COWPERTHWAITE APARTMENT RENTALS ADDRESS APPLYING FOR:_____________________
Name
Of Applicant:_____________________________________________________________SIN:____________________________
Total
# Of Occupants:__________ # Of Children:__________Ages:_______________________
Do
You Have Pets?__________ Please Specify Type/Number:_________________________
Current Address:
Street
Address:______________________________________________________________________How
Long?_____Yrs_____Mths
Phone:____________________
Reason
For Leaving?___________________________________________________________________________________________
Vehicle
Make/Model:_______________________________________________Plate
Number:___________________
Place Of
Employment:
Applicant’s
Employer:_____________________________________________Address:_______________________________________
Occupation:______________________________
How
Long:_____Yrs_____Mths Phone:____________________
Income
Per Month:_______________Other
Income:_______________Source Of Other
Income:________________________________
Spouse’s
Employer:_____________________________________________Address:________________________________________
Occupation:______________________________
How
Long:_____Yrs_____Mths Phone:____________________
Income
Per Month:_______________Other
Income:_______________Source Of Other
Income:________________________________
References (Previous
Landlord):
(1)
Name:________________________________________Address:_____________________________________________________
Rented
From:_______________To_______________ Phone:____________________
(2)
Name:________________________________________Address:_____________________________________________________
Rented
From:_______________To_______________ Phone:____________________
Next Of Kin(Not
Occupying Apartment):
Name:___________________________________________Address:_____________________________________________________
Relationship:______________________________ Phone:____________________
To The Best Of My Knowledge
The Above Information Is True:
Signature
Of Applicant:___________________________________Date:_________________________
By signing this document, I/we hereby consent to
the use of the above information to determine my/our suitability as
tenants.
I/we understand that this information may be
verified by contacting my/our previous landlord or other references given.
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