ONLINE APPLICATIONS

Please copy and paste into an email and send to tosh_wood@hotmail.com

APPLICATION TO RENT

Date:

Date premises required:

Applicant’s legal name:

Applicant’s preferred name Age:

Applicant’s present residence:

Phone Fax Cell Phone E-mail:

How long? Present montly rent Reason for leaving:

Present landlord Phone Number:

Type of apartment desired: [ ] Bachelor [ ] 1 Bedroom [ ] 2 Bedroom [ ] 3 Bedroom:

Number of adults to occupy apartment Number of children under 18:

Ages of children Total number of occupants:

Pets to occupy apartment:

Applicant is employed by Occupation:

Occupation Phone:

Spouse’s full name:

Employed by:

Occupation Phone:

Personal references:

Reference Phone:

I hereby authorize the person or firm to whom this application is submitted to obtain such credit reports or other

information as may be deemed necessary in connection with the establishment and maintenance of a credit

account or for any other direct business requirement.

Signature Date

.

Everett Greens Apartments

14 & 16 Everett Street Moncton E1C 0B6

Call Tosh at (506) 961-4076 or email at tosh_wood@hotmail.com

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