Voluntary disclosure

Please take some time to fill out this voluntary disclosure of your personal information.
Your data is vital for the completion of your rental contract.
All information will be treated as confidential.
You can also download the voluntary disclosure as a PDF or a Word-Document


I'm applying for this property Please name the property.
According to these conditions:
Rent EUR Please enter a value. excl./ Deposit
+ EUR Garage    
+ EUR Please enter a value. Ancillary costs    
+ EUR Please enter a value. Heating    
+   municipal utilities      
           
Start date Please enter a value. Commision: 2,38 month's rent incl. 19% tax
Name: Please enter a value.   Date of birth: Please enter a value.
First name: Please enter a value.   Nationality: Please enter a value.
Street: Please enter a value.   ZIP code/city: Please enter a value.
Phone (pers.): Please enter a value.   Phone (business):
Mobile phone: Please enter a value.   Email: Invalid format.
Employer's address: Please enter a value.
     
Occupation: Please enter a value. Employed since: Please enter a value.
Marital status Please select one. Net income: Please enter a value.
Children: Please enter a value. Pets: Please select one.
Sponsor for (Students / trainee) Please enter a value.
     
By sending this form, I confirm that all information I provided is accurate, that I live in orderly financial circumstances and have not sworn an oath of disclosure.
All information is subject to the data protection act.