Address of rental property applying for

 

Please print this page and fax back to Keith Bartlett at 306-584-1077 or
call Keith at 306-585-1995 to drop off application.

Name

 

Present address

 

Phone number

 

Present landlord’s name

 

Present landlord’s phone number

 

How long at that address

 

Current rent

 

Employer’s name

 

Employer’s phone number

 

Length of employment

 

Gross monthly income

 

Yes I authorize Keith Bartlett to obtain information of my past history
of my rentals from previous landlords and my present employer.

 

 

 

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