4. PREVIOUS TENANCY: If you have rented before, please list your former property owner, beginning with the most recent. Use back of this page if additional space is required.

*If you have no previous tenancy record, or are under the age of majority, you may be required to provide a co-signer.

5. CHARACTER REFERENCES: If you have never rented before, please list the names of three persons (other than relatives) who are personally knowledgeable of your suitability and reliability as a prospective tenant. Out-of-province applicants should list at least one Manitoba Reference, if possible.

6. EMPLOYER, OR SOURCE AND LEVEL OF INCOME OF LESSEE: If you are employed, please list your employers during the past year, beginning with the most recent; OR, if unemployed list your source(s) of income. Use back of this page if additional space is required.

7. CREDIT REFERENCES: (bank, credit cards, etc.)

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8. LIST NAMES OF ALL PERSONS WHO WILL BE OCCUPYING THE ACCOMMODATION WITH YOU:

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9. NAME OF PERSON TO CONTACT IN CASE OF EMERGENCY:

Name ___________________________________________________

Address ____________________________________________

Telephone ___________________________________________

10. CONDITIONS:

I/We hereby declare that the foregoing information is true and complete. I/We understand that any false information may result in the refusal of my/our application. I/We hereby consent to a credit check and personal investigation.

(The Application for Tenancy and the lease may include other conditions related to such matters as parking, etc.)

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Signature

 

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Date