PROPERTY INFORMATION
Address: Britton New Road, Clapham, St Rent $1,200 + Utilities Deposit $1,200
APPLICANT HISTORY
Applicant’s Full Name (Last, First, Middle Initial) Date of Birth Registration Number Driver’s Licence #
Name of Co Applicant (s) (Separate application required for each Co Applicant (s)) (Last, First, Middle Initial)
1. 2. 3.
Street
Applicant’s Present Address Parish
Address Phone #
PROPOSED OCCUPANTS
Address Phone #
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
EMPLOYMENT
Current Employer (if self employed, name of business)
Business Address
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)
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