Rental furnished apartment application

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Address :
Entering date :
Leaving date :
Cost of rent :
DVD $20. VIDEO. $20. Do you want Internet service? Yes No *Important : Where Internet is not installed, the cost of connection and monthly usage will be charged.* ADDITIONAL BEDDING $10. ADDITIONAL TWIN BED $50. ADDITIONAL DOUBLE BED $60. If you have A/C - we install it (plexiglass included) 75$.
Reason of stay :
Special Clauses :
Referred by :	Le Droit Internet Others (specify) :

Renting agent:

1st person

Name :
Gender :	F M
Date of birth :
Social number :
Current address :
City :
Postal Code :
Telephone :
Email :
Driver's license :
License number :
At the actual address are you :	Owner Tenant
For how long ? :
Current owner's name:
Telephone :
Previous address :
Previous owner's name :
Telephone :

2nd person

Name :
Gender :	F M
Date of birth :
Social number :
Current address :
City :
Postal Code :
Telephone :
Email :
Driver's license :
License number :
At the actual address are you :	Owner Tenant
For how long ? :
Current owner's name :
Telephone :
Previous address :
Previous owner's name :
Telephone :

Number of people who will live in the apartment :	Adults Children
Other information (if necessary) :


Working references
1st person

Employer :
Address :
Telephone :
Supervisor :
Telephone :
Annual salary :
Years of service :
Previous job :
Telephone :


2nd person

Employer :
Address :
Telephone :
Supervisor :
Telephone :
Annual salary :
Years of service :
Previous job :
Telephone :


Personal references
With relation
1st person
Name :
Telephone :
Address :
2nd person
Name :
Telephone :
Address :

Without relation
1st person
Name :
Telephone :
Address :
2nd person
Name :
Telephone :
Address :

I certified that the above mentionned information is true and I authorized Immeubles Eugène Tassé to obtain and/or exchange at all times, by the usual methods, all information on my credit by way of any personal information agent and or financial institution. Those informations is provided under the law on access organisation documents, under the law on access to personal information and under any other law.
I ADMIT, TO CLICK BELOW, HAVING KNOWLEDGE OF THE USING CONDITIONS OF THE SERVICE AND AGREE WITH IT.

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APARTMENTS FOR RENT GATINEAU, FURNISHED APARTMENTS FOR RENT, COMMERCIAL SPACE FOR RENT
LES IMMEUBLES EUGÈNE TASSÉ, GATINEAU QUÉBEC, (613) 276-5988	WEBSITE : DISTANTIA