TENANT APPLICATION FORM

PROPERTY INFORMATION

Address: Britton New Road, Clapham, St Rent $1,200 + Deposit $1,200

Michael Utilities
APPLICANT HISTORY
Applicant’s Full Name (Last, First, Middle Initial)
Date of Birth Registration Number Driver’s Licence #

Phone # (Home) Phone # (Work) Email

Name of Co Applicant (s) (Separate application required for each Co Applicant (s)) (Last, First, Middle Initial)
1. 2. 3.

Street
Applicant’s Present Parish
Address
Monthly Payments $ Present Landlord’s Name

Address Phone #

Applicant’s Prior Address Street Parish

Monthly Payments $ Prior Landlord’s Name

Address Phone #

PROPOSED OCCUPANTS
PROPOSED OCCUPANTS
1 - (Last, First, Middle Initial) Date of Birth 2 - (Last, First, Middle Initial) Date of Birth

3 - (Last, First, Middle Initial) Date of Birth 4 - (Last, First, Middle Initial) Date of Birth

Does Applicant or any Proposed Occupant smoke? [ ]Yes [ ] No

Do you own a pet? [ ] Yes [ ]No Number of pets Type

EMPLOYMENT
Current Employer (if self employed, name of business)
Business Address
Position Type of Business Dates: From To
Supervisor Phone Other Income $ Source

Previous Employer (if self employed, name of business)

Business Address
EMPLOYMENT
Position Type of Business Dates: From To
Supervisor Phone Other Income $ Source

FINANCIAL INFO
Checking: (Bank & Branch) Account #
Saving: (Bank & Branch) Account #
Have you ever filed for bankruptcy? [ ]yes [ ]no What Year?
Have you or any proposed occupant ever:
Been convicted of a felony/crime? [ ]yes [ ]no Describe
Been evicted from a rental? [ ]yes [ ]no Describe
Defaulted on a lease? [ ]yes [ ]no Describe

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 TENANT APPLICATION FORM (cont)

REFERENCES (if you have written references attach copies to this form)

1 – NAME Relationship to applicant

Home Phone # Work Phone #

2 – NAME Relationship to applicant

Home Phone # Work Phone #

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