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Residential Rental Information
(YYYY-MM-DD)
Personal Information
(YYYY-MM-DD)
(YYYY-MM-DD)
Current Address
Previous Address
Employment Information
(years)
(years)
($/month)
($/month)
Professional References
Emergency Contact
Vehicle Information
Pet Information
Will you be bringing any pets?   Yes     No
Other Proposed Occupants
(YYYY-MM-DD)
(YYYY-MM-DD)
(YYYY-MM-DD)
(YYYY-MM-DD)
(YYYY-MM-DD)
(YYYY-MM-DD)
Finalize Application

THE RENT IS TO BE DELIVERED TO THE LANDLORD OR HIS AGENT IN ADVANCE ON THE FIRST DAY OF THE MONTH The undersigned agrees to contract with the supplier for the desired premise: The Applicant(s) acknowledges and agrees that in the event that this application is accepted and in the event that the existing tenant occupying the above-described premises fails to vacate same prior to commencement of the term of occupancy herein, referred to above, the Applicant(s) shall only be entitled to the return of any monies paid with this application, without interest or deduction, and any tenancy or right thereto resulting from the acceptance of this application will be at an end. The intent being that neither the Landlord or its Agent will be liable or responsible to the Applicant(s) for any loss, damage or costs from the existing tenant's failure to vacate the premise.

The undersigned also consents to disclosure of any information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations.

By checking this box you are stating that you have answered all questions honestly and to the best of your ability. Your are also agreeing that you have read the Terms, Conditions and Qualifications for Braebury Properties website and rental properties.