Tenant Application Page 2
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43. OTHER PEOPLE WHO WILL BE LIVING WITH YOU
First Name
Last Name
Date of Birth
Male / Female
Relationship to
MM/DD/YY
Applicant
4. PRESENT HOUSING INFORMATION
Are you currently
Renting
Living in temporary accommodation
If living in temporary accommodation, please specify ________________________________________
Current Landlord’s Name ________________________________ Phone # ___________________
Date you moved into your current accommodation ______________ Current Rent Cost $_________
How long have you lived in your current accommodation? _________
Are you under notice to vacate your home?
Yes
No
If yes, when? ______________________ Why? ______________________________________
5. HOUSING HISTORY
Previous
Your Previous
Previous Landlord’s
Move In / Move Out
Landlord’s Name
Address
Phone Number
Dates
Do you owe money to any non profit or co-operative housing provider?
Yes
No
Amount Owing $__________________ Is there a repayment agreement in place?
Yes
No
Application2012
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