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Application

Applicant

Last name*
First name*
Date of birth*
Address*
Zip code*
City*
Cellphone numbe*
Residential phone number
Work phone number
Present landlord
Phone to landlord
Employer
Employer phone number
Profession
Yearly income, gross*

Owns car

Yes No

Smoker

Yes No

Co-applicant

Last name
First name
Date of birth
Address
Zip codes
City
Cellphone number
Residential phone number
Work phone number
Present landlord
Phone to landlord
Employer
Employer phone number
Profession
Yearly income, gross

Owns carl

Yes No

Smoker

Yes No

Preferences

I/we wish to rent in the following area
Max rent
Floor
Number of rooms
Pets (What kind of pets)

Other information

Desired date of moving in
Is there a former rental debt?
Are there any record of non-payment?
Number of adults
Number of children
Age of child/children
I authorize Basfast Väst AB to collect needed references and credit information.

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