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    Rental Application/Lease Agreement

    For the property known as:

    Number of Children:

    Ages of Children:

    Number of Occupants

    Pets/Satellite:

    PetsAquariumSatellite Dish


    A. Applicant


    Full Name (First, Middle, Last):

    Date of Birth:

    Do you smoke?:

    Smoker

    Residential Phone #:

    Business Phone #:

    Cell Phone #:

    Email:

    Present Address:

    From:

    To:

    Landlord:

    Landlord Address:

    Landlord Business Phone #:

    Landlord Cell Phone #:

    Landlord Residential #:

    Previous Address:

    From:

    To:

    Landlord:

    Landlord Address:

    Landlord Business Phone #:

    Landlord Cell Phone #:

    Landlord Residential #:

    Present Employer:

    Employer Address:

    Employer Phone #:

    Position Held (PT/FT):

    Supervisor:

    Date Started:

    Income:

    Student (if yes, attending):

    Course/Program:

    1st, 2nd, 3rd, 4th year, other:

    Next of Kin (not a friend):

    Related How?:

    Address:

    Employed By:

    Business #:

    Residential #:

    Cell #:

    Personal Reference (not a friend):

    Relationship to You?:

    Employed By:

    Personal Reference Address:

    Residential #:

    Cell #:

    Businesss #:

    Name of Bank:

    Branch:

    Tenant Pak:

    YesNo

    If Yes, Broker Is:

    Social Worker (if applicable):

    Status:

    TempPerm

    Phone #:

    Fax #:


    B. Co-Applicant


    Full Name (First, Middle, Last):

    Date of Birth:

    Do you smoke?:

    Smoker

    Residential Phone #:

    Business Phone #:

    Cell Phone #:

    Email:

    Present Address:

    From:

    To:

    Landlord:

    Landlord Address:

    Landlord Business Phone #:

    Landlord Cell Phone #:

    Landlord Residential #:

    Previous Address:

    From:

    To:

    Landlord:

    Landlord Address:

    Landlord Business Phone #:

    Landlord Cell Phone #:

    Landlord Residential #:

    Present Employer:

    Employer Address:

    Employer Phone #:

    Position Held (PT/FT):

    Supervisor:

    Date Started:

    Income:

    Student (if yes, attending):

    Course/Program:

    1st, 2nd, 3rd, 4th year, other:

    Next of Kin (not a friend):

    Related How?:

    Address:

    Employed By:

    Business #:

    Residential #:

    Cell #:

    Personal Reference (not a friend):

    Relationship to You?:

    Employed By:

    Personal Reference Address:

    Residential #:

    Cell #:

    Businesss #:

    Name of Bank:

    Branch:

    Tenant Pak:

    YesNo

    If Yes, Broker Is:

    Social Worker (if applicable):

    Status:

    TempPerm

    Phone #:

    Fax #:


    C. Rental Information: (For office use only)


    Monthly Rent ($):

    Parking ($):

    Stall #:

    Vehicle:

    Plate #:


    D. Security Deposit (For office use only)


    Security Deposit ($):

    Balance of Security Deposit to be paid on/before:

    Appliances Provided (Skip if unsure):

    FridgeStoveDishwasherA/CIn-Suite W/DShared Coin Laundry

    Other Applicances:

    Thank you for completing the application, additional information and signatures will be required upon approval.

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