Caleb Doerksen RE/MAX : RE/MAX La Crete : Tenant Application Form

Rental Application Form

Pre-registration Form

Primary Applicant

Full Name:

Phone number:

Work number:

Email address:

Current address:

City:

Postal code:

Years at address: :

Landlord name (If applicable):

Landlord phone (If applicable):

If less than 2 years at present address

Previous address:

City:

Postal code:

Years at address:

Landlord phone (If applicable):

Primary Applicant Employment

Current employer:

Employer's phone:

Occupation:

Years employed:

Monthly income:

Co-Applicant

Full Name:

Phone:

Work Phone:

Email:

Current address:

City:

Postal Code:

Years at address:

Landlord name (If applicable):

Landlord phone (If applicable):

If less than 2 years at present address

Previous address:

City:

Postal Code:

Years at address:

Landlord name (If applicable):

Landlord phone (If applicable):

Co-Applicant Employment

Current employer:

Employer's phone:

Occupation:

Years employed:

Monthly income:

Additional Information

Date of occupancy:

Number of occupants:

Adults:

Children:

Bedrooms:

Bathrooms:

Pets:

Yes No

How many:

Species and breed:

Additional needs and/or requirements:

Have you ever been evicted or asked to leave rented premises:

Yes No

Provide 2 references from previous rentals. Please do not include friends or family

Name #1:

Phone #1:

Relationship #1:

Name #2:

Phone #2:

Relationship #2:

Rental Application Form

Pre-registration Form

Caleb Doerksen RE/MAX

RE/MAX La Crete

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