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Room Renting
Application
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Requesting Property Address
*
Applicant Name
*
First
Last
Applicant Name (Secondary)
First
Last
Only applicable for house renting
Email
*
Phone Number
*
Current Address
*
How long have you been living at the current address?
*
Who do you live with currently?
*
I live alone
With roommates
With parents
Current Work Place (If applicable)
Job Title
Current School (If applicable)
Current School Program
Source of income for rent:
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Estimated pre-tax income:
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Reason for Moving:
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Date for Moving In
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Have you ever been evicted?
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Yes
No
Do you have a criminal history?
*
Yes
No
Do you have pets?
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Yes
No
Do you smoke or vape?
*
Yes
No
Occasionally
(Private Room) Do you need parking space?
(Private Room) Which room would you like?
Is there anything else I should know about you?
Submit
