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Rental Application


After you fill out the I Am Interested application, please fill out the following form.
Alternatively, you can print and fill out this Rental Application.


Name: 
Address: 
Home Phone: 
Cell Phone: 
Email: 
Landlord's Name: 
Landlord's Phone: 
Years at Address: 
Previous Address: 
Reason for Moving: 
Previous Landlord: 
Previous Landlord's Phone: 
Occupation: 
Company: 
Years at this Job: 
Monthly Gross Pay: 
Take-Home Pay: 
Supervisor: 
Supervisor Phone: 
Previous Occupation: 
How Long?: 
Describe your Assets?
Chequing Balance $: 
Savings Balance $: 
Life Insurance $: 
Stocks/Bonds Value $: 
Vehicle (Make/Model): 
Real Estate Owned: 
RRSP Value $: 
Other Assets: 
Total Cash Value of your Assets $:
Describe your Liabilities:
Bank Loans $: 
Mortgages $: 
Monthly Rent $: 
Credit Card Debt: 
Other Obligations $: 
Total Monthly $: 
Total Amount of Liabilities $:
Net Worth $: 
Social Ins. (optional):
Drivers Lic. (optional):
Date of Birth: 
Nearest Relative: 
Relative Phone #: 
Who will live with you?:
Have a pet(s)? Describe:
Have you ever:
filed for bankruptcy?
refused to pay rent?
been evicted?
had an asset reposessed?
Describe above: 
Do you owe taxes $: 





BY SUBMITTING this form, you declare that the statements above are true and correct and you authorize verification of references and a consumer credit check. You also authorize CGM Properties to obtain information about you from current and previous landlords, employers and personal references. You authorize your credit sources, current and previous landlords, employers and personal references to disclose to CGM Properties such information about you as they may request.



 


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