Self-disclosure

Self-disclosure
Address of the property

Street and house number

Straße und Hausnummer (zweite Zeile)

CityBundesland

Postleitzahl
Full name*

First nameLast name
Desired rental starting date*

TagMonatJahr
Date
Desired length of stay*
Months
Complete CMR address, including APO number*

Straße und Hausnummer (zweite Zeile)

StadtBundesland

Postleitzahl
Birthday *

TagMonatJahr
Date
Nationality*
Passport number*
Phone number*
E-Mail*
Occupation*
Employed since*
Employer*
Monthly net income $*
LQA / OHA $*
Pets, type and number*
Children, relatives and other persons supposed to be also living in the apartment/house*
Agreement*

I agree that my details from the contact form will be collected and processed to answer my request. The data will be deleted after processing the request. Note: You can revoke your consent at any time for the future by e-mail to info@makler-wiesbaden.de. Detailed information on handling user data can be found in our privacy policy.I agree with a use of the given data for own purposes of the landlord (§ 22 Federal Data Protection Act)
The information contained in this self-assessment serves to assess the prospective tenant and is taken as the basis for the decision on the conclusion of the lease. A possible lease is on the condition that the information is true. Therefore, should it turn out after conclusion of the rental agreement that the individual details as provided above are incorrect, the renter is obliged to immediately evacuate and hand over the rental property and must compensate the landlord for all direct and indirect damage. I declare that I am in a position to fulfill all obligations as covered by the contract, in particular the payment of deposit, rent and utilities.
Signature*
Should be Empty: