Surrey Homes
Application
Application
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Reference
Suite
Address
*
Rent
Monthly
Daily
Yearly
Term
6 Month Lease
1 Year Lease
2 Year Lease
Short Term
Month to Month
Included in Rent
Occupancy Desired
Applicant Name
*
First
Last
Date of Birth
*
Cell Phone
*
Work Phone
Driver License
Email
*
Current Address
*
From Date to Date
*
Contact
*
Phone Number
*
Reason for Moving
Current rent you are paying
*
What kind of term were you on?
Previous Address
*
Employment Company
*
Job
Address
Tel
How long?
Position
*
Salary
*
Contact
*
List all other occupants, including yourself – One per line
*
Will you purchase tenants insurance while residing in this premise?
Yes
No
Are you bringing any pets to this residence?
Yes
No
If so, list all pets and age
Do you smoke?
Yes
No
If so, where?
Yes
No
Have you ever been late with your rent?
Yes
No
If so, explain
Do you have any bad credits?
Yes
No
If so, explain
Have you ever been charged or convicted for any crime?
Yes
No
If so, explain
Vehicle Make
Model
Lic #
Second Vehicle Make
Model
Lic #
Emergency Contact name
Phone #
Relationship
Second Emergency Contact name
Phone #
Relationship
Consent: I authorize the landlord/agent to obtain information/reports/enquires to verify the above is true accurate and complete but limited to credit reporting agencies. I understand the above is private and will not be circulated. I understand that the acceptance of this application is not on a first come first serve basis yet based solely on the landlords approval
*
Consent
Submit