Application for House rental in Swan River Form

First Name: (1st responsible adult) *

Last Name: (1st responsible adult) *

How old is the 1st person signing the 1 year Rental Lease Contract? *

First Name: (2nd responsible adult)

Last Name: (2nd responsible adult)

How old is the 2nd person signing the 1 year Rental Lease Contract?

Upload a picture (jpg) of ALL persons that will be living in the house.

Your Cell/Mobile Number: (for texting and contact)

Your Email address for communication (eg. documents, notices, etc.) with you:

Do you have kids that are going to live with you? *

Yes

(if Yes) How many kid(s)? (with ages)

Households Yearly Income? What is your household income per year? (can you afford the rent amount posted in the ad + utilities) *

Households Source(s) of Income? (eg. job(s), pension(s), welfare, etc) *

Employers name and phone number? *

How long have you worked for your most recent employer? *

Previous Landlords name and phone # as reference? *

No pets (preferred). No smoking. No LOUD parties. Do you agree to these STIPULATIONS? *

Yes

Your (short) story as to WHY you want to rent THIS house?