VI LIVING GROUP
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Application
Applicant Information
*
Indicates required field
First Name
*
Last Name
*
Date of Birth
*
Contact Number
*
Drivers License
*
Email
*
Building of Interest
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The Grayson
Emmerson House
Hillside Village
Emerald Studios
Current Address
Current Address
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City
*
Province
*
Move in date/ to Current
*
Reason for Moving
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Current Rent
*
Reference Name and Contact
*
Previous Address
Previous Address
*
City
*
Province
*
Reason for Moving
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Move in date/ Move out date
*
Rent you Previously Paid
*
Employment
Company
*
Reference Name and Contact
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Position
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Address
*
How Long?
*
Salary
*
Telephone
*
Employment 2
Company
*
Address
*
Position
*
How Long?
*
Telephone
*
Salary
*
Name and Contact
*
List the Names of Tenants
Tenants
*
Will you purchase tenants insurance while residing in this premise?
*
Yes
No
Are you bringing any pets to this residence?
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Yes
No
If so, list all pets, breed and age
*
Do you smoke?
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Yes
No
Where do you smoke?
*
Inside
Outside
Both
Have you ever been late with your rent?
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Yes
No
If so, explain
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Do you have credit concerns?
*
Yes
No
If so, explain
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Have you ever been charged or convicted for any crime?
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Yes
No
If so, explain
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Vehicle
Make
*
License #
*
Model
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Second Vehicle
Make
*
Model
*
License #
*
Emergency Contact
Name
*
Phone #
*
Relationship
*
Secondary Emergency Contact
Name
*
Phone #
*
Relationship
*
Consent
By submitting this application I authorize the landlord/agent to obtain information/reports/enquires to verify the above is true accurate and complete but limited to credit reporting agencies. I understand the above is private and will not be circulated. I understand that the acceptance of this application is not on a first come first serve basis yet based solely on the landlords approval.
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