Rental Application

Address

171 Christina St N, Sarnia, ON N7T 5T8

Phone

(519) 491-6836

Email

platinumpropertiesteam@gmail.com

Social Media

Property of Interest

Property Address

Referral Agent

Applicant #1

Full Name

Phone Number

Date of birth

Occupation

Applicant #2

Full Name

Drivers License No

Date of birth

Occupation

Other Occupants

Name

Relationship

Age

Other Occupants

Name

Relationship

Age

Other Occupants

Name

Relationship

Age

Pets

Do you have pets?

Yes

If yes, describe your pet

Last two places of residence

Why did you leave your last residence?

Address

From

Name of landlord

Telephone

Address

From

Name of landlord

Telephone

Present Employment

Employment

Business Telephone

Length of employment

Business Address

Position Held

Name of supervisor

Current salary range: Monthly $

Previous Employment

Employment

Business Telephone

Length of employment

Business Address

Position Held

Name of supervisor

Previous salary range: Monthly $

Spouses Employment

Employment

Business Telephone

Length of employment

Business Address

Position Held

Name of supervisor

Current salary range: Monthly $

Spouses Previous Employment

Employment

Business Telephone

Length of employment

Business Address

Position Held

Name of supervisor

Previous salary range: Monthly $

Financial Obligations

Payments to

Amount $

Personal References

Name

Length of aquaintance

Name

Length of aquaintance

Address

Occupation

Address

Occupation

Telephone

Automobiles

Make

Model

Year

Licence No

Make

Model

Year

Licence No

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