Monthly Rent: $


Possession date (dd / mm / yyyy):


# tenants:


 

Personal Information:​

Name:

D.O.B (dd /mm / yyyy):
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S.I.N. #:
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Driver’s License #:
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Car make, year and license:

Home/ Permanent Address:
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Postal Code:
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Cellphone #:
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Work Phone #:

Email:

Dogs/ cats allowed (breed/ age/ weight/ trained/ spayed/ neutered):

Smoking, vaping, cannabis (Yes/ No):
YesNo

Emergency Contact:

Name:​
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Relationship to you:
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Phone #s(W)​(C):
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Address:
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Postal Code:
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References:

Name:​​

Phone #:
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Name:
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Phone:

 

Financial Information:

Employer (Company):
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Occupation:​
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Direct Supervisor/ HR Contact:
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Years Employed:​
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Annual Salary:
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If less than a year at current workplace:

Previous Employer (Direct supervisor):

Phone #:
         
Years Employed:

Bank Loan With:
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Approx. Balance:
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Student Loan:
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Credit Card Balances:​​​​
type​​​balance: $​​
type​​​balance: $​​

Landlord Information:

Current company/ landlord’s contact name:​

Phone #:
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Address:
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Monthly rent:​​
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Reason for leaving:
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Previous Landlord Name and Phone #:

For how long you lived there:

Photo ID:

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during our reviewing process. Thank you for your interest in our apartment!