Name

First Name

Street, No.

ZIP Code, City

Date of Birth and Place

Phone

Email Address

Occupation

Net Monthly Income (€)

Current Employer

Company/Name in Unterminated Employment
YesNo

Other Roommates

The apartment is needed for individuals.
YesNo

The list of other roommates is complete.
YesNo

There is no intention to establish a shared flat.
YesNo

There is no intention to use the rental property for commercial purposes.
YesNo

I/We have the following pets:

I certify:
I/We have not had any eviction judgments in the last 5 years due to rental arrears.There are no ongoing rental claims against me/us.There are no wage garnishments or salary seizures against me/us.I/We have not made any sworn affidavits, nor is such a procedure pending.No bankruptcy or settlement proceedings have been initiated against my/our assets in the last 5 years, and the opening of such proceedings has not been dismissed due to lack of assets. Such proceedings are also not currently pending.I/We declare that I am/we are capable of fulfilling all contractual obligations, particularly the payment of security deposit, rent, and operating costs.I/We affirm that I/we have fully and truthfully answered all questions with my/our signature. False information constitutes a breach of trust and entitles the landlord to contest the rental agreement and, if necessary, terminate it immediately without notice.

Place, Date, and Signature of Tenant

Place, Date, and Signature of 2nd Tenant

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