Residential Rental Application (Statement of Information for Rental Applicants) — Residential Tenancies Act 1997 (Vic) s 29C; Residential Tenancies Regulations 2021 (Vic) reg 14 Completed Form Examples and Samples
View a detailed sample of the official Victorian Residential Rental Application (Statement of Information for Rental Applicants). This filled-out example helps you correctly complete the form as required by the Residential Tenancies Act 1997 (Vic) s 29C and Regulations 2021 (Vic) reg 14.
Residential Rental Application (Vic) Example – Professional Couple
How this form was filled:
This is a sample filled-out Residential Rental Application for Victoria, as required by the Residential Tenancies Act 1997 (s 29C). It showcases an application from a professional couple, Olivia Chen and Liam Smith, for a property in Richmond. The form correctly details their personal information, employment, rental history, and references, demonstrating a complete and compliant application.
Information used to fill out the document:
- Property Address: 15A Swan Street, Richmond, VIC 3121
- Proposed Rent: $650 per week
- Proposed Bond: $2826 (4 weeks rent)
- Proposed Lease Term: 12 months
- Proposed Start Date: 01 March 2026
- Number of Occupants: 2 Adults, 0 Children
- Applicant 1 Full Name: Olivia Chen
- Applicant 1 Date of Birth: 15 May 1996
- Applicant 1 Mobile: 0411 222 333
- Applicant 1 Email: [email protected]
- Applicant 1 Identification: Victorian Driver Licence, No. 12345678
- Applicant 1 Current Address: 8/100 Toorak Road, South Yarra, VIC 3141
- Applicant 1 Time at Current Address: 2 years, 3 months
- Applicant 1 Current Landlord/Agent: Southside Rentals, manager Jane Doe, (03) 9827 0000
- Applicant 1 Current Rent: $550 per week
- Applicant 1 Employment Status: Full-time
- Applicant 1 Occupation: Senior Graphic Designer
- Applicant 1 Employer: Creative Solutions Pty Ltd
- Applicant 1 Length of Employment: 3 years
- Applicant 1 Net Income: $1,450 per week
- Applicant 2 Full Name: Liam Smith
- Applicant 2 Date of Birth: 20 August 1995
- Applicant 2 Mobile: 0422 333 444
- Applicant 2 Email: [email protected]
- Applicant 2 Identification: Australian Passport, No. E12345678
- Applicant 2 Current Address: 8/100 Toorak Road, South Yarra, VIC 3141
- Applicant 2 Time at Current Address: 2 years, 3 months
- Applicant 2 Current Landlord/Agent: Southside Rentals, manager Jane Doe, (03) 9827 0000
- Applicant 2 Employment Status: Full-time
- Applicant 2 Occupation: Software Engineer
- Applicant 2 Employer: Tech Innovate Ltd
- Applicant 2 Length of Employment: 4 years
- Applicant 2 Net Income: $1,700 per week
- Personal Reference Name: Dr. Emily White
- Personal Reference Relationship: Family Friend
- Personal Reference Phone: 0433 444 555
- Pets: No
- Smoker: No
- Vehicles: 1 (Toyota Corolla, Reg: ABC-123)
- Declaration Date: 10 February 2026
What this filled form sample shows:
- Accurately filled details for two co-applicants, ensuring all personal information is consistent.
- Clear and verifiable employment and income information for both tenants.
- Comprehensive current and previous rental history, including agent contact details.
- Correct provision of identification documents as required.
- Inclusion of all necessary information such as proposed lease terms, occupants, and declarations as per Victorian regulations.
Form specifications and details:
| Form Name: | Residential Rental Application (Statement of Information for Rental Applicants) |
| Governing Legislation: | Residential Tenancies Act 1997 (Vic) s 29C; Residential Tenancies Regulations 2021 (Vic) reg 14 |
| Jurisdiction: | Victoria, Australia |
| Use Case: | Application by a professional couple for a residential apartment. |
Created: February 12, 2026 04:53 AM
