Personal Information
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| Name* |
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E-mail* |
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| Date of Birth* |
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Home Phone* |
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| Cell Phone |
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Work Phone |
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| Current Address* |
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Length of Tenancy |
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| Previous Address |
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Length of Tenancy |
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| Employer's Name |
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Phone |
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| Address |
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Length of Employment |
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| Occupation |
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Financial Institution* |
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Name of person(s) to be included in the tenancy
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| 1 |
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Relationship |
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| 2 |
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Relationship |
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| 3 |
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Relationship |
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| 4 |
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Relationship |
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Number and description of pet(s)
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Type of vehicles that will normally be parked at the premises
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| 1 |
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2 |
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| 3 |
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4 |
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References
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| Reference Name |
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Phone Number |
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| Reference Address |
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Landlord #1 (past or present)
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| Reference Name |
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Phone Number |
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| Reference Address |
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Landlord #2 (past or present)
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| Reference Name |
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Phone Number |
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| Reference Address |
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Housing Requirements
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Please provide us with any additional information that you feel we should know, including: number of bedrooms required, preferred location, length of tenancy, date required, special needs, etc.
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Authorization
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I hereby authorize Holywell Properties to confirm any and all of the above information. In order to assess my ability to meet my financial obligations, I also authorize Holywell Properties and its agents:
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to request and obtain personal information about me from credit bureaus from information they previously collected about me in order to assess my credit history;
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to exchange my personal information on an ongoing basis with credit bureaus in order to protect me, ensure the completeness of the information and maintain the integrity of the credit granting system;
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to co-operate with local, provincial and national authorities in the investigation of unlawful or improper activities in order to protect me and Holywell Properties from fraudulent transactions; and
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disclose my personal information where necessary to protect my interests, and the interests of Holywell Properties.
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Enter Security Code*  |
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