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RESIDENTIAL RENTAL APPLICATION
For inquiries about the rental property, please contact _______________________ at:Phone: ___________________________________
RENTAL PROPERTY
Rental Property Address: __________, __________, __________, CarlowDate of Availability: 16 January 2021
APPLICANT'S PERSONAL INFORMATION
Name: ____________________________________________________________________Email Address: ____________________________________________________Home Phone: _________________________ Alternative Phone: _________________________Date of Birth: _________________________DESIRED MOVE-IN DATE: _________________
CO-APPLICANT’S PERSONAL INFORMATION (if applicable)
Name: ____________________________________________________________________Email Address: _____________________________________________________Home Phone: _________________________ Alternative Phone: _________________________Date of Birth: _________________________
OTHER OCCUPANTS’ INFORMATION (if applicable)
Name: ____________________________________________________________________Relation to Applicant: _____________________________Date of Birth: ____________________Name: ____________________________________________________________________Relation to Applicant: _____________________________Date of Birth: ____________________
ADDITIONAL INFORMATION
The Landlord does not allow pets in the rental property.
The Landlord does not allow smoking of cigarettes in the rental property.
The Landlord does not allow the use of waterbeds on the premises.
I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies. The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of application.
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