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Personal Information

Birthday
Dag
Maand
Jaar

Employment & Income Information

Financial Information

Have you ever been evicted or had legal action taken against you for rent non-payment?
Do you have any outstanding debts or loans?

Rental History

Rental Property Details

Guarantor Service Request

Do you require a guarantor for the full amount of the deposit?
Duration of the Rental Agreement:

Additional Information

Do you have any dependents (e.g., children or other individuals who live with you)?
Do you have renters' insurance?

Guarantor Service Terms

By applying for this service, the Tenant understands and agrees to the following conditions:


  • The Guarantor will cover the deposit on behalf of the Tenant in case the Tenant defaults or damages the property.

  • The Tenant is required to repay the Guarantor for the deposit amount, plus any applicable fees or interest as per the terms outlined in the separate Guarantor Agreement.

  • The Tenant must pay their rent on time every month; any non-payment could result in the Guarantor being required to step in and pay on behalf of the Tenant.

  • The Guarantor has the right to initiate a claim against the Tenant for any unpaid deposit amount or damages after a reasonable period.


Declaration and Signature

I , the undersigned, declare that the information provided is true, accurate, and complete to the best of my knowledge. I understand that providing false information may result in the rejection of my application. I authorize the guarantor service to carry out the necessary background checks, including credit checks and employment verification.

A big thank you from us to all tenants past and present for their kind words about Brixa!”

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