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Appl icati on for Rent al Acco mmo datio n

The IAndlord Ackno wltdg~ the Confidentiality o/This Docum
(Mat 1k FaDy ComplittNf)
ent
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I. ACCOMMODATION ljNfORMATION: D~ of Application: G t \ (I ~ Cy g-l JOJ. 4
1.\"\'"" ~e f UCL ,~ -u 5 Ip,R thvn, Sbff, NL
Address of Premises:
-part ment □ House □~ascment Suite
Type Requc md:
Day O \ Month \,} -O'/~W\h.., Year l O :>+-
Date Requested:
Names of all people to °'iCUPY the premises:
Adults \J,-
V\ , t. \
__ _ _ _ _ _ _ _ _ _ __
Children (include ages) _ _ _ _ _ _ _ _ _ _
2. PERSONAL ~FORMATION OF APPLICANTS:
1 /0 5 h ~
(J•Ath,JJ)
Full Name: \)Ci:./\-,~\ 'Sow \~ S \.( ~ \ _.h, Birth date:~~
5 <J ~
Email Address: \,(e,r./1 \_<t o~ (? , 8 , }:\ wJ1r-.
\, c,-N \
\Q 5 ~ t? 4 4'\ 5-\ .J Phone: ~ ?, ~ - 3 \ ,- 4
~ t Address: ~
\..I\ .. Yj:-\ ~.... ~f>vp c ~ HowLong: 5 ..H\0 5
Previous Address: ~ 0 \ \.J\ "':, .,.. S.'"1
5k How Long: 5 vA0 5.
W ~"'"'t> --"$. 57 ~
SJN #: ~ '5] 9 \'~
Drive r'slicc nse: \ 5 41' \7 'f 3
(:J-Ad u/J)
Birth date: _ _ _ __
Full Name:
-- -- -- -- -- -- -- -- -
-- -- -- -- -- -- -- --
Ema iI Address:
Phone: - - - - - -
-- -- -- -- -- -- -- --
Prcsent Address:
How Long: _ _ _ __
Pre\[Link]: --= -= --- --- --- ---
--
How Long: _ _ __
__ SIN#:._ _ _ _ __
Driver's License: _ _ _ _ _ _ _ _ _ _ _ _
3. EMPWYMENT INFORMATION OF APPLICANTS:
(1st Adult)
Current Employer:
~ / f\
5~ W\w-e \
f \ '° 'i e d Occupation:
How long:
5e\-\'- e-~ t \ ~"I
C.O -A.:.\"°" c;+-
(>oJ
W-0 -.J \<.
Supervisor:
Add ress :--- -~ ·c.t~·, '\;\ "' ~QC '½ 5 \( Phone: 'b 3 ~ - 3\ b- ~ & ;i (,
_ __ Occupation: _ _ _ __
Previous Employer: _ _ _ _ _ _ _ _ _ _ _ _ _
_ __ How long: _ _ _ __
Supervisor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ Phone: - - - - - -
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(2'"1Adu/I)
_ __ Occupation: _ _ _ __
Current Employer. _ _ _ _ _ _ _ _ _ _ _ _ _
_ __ Phone: _ _ _ _ __
Supervisor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ __ How long: _ _ _ __
Address; _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Phone: - - - - - -
_ __ Occupation: _ _ _ __
Previous Employer. _ _ _ _ _ _ _ _ _ _ _ _ _
_ __
Supervisor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Phone:
------
_ __ How long: _ _ _ __
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Phone:
--- --- -
( ,_
'v L ¼S
4. CREDIT INFORM ATION OF APPUCA NTS:
(I" Adult) \ V:.. Se \ '\ ,. OY'\ i \"> 1f'e J . j 5
Income :_\ <\ L\ S ~\.\C ~'f\""' <r ~ per monlh (net utter tnx)
C, -I' ,f'\ ' "'
Onnk: ~M( )_ _ _ _ _ _ _ _ __ Brunch··,· _Q_Q_'J~ 8
(1"' Adult)
Income: _ _ _ _ _ _ _ _ _ __ · - - per month (net uflcr tax)
Hnnk: Brunch: _ _ __
5. RENTAL HISTORY:
?JO b-L\L.\ 5 -$5 0 ~
0-Adult)
Current Lnndlord: lo,( ✓ -, , \-'\ ~
Previous Landlord: V\ .. :;,.;-, ./\
lf~""' "~
t ~ f-t!t" 1~ 1-
Phone:
Phone: 29-l,_~C\l\i - 3 3 ~L\.
(J-" Adult) (,. s ~ .r\"' }
~'"'• < K
Current Lnndlord: _ _ Phone:
----
Previous Lundlord:
---- ---- ---- ---
l'honc:
----
6. PERSONAL REFERENCES.
(I" Adult)
Name_ Co? ~ \JqV\. .\~'lv\ ~
!'hone: 30 L~ ,. 'ti - 8 Sff 1
(J" Ad11lt)
~i,,~4> \ l Phon~ }Q '4 - q \ -1 - 81~()l.
Nome
- ' .
\)"' \ (e,. ----
7. RELATIV ES/ FRIEND WHO CAN OE CONTACTED IN CASE OF EMEl{GENCY:
(Do not use each other as • cont1d, preferably one Is a relative of either aduU)
t• Adult r' Adult
Name: l ()'(-" C\ \<~ \ \ "J Numc: - - - - - - - · - - - - - - - - -
• -Atkln:ss: \,J ~" b w" ~- S\( Address:
Phone#:
Rclutionship:
30~ ~ 1!,1i .✓. U:;2 0 j
5, f
Phone#: _ _ _ _ _ _ _ _ _ _ _ _ __
Rclulionship: _ _ _ _ _ _ _ _ _ _ __
A,:ut!mmL
Appro,'OI oftl,u appllcvllon u sllb}«t to th~ undlolfl and Tatant s/111l,w a Raldtntla/ Tm1111ey
□ Additional Ddalls ofAppllMllt Provltkd 011 n Sq,arau Attacht!d Shut
AU tlalcn~ts 1h11 I ban made h1 tbb appllcadon are true. I aulborlu Ibo taodlord 10 do
a crtdll chttk and criminal background
us or our DPf>Olntcd agent., in respect to your
cbttk. By signing this 1pplicalion, ~ pcnonal infonnation la CODM111ually alvm for U5C by
ond Electronic Documents Act
application, subsequent tenancy, or on- tile records in t1Ccordancc lu The Pc111onal lnfonnation Protection
ond stal\15 for ALL utility
(PIPEDA 2004) This is to include and extend lo the pthcring and consent to access of account information
of the ICllllllCY to ensure
companies Illa! the TelWII may enter inlo conlllCIJ with for the duration and for periods after the lenninlllion
accounts ani in 11ood and rum:nt standing during and at the completion ofthe [Link] period.
!fl ' • £,.,... J,{.t oo1o1 ~• 0 & ,.,, or O ,\. '7....- 20J4.
~
~~-
Dutcd lhis ___ day of _ _ _ _ _ _ _ __, 20___,
Slpr=-ol' 2nd Applican1
SIJIM""" of Jrd Applic:1111
Dalcd this ___ day of - - - ,20 ~·
Please include a photo of the front of your driver's license and email application to
Jizottcproperties@[Link]