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307 Aylmer Street North Peterborough, Ontario K9J 7M4 www.aoninc.com email: info@aoninc.com

Phone: 705-742-3701

Fax:

705-742-9276

CO-SIGNOR APPLICATION AND AGREEMENT FORM

Last Name:

First Name:

Middle:

S.I.N. #:

Date of Birth:

Monthly Income:

Home Phone: E-mail:

Business Phone:

Resident(s): Please complete in full and print clearly.

Apt. Address: All information given is kept strictly confidential.

Employer

TELL US ABOUT YOURSELF: What relationship are you to the resident(s)? Parent Other (Please explain)

Brother or Sister

Bank Name: Account #: Expiry Date:

Visa

Branch #: Credit Card #: Mastercard

American Express

Other

Driver’s License Number: License Plate Number:

Make of Auto:

Expiry Date:

Year:

Present Address: City/Province: Move-In Date: Present Landlord’s Name: Prior Address: City/Province: Move-In Date:

Amount of Rent Paid:

Move-Out Date:

Postal Code: Amount of Mortgage Paid: Landlord’s Phone Number:

Postal Code:

Amount of Rent Paid: Amount of Mtge Paid:

Prior Landlord’s Name:

Landlord’s Phone Number:

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