Application To Rent An Apartment Page 3

REFERENCE/CREDIT INQUIRY CONSENT FORM

I hereby give Towers Realty Group permission to contact current/previous landlord(s) for rental

references, and consent to a credit inquiry.

Only questions relating to consideration for tenancy will be asked from the above.

Date:________________________________________

Applicant’s Name (please print): ______________________________________________

Applicant’s Signature : _____________________________________________________

Current Address: _________________________________________________________

_____________________________________________________________________

RCI2011

UNIT 100-1420 TAYLOR AVENUE WINNIPEG, MANITOBA, CANADA R3N 1Y6

P 204 956.2739 F 204 956-5620

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Parent category: Business