POMM - Apply To Rent Application

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.

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I agree

Apartment Unit Interested in?

Name *

First Name Last Name

Phone Number

Area Code Phone Number

Email *

example@example.com

Current Address *

Current City *

Current Province *

Current Postal Code *

Current Landlord

Landlord's Phone Number

How long have you been at your current location

Current Employer

Occupation

Years Employed

Employer's Phone Number

Pets? *

Yes No

If yes for pets, what?

Do you smoke? *

Yes No

Are you willing to sign a 6 month lease? *

Yes No

Are you willing to sign 1 year lease? *

Yes No

Are you willing to provide banking info for pre-authorized payments *

Yes No

How did you hear about POMM?

If referred by tenant, who?

Additional Comments

I/We hereby give permission to Peace of Mind Management to provide contact information to Bell Aliant to assist with telecommunication requirements and to advise of incentives and discounts available to Peace of Mind Management Tenants

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.

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I agree