Hardship Application - purerealestategroup

TENANT INFORMATION

Tenant name:

Address:

FAMILY/LIVING SITUATION

Number of adults in household:

How many household members have been affected by financial hardship?

Total household income (per week) prior to Covid-19 impact:

Number of dependents:

How many household members have been unaffected by financial hardship?

Income/Week:

Supporting Documentation:

I have attached copy of payslip

I have attached a copy of my bank statement/s

I receive Centrelink benefits (if yes,Centrelink Statement attached)

WORKING SITUATION

My employment has been terminated

Last day of employment:

Role:

Company:

Company contact details for confirmation of the above:

Name:

Phone:

Supporting Documentation:

I have attached an Employment Separation Certificate or a Letter from my employer

I have attached copy of payslip

I have attached a copy of my bank statement/s

I have applied for Centrelink benefits including Rent Assistance

Application Number:

Expected start date:

Rate of pay:

I am ineligible for Centrelink payments

Why:

I am in forced isolation

Reason for isolation:

First day of isolation:

I will be returning to work on:

Expected last day of isolation:

Company:

Company contact details for confirmation of the above:

Name:

Phone:

Supporting Documentation:

I have attached copy of payslip

I have attached a copy of my bank statement/s

I have had my hours or income significantly reduced

My hours have reduced by:

Income loss per week:

Role:

Company:

Company contact details for confirmation of the above:

Name:

Phone:

Supporting Documentation:

I have attached a Letter from my employer

OR I am a Sole Trader

I have attached copy of payslip

I have applied for Centrelink benefits including Rent Assistance

Application Number:

Expected start date:

Rate of pay:

I am ineligible for Centrelink payments

Why:

FINANCIAL REQUEST

Current rent:

Proposed reduced rent:

Period of reduction:

Comments:

DISCLOSURE

I/We confirm that we are in true financial hardship.I/We have exhausted all options for financial aid and make a declaration that my/our financial position has been adequately portrayed within this application

I/We understand that until such a time that a financial request is negotiated and/or agreed upon, that the rent will remain the same as current, and standard procedures will apply for collection of rent.

Signed:

Date of submission:

Please Attach supporting documents ticked above:

Tenant Financial Hardship Application

(1 Application per occupant)

TENANT INFORMATION

FAMILY/LIVING SITUATION

WORKING SITUATION

FINANCIAL REQUEST

DISCLOSURE