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Tenant Application Form

Welcome, and thank you for your interest in Rotary Villas. We are committed to providing a safe, comfortable, and respectful living environment for seniors in our community. Please complete the application form below as thoroughly as possible. All information provided will be kept confidential and used solely for the purpose of assessing housing suitability and availability. If you have any questions or need assistance completing the form, please do not hesitate to contact us.

Tenant Application

PERSONAL INFORMATION

Multi-line address

HEALTH / DISABILITIES

INCOME INFORMATION

ASSETS

REFERENCES

Current Landlord

Name Address: _________________________

Phone:__________________________________

Previous Landlord

Name & Address: _______________________

Phone: _________________________________

ADDITIONAL INFORMATION

Do you own a residence?
Do you have pets?
Do you drive?
Do you own a vehicle?

EMERGENCY CONTACT INFORMATION

REASON FOR APPLICATION

Are you under notice to terminate. your present tenancy?
Yes
No

If yes, please attach notice.

DECLARATION

I confirm the information provided is accurate and complete.

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