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Celebrating
100 Years in Business
905-579-1626
rentals@valiantgroup.ca
177 Nonquon Rd. 20th Floor Oshawa, ON L1G 3S2
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141 Taunton Road East, Oshawa L1G 3V1
155 Nonquon Road, Oshawa, L1G 3S1
470 George Street, Peterborough, K9J 3E4
701 Parkhill Road, Peterborough, K9J 6N8
899 Clonsilla Avenue, Peterborough, K9J 7G9
345 Gibb Street Central Oshawa L1J 1Z1- The Ambassador
199 Wentworth Street West, Oshawa, Ontario L1J 6P4
300 Grenfell Street Oshawa L1J 4W6 – The Viscount
400 Grenfell Street Central Oshawa L1J 4W7 – The Cavelier
340 Marland Avenue Central Oshawa L1J 1X6 – The Diplomat
119 Nonquon Road North Oshawa L1G 3R9 – The Royale
1265 Pentland Street North Oshawa L1G3S9 – Twin Towers
177 Nonquon Road North Oshawa L1G 3S2 – The Summit Place
Commercial
Kawartha Lakes Shopping Centre
Clarington Shopping Centre
Grandview Heights
Kingsway Village Shopping Centre
Lake Vista Square Shopping Centre
Storage
Airport Self Storage
Valiant Mini Storage
Vacancies
Pay Rent
Pay Utilities
Home
About
Our Team
Careers
Aquatics & Events
Gallery
Apartments
141 Taunton Road East, Oshawa L1G 3V1
155 Nonquon Road, Oshawa, L1G 3S1
470 George Street, Peterborough, K9J 3E4
701 Parkhill Road, Peterborough, K9J 6N8
899 Clonsilla Avenue, Peterborough, K9J 7G9
345 Gibb Street Central Oshawa L1J 1Z1- The Ambassador
199 Wentworth Street West, Oshawa, Ontario L1J 6P4
300 Grenfell Street Oshawa L1J 4W6 – The Viscount
400 Grenfell Street Central Oshawa L1J 4W7 – The Cavelier
340 Marland Avenue Central Oshawa L1J 1X6 – The Diplomat
119 Nonquon Road North Oshawa L1G 3R9 – The Royale
1265 Pentland Street North Oshawa L1G3S9 – Twin Towers
177 Nonquon Road North Oshawa L1G 3S2 – The Summit Place
Commercial
Kawartha Lakes Shopping Centre
Clarington Shopping Centre
Grandview Heights
Kingsway Village Shopping Centre
Lake Vista Square Shopping Centre
Storage
Airport Self Storage
Valiant Mini Storage
Vacancies
Pay Rent
Pay Utilities
Home
About
Our Team
Careers
Aquatics & Events
Gallery
Apartments
141 Taunton Road East, Oshawa L1G 3V1
155 Nonquon Road, Oshawa, L1G 3S1
470 George Street, Peterborough, K9J 3E4
701 Parkhill Road, Peterborough, K9J 6N8
899 Clonsilla Avenue, Peterborough, K9J 7G9
345 Gibb Street Central Oshawa L1J 1Z1- The Ambassador
199 Wentworth Street West, Oshawa, Ontario L1J 6P4
300 Grenfell Street Oshawa L1J 4W6 – The Viscount
400 Grenfell Street Central Oshawa L1J 4W7 – The Cavelier
340 Marland Avenue Central Oshawa L1J 1X6 – The Diplomat
119 Nonquon Road North Oshawa L1G 3R9 – The Royale
1265 Pentland Street North Oshawa L1G3S9 – Twin Towers
177 Nonquon Road North Oshawa L1G 3S2 – The Summit Place
Commercial
Kawartha Lakes Shopping Centre
Clarington Shopping Centre
Grandview Heights
Kingsway Village Shopping Centre
Lake Vista Square Shopping Centre
Storage
Airport Self Storage
Valiant Mini Storage
Vacancies
Pay Rent
Pay Utilities
Rental Application Form
Step
1
of
2
50%
This application is the property of THE VALIANT GROUP OF COMPANIES Version 1/2022
To: The Valiant Group of Companies (Landlord) 177 Nonquon Road 20th Floor, Oshawa, Ontario, L1G 3S2
1. APPLICANT(S)/CO-SIGNOR
APPLICANT 1
Name
(Required)
Present Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
APPLICANT 2
Name
Present Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
CO-SIGNER
Name
Present Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
2. PREMISES APPLIED/CO-SIGNED FOR:
Suite No.
(Required)
Type
Address
(Required)
Parking for Private Passengers Automobile(s)
Outside
Underground
Transmitter
Pets
(Required)
Yes
No
If yes, type and number of pets
3. PROPOSED OCCUPANT(S)/CO-SIGNOR
List proposed occupants
(Required)
Press the plus + sign to add more occupants.
Name
Date of Birth (dd/mm/yyyy)
Add
Remove
4. DETAILS OF OCCUPANCY
Term to commence
(Required)
MM slash DD slash YYYY
Term to end
(Required)
MM slash DD slash YYYY
Possession date
(Required)
MM slash DD slash YYYY
5. UNIT CONDITION INFORMATION
Consent
(Required)
(i) The applicant accepts the unit in an “AS IS” condition (no cosmetic work to be done prior to possession)
(ii)The applicant requests that the unit be:
Painted
Floors Refinished
Consent
(Required)
I agree
(Required)
The applicant agrees to stay out of the unit until such time that the work is completed (normally ten-twelve (10-12) business days)
Consent
(Required)
I agree
(Required)
The exact date of possession will be confirmed by the Landlord. The applicant hereby agrees to return the unit to a neutral state prior to vacating: white walls, white cabinets (or upgraded cabinets in their original state), no wallpaper, no carpet, all damages repaired, in a clean and broom swept condition.
6. RENTAL INFORMATION
The undersigned agrees to pay for the following services and fees applicable to the desired premises:
Monthly Rental $
1st Months Rent $
Pro-rated Rent $
Calculation
Last Months Rent $
Transmitter $
Parking Indoor #
Parking Indoor $
Parking Outdoor #
Parking Outdoor $
Locker #
Locker $
Monthly Total: $
Amount Due $
Amount to be submitted with this application (funds processed only upon approval of application)
Last Month's Rent
Yes
No
Last Month's Rent $
Method of payment
Money Order
Cheque
M.O. Cheque #
First Month's Rent
Yes
No
First Month's Rent $
Method of payment
Money Order
Cheque
M.O. Cheque #
ADDITIONAL TERMS (PLEASE READ CAREFULLY AND PLACE A CHECKMARK BESIDE EACH TERM)
Consent
(Required)
I agree
(Required)
The co-signor is responsible for all rental obligations governing this tenancy during the initial term, and any renewals terms thereafter
Consent
(Required)
I agree
(Required)
Hydro, Parking, A/C and lockers are additional fees and are not included in your base rent
Consent
(Required)
I agree
(Required)
Hydro, separately metered, shall be paid to Wyse Meter by the Tenant(s)
Consent
(Required)
I agree
(Required)
The applicant agrees to maintain a $1,000,000 liability & $50,000 Content insurance throughout the entire length of the tenancy. Proof must be provided before keys can be obtained and every year of the tenancy thereafter
Consent
(Required)
I agree
(Required)
Smoking of any substance is strictly prohibited anywhere in the building, including the tenant’s unit and balcony, and within 30 feet of any entrance
Consent
(Required)
I agree
(Required)
VALIANT DOES NOT PROVIDE REASONS FOR DENYING APPLICATIONS
Consent
(Required)
I agree
(Required)
I/We hereby certify the information provided above and on the reverse of this form (Applicant’s Particulars) to be true. I/We agree that upon acceptance of the Rental Application by the Landlord, I/We shall forthwith enter into a Tenancy Agreement incorporating the above terms into the Landlord’s usual form which I/We have been given the opportunity to review, in which even the Contract Deposit shall be determined to be a Rent Deposit, and applied towards the rent of the last month’s occupancy.
IF I/WE SHOULD FAIL TO ENTER INTO SUCH TENANCY AGREEMENT, IN ADDITION TO ANY OTHER RIGHT TO DAMAGES AVAILABLE TO THE LANDLORD, I/WE AGREE AND ACKNOWLEDGE THAT THE LAST MONTH’S RENT DEPOSIT SHALL BE FORFEITED.
If the Landlord is unable to give possession of the rented premises on the date of commencement of the term for any reason, the Landlord shall not be subject to any liability to the Applicants and shall give possession as soon as the Landlord is able to do so. The rent shall abate until possession of rented premises is offered by the Landlord to the Tenant. Failure to give possession on the date of commencement shall not in any way affect the validity of the Tenancy Agreement, the obligations of the Tenant or in any way be construed to extend the term of this Tenancy Agreement. In the event that a Tenancy Agreement is entered into, this Rental Application by the terms of clause 37 of the Tenancy Agreement will be deemed to form part of the Tenancy Agreement. Any omission or misstatement by the Applicants in this Rental Application may result in the termination of your tenancy by the Landlord even after occupancy has been taken.
The Applicant(s) hereby gives permission to the Landlord or his Agent to use the information collected herein to obtain a consumer report; to contact employers, previous landlords, references; to contact agencies that provide landlord information; to enforce the terms of any Tenancy Agreement that may be subsequently entered into with the Applicant(s); or to reasonably use it otherwise to assess this Rental Application. It is agreed that where this Application is rejected, the Landlord shall not be required to give reasons therefore. In the event the application is accepted, the information collected herein may be shared with the Landlord’s affiliates.
Witness
(Required)
Applicant 1
(Required)
Witness
Applicant 2
Witness
Co-Signor
ACCEPTANCE; The Landlord hereby accepts this Rental Application/Offer to Lease for the Rented Premises as herein described.
Date
MM slash DD slash YYYY
Landlord or Agent
APPLICANT’S PARTICULARS
PLEASE COMPLETE ALL AREAS IN FULL.
APPLICANT 1
Name
(Required)
Home Phone #.
(Required)
Email
(Required)
Present Residence
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Landlords Name
(Required)
Landlords Phone #
(Required)
Length of Residence
(Required)
Previous Residence
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
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