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guaioneattswe Rental Application LE OREA PP Ragin ‘Association Rerienasi ar esidential fern Foes Ones We hereby make applicationtorent fromthe doyot 2 sven obamenthly rental of. to become due and payable in advance on the day cf each and avery month during my tnoncy. 1. Name Dove of ith SIN No. (Optional) Dives icense No ceupaton 2. Name Date of bch SIN No. (Optional, Devers conse No ceupaton 3. Other Occupants: Name Relationship Age Name Relationship age Nome Relationship Age Do you have any pts? Io, describe Why ore you vacating your present place of residence LAST TWO PLACES OF RESIDENCE Adds Adcros from % From a Nome of orlord None of andlor Toho (ood Teaphont need PRESENT EMPLOYMENT PRIOR EMPLOYMENT Employer ' Busines oddone 1 Business tle hone 1 Fesion beled 1 Length of employment 1 Nome of superior 1 ‘Current salary ronge: Monthly $ elena AOR, MARS ood EAR ec Cri a Ee (By teeters rarssiey teteatonplon ox sexe Sede ‘ita apes Bap tt ah ae in i then cone e SE Bek Ab Sly Fag Matas a Gas eatin ee ee Form 410 Revised 2009 Page 1 of 2 ‘SPOUSE’S PRESENT EMPLOYMENT PRIOR EMPLOYMENT Employer 1 Business addrase 1 Bosinss telephone : 1 Position hal 1 Length of employment 1 Nome of supervisor 1 Curent solar range: Monthly $ Name of Bank... Brorch Aes ‘Chequng Account # Sovings Account # FINANCIAL OBLIGATIONS Foyments 0 Amount: $ Payments ‘Amount: $ PERSONAL REFERENCES Nome Adseoss Telephone: ) Length of Acqoinance ‘Occupation Nome Adseoss Telephone: ) Length of Acquainionce ‘Gccupation AUTOMOBILE(S) Moke Model Yoor licence No. Moke Model Year Licence No ‘The Applicant content he collection, wie ond dclonre ofthe Applicant's pertonolinferation by he Landord and/or opet of he Landlord, Fom {ime fine, for the purpose of determining the creditworthiness ofthe Applian! forthe leasing, saling or Financing ofthe premises or he real property, ‘© making such olher ue of the personal information asthe Landlord end/er agen ofthe Landlord deems aperopiol ‘The Applicant represents thot all sotements made above ore tue and covect. The Applicant is hereby notified that a consumer report ‘containing credit and/or personel information may be referred to in connection with this rental. The Applicant authorizes he verication ‘ofthe information contained in ths application and information abained from personel references. This application isnot a Rental o lease Agreement. In the event that his application is not accepted, any deposit submited bythe Applicant shall be retuned, Signi ippian! i Sgro Acar “ aie Telephone: (oo Teophone: (oon DB serene crscopte ote se meatless tet 2 gre en nO ge re ogee on rh ea er ‘thd hog tenecng he sons sera OREN kad eto tye SE mee Form 410 Revised 2009 Page 2 of 2

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