failure to supply all the information in this form means you may not be considered for my/our tenancy(ies). You have the right to see the information held about you by any credit bureau or tenant default database and to correct that information in accordance with the Privacy Act. Acceptance. I consent to you making any type of reference, verification or credit check including an online TINZ check and associated databases. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases if I have given anyone my authority to do checks on these credit bureaux or tenant default databases or their checks otherwise conforms to the terms of the Credit Reporting Privacy Code 2004. I agree that you may use any of the information on this application form to enforce any judgement in respect of the Tenancy Agreement or in respect of any order against me by the Tenancy Tribunal. I agree that an identification photo and an assessment regarding my fulfulment of basic tenant responsibilities may be added to an internet based tenant reference website. This assesment will be about how I/We performed regarding: Payment of rent, Keeping the dwelling and grounds tidy, Being considerate towards neighbours, Keeping and leaving the dwelling and grounds tidy, If we are declined a tenancy – for any reason, Any verbal or physical threats, Any illegal use or manufacture of drugs within the tenancy. I agree that if I am declined this tenancy for reasons of a bad credit history of Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated.