Balsam Court : Home

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Application is REQUIRED for each adult occupant.

* = Required Field

We would love to hear from you.

Resident Manager
Phone & Fax 1-866-815-3200 (Toll free)
Phone & Fax 780-865-3200 (Locally in Hinton)
Email : info@balsamcourt.com or sewelegant99 @hotmail.com

Date:

email:

APPLICANT

Full Name:

Birth date:

Home Phone:

Work Phone:

Sin #:

Address:

City:

Prov:

PC:

From date:

To date:

reason for moving:

prev address:

From:

To:

prev landlord:

phone:

employer:

how long:

monthly income range $:

occupation:

supervisor:

phone:

notes:

CHILDREN

Name:

Age:

Name:

Age:

Name:

Age:

REFERENCES

Name:

Address:

Phone:

Name:

Address:

Phone:

Next Of Kin.

Name:

Address:

Phone:

AUTHORIZATION

SIGNATURE:

THE UNDERSIGNED APPLICANT CERTIFIES THE ABOVE INFORMATION IS COMPLETE AND CORRECT. THE UNDERSIGNED CONSENTS TO THE OBTAINING OF SUCH INFORMATION AS BALSAM COURT LTD. MAY DEEM NECESSARY AT ANY TIME IN CONNECTION WITH THE UNDERSIGNED. THE UNDERSIGNED CONSENTS TO THE DISCLOSURE BY BALSAM COURT LTD. OF ANY INFORMATION CONCERNING UNDERSIGNED TO ANY CREDIT REPORTING AGENCY OR TO ANY PERSON WITH WHOM THE UNDERSIGNED HAS OR PROPOSES TO HAVE FINANCIAL RELATIONS.

IF THE LANDLORD REFUSES THE APPLICATION OR IF NO APARTMENT IS AVAILABLE, THE LANDLORD SHALL IMMEDIATELY RETURN THE APPLICANT'S DEPOSIT. IF THE APPLICANT OCCUPIES THE APARTMENT, IT SHALL BE APPLIED TOWARDS THE SECURITY DEPOSIT REQUIRED BY THE LEASE.

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