| * Full
Name, include middle name: |
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| * Marital
Status: |
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| * Name
of Spouse: |
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| * Present
Address: |
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| * City: |
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| * Prov/State: |
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| * Postal
Code/Zip: |
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| * Home
Phone: |
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| Work Phone: |
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| Cell Phone: |
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| * Email
Address: |
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| *
Date Accommodation needed by: |
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| *
Maximum Rental Allowance: |
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| *
Preferred Location: |
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| *
Type of Accommodation: |
Apartment
House
Other (Specify:)
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| *
How many bedrooms do you require? |
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| *
Will you live on a busy street? |
Yes
No |
| * Are
you willing to cut the grass? |
Yes
No |
| * Do
you require any of the following? |
|
| * Will
you sign a lease? |
6 month
12 month
other |
| * How
many people will be occupying the premises? |
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| |
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| * Landlord's
Name: |
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| * Landlord's
Phone: |
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| * Length
of Tenancy: |
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| Reason
for leaving current residence: |
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| Monthly
Rent: |
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| Previous
Address: |
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| Length
of Tenancy: |
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| Landlord's Name: |
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| Landlord's Phone: |
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| |
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| Date of
Birth: |
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| Social
Insurance Number: |
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| Spouse's
Date of Birth: |
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| Spouse's
SIN: |
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| Son/Daughter: |
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| Age: |
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| Son/Daughter: |
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| Age: |
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| Son/Daughter: |
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| Age: |
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| Driver's
License Number: |
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| Make &
Year of Vehicles: |
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| Pets: |
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Smokers:
Non-Smokers: |
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| |
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|
EMPLOYMENT:
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| Employer: |
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| Address: |
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| Length: |
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| Position: |
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| Income:
|
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| Phone: |
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| |
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| Previous
Employer: |
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| Position: |
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| Income: |
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| Phone: |
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| |
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| Spouse's
Employer: |
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| Address: |
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| Length: |
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| Position: |
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| Income: |
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| Phone: |
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| |
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| Spouse's
Previous Employer: |
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| Position: |
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| Income: |
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| Phone: |
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| |
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|
CREDIT REFERENCES:
(Type of Credit Card / Loan - Please do not put Account Numbers) |
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Name:
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Name:
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|
Name:
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Name:
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| |
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PERSONAL REFERENCES: |
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Name:
|
|
|
Address:
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|
Phone:
|
|
|
Relationship:
|
|
| |
|
|
Name:
|
|
|
Address:
|
|
|
Phone:
|
|
|
Relationship:
|
|
| |
|
|
Name:
|
|
|
Address:
|
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|
Phone:
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|
Relationship:
|
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| |
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Parents
or
Next of Kin:
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|
Address:
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|
Phone:
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| |
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Spouse's Parents
or Next of Kin:
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|
Address:
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Phone:
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Property
Address Applied for (if applicable)
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As
recommended by the RCMP and for the protection of our clients,
we at ________________________________________. will conduct
bi-monthly inspections of the premise.
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I Agree
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I Disagree
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