Rental request

Please complete this form to make your rental request.

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Information about the apartment visited

Address*

Apt.

City*

# of rooms

Terms (months)

Period

Rent (per month)*

Number of occupants

Indoor parking ($)

Outdoor parking ($)

Electricity

Heating

Hot water

Stove/fridge

Source

Personal information

Tenet

Mr.

Mrs.

First name*

Last name*

Email*

Telephone*

Birthdate*

Social insurance

Address*

Street address City Postal code

Landlord

Telephone

Since when

Employer

Address

Occupation

How long

Salary (per month)*

Telephone

Files

For proof of income and other documents

Drop files here or

Max. file size: 10 MB.

I, hereby, declare that above noted particulars are truthful and I authorize Immomarketing Inc. and its representatives to obtain or exchange at all times personal informations with any personal information agent for the purposes of establishing or verifying my financial standing.

Signature*

I authorize Immomarketing inc. to contact me via this email address.

Signed on*

Tenant*

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