Property Type:
Rent: to

Name of Applicant(s):
Telephone, Work:   Home: Email:
Present Landlord: Address: Telephone:  
Names and ages of all persons who will occupy the premises:
Previous Tenancies
List previous rentals, starting with the most recent and working back.
Landlord: Address:Telephone:  
Current Employment:
Full Time Part Time Retired Student Unemployed
Name of Employer:  Bus. Phone: Salary:
Occupation:   Length of Time:
Previous Employment:
Full Time Part Time Retired Student Unemployed
Name of Employer:  Bus. Phone: Salary:
Occupation:  Length of Time:
Credit Information:
List bank, credit union, credit card or other credit references.
Name: Address:Type of Account: 
Personal References:
Name: Phone: Relationship:
Name: Phone: Relationship:
In case of emergency, notify:
Name: Phone:
Type of tenancy required:
Bachelor    1 Bedroom 2 Bedroom
3 Bedroom 4 Bedroom Senior Bungalow
I / We declare that the information provided in this application is accurate and complete.
I / We authorize Hillcrest Housing Ltd. to obtain and/or exchange personal information with any personal information agent towards establishing or verifying my financial standing.
Please type the following code in the space available below to validate your form.
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Privacy Policy

In connection with your possible rental, Hillcrest Housing may obtain information about you as described in this notice, which we will handle as stated in this notice.

We collect nonpublic personal information about you from the following sources:
  1. Information we receive from you on applications or other forms;
  2. Information about your transactions with us; and
  3. Information we receive from a consumer reporting agency (credit bureau)
We do not disclose, nor do we reserve the right to disclose, any nonpublic personal information about our consumers, customers or former customers to anyone, except as permitted by law. We may disclose nonpublic personal information about you, as a consumer, customer or former customer, to non-affiliated third parties as permitted by law.

We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
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