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RENTAL REQUEST FORM









Studio123Penthouse


$

$


FUTURE RESIDENT


PERSONAL INFORMATION

MRMS
















RENTAL HISTORY

CURRENT LANDLORD















$ /MONTH

FORMER LANDLORD















$ /MONTH



PROFESSIONAL INFORMATION











OTHER SOURCES OF REVENUE



CSSTEMPLOYMENT INSURANCEPENSION PLANThe future resident agrees to provide the owner or one of the owners representatives with a copy of his or her pay slip to confirm the listed salary andor anyWELFARE

The future resident agrees to provide the owner or one of the owner’s representatives with a copy of his or her pay slip to confirm the listed salary and/or any government allocations.



EMERGENCY REFERENCES

1st PERSON











2nd PERSON











During my absence or in the event of an emergency (fire, theft, flood, etc.), I authorize the owner to contact the above-mentioned individuals.