Online Rental Application

I,(We) certify that the below information is correct, and hereby Authorize Peace of Mind Management Ltd. To contact any of the References or Names given in this application.

Completion of this Application does not provide intent to lease, this sheet is for information purposes only.

If this application is completed in the normal manner, a deposit in the amount of one months rent is required. All deposit monies received, with an approved application are to be applied to rent, and are NON-REFUNDABLE.

Your Name
Phone Number
Cell Number
Present Address
Present City
Present Province
Present Postal Code
Present Landlord
Landlords Phone Number
How long have you been at current location?
Present Employer
Occupation
Years Employed
Employer's Phone Number
Pets	Yes No If so, What?
Do You Smoke?	Yes No
Do you currently have damage deposit held with Rentalsman?	Yes No
If Yes How much?
Are you willing to sign 6 month lease?	Yes No
Are you willing to sign 1 year lease?	Yes No
Able to provide Post Dated Cheques?	Yes No
Apartment Unit Interested in?

107 Charlotte Street

Saint John, NB

E2L 2J2

Phone: 506-672-1094

Fax: 506-672-1095

www.pomm.ca

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