Immo Weiss Rental request

Rental object

Name *

Prénom

Nom

Street and number

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City *

Postcode *

Country *

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E-mail *

Phone *

Number of persons living in the household: *

Pets ? *

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Current employer

Monthly income (net) *

Type of employment contract *

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Tenant since

Desired move-in date *

Availabilities for a visit *

For what reasons are you looking for a new house/flat ? *

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a copy of the 3 most recent payslips *

Cliquez ou déplacez les fichiers vers cette zone pour les téléverser. Vous pouvez téléverser jusqu’à 3 fichiers.

a copy of the identity card *

Cliquez ou déplacez les fichiers vers cette zone pour les téléverser. Vous pouvez téléverser jusqu’à 3 fichiers.

rgpd *

I certify that this information is complete and true and that I am not in any way concealing, falsifying or omitting any facts that might invalidate this form or influence the landlord's decision. I authorise the Landlord and its representatives of Immo Weiss to exchange personal data with employers, owners or other entities and persons mentioned above in order to check my creditworthiness and my ability to respect the obligations of the lease.