Self Disclosure Mr. John Sample (45)

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1 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Prsonl dt born on July 26, 1970 Prossion Unmployd Ntionlity Grmny Employmnt Unmployd Strt Smpl Strt 3 City PE12 34G Smpl City Employmnt contrct Monthly incom Ovrviw o ttchmnts Idntiiction ttchdd Grnt prormnc Kup Aprtmnt uthority Crtd on / 16:57 on 1 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

2 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Nm John Smpl Phon born on July 26, 1970 Fx Plc o birth Smpl City Mobil Ntionlity Grmny Fcbook Mritl sttus Divorcd Instgrm Idntiiction Prsonl IDd LinkdIn Numbr Skyp Xing Currnt Addrss Smpl Strt 3, PE12 34G Smpl City Grmny Crtd on / 16:57 on 2 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

3 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Prossion Unmployd Typ o unmploymnt Unmploymnt bnits typ 1 Prormnc uthoriztion bill Ys - ttchd Numbr o rquirmnt crtiiction Covrd Vlu (in Eur) Vlid until Apr 1, 2018 KuP Aprtmnt Authority Ys - ttchd Ys - ttchd Crtd on / 16:57 on 3 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

4 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts No Incom ddd in Eur / Month,- Crtd on / 16:57 on 4 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

5 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts 1. Ar you r o rntl dbts rom ormr rntl contrcts? ys no 2. Cn you ssur tht you hv NOT ondd ny obligtions o your ormr rnting contrct in th pst? 3. Cn you ssur tht you hv NOT bn ild with n jctmnt suit in th pst? 4. Ar you r o criminl rcord? 5. Ar you r o pnding dbts to ny third prty? 6. Ar you r o (pst) compulsory xcution? 7. Ar you r o grnishmnts / distrins? 8. Ar you r o pymnt summons or court ordrs? 9. Cn you ssur tht you hv NOT givn out n idvit? 10. Ar you r o bnkruptcy suits in th pst? 11. Ar you r o currnt bnkruptcy suits? 12. Ar you Nonsmokr? 13. Ar you not plying ny instrumnts? 14. Ar thr ny intntions to hous othr prsons in th utur? 15. Do you hv n intntion to utiliz th proprty in n commrcil wy? 16. Do you hv cr? 17. Do you wnt to rnt ny prking spc(s)? 18. Do you hv prsonl libility insurnc? 19. Othr Inormtion Crtd on / 16:57 on 5 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

6 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts From My 1, Mrch 1, 2015 Currnt Rnt Addrss Lndlord Smpl Rod 3, PE12 34G Smpl Town, Grmny John Dow Lndlord's phon Endd by Rson why tnncy cm to n nd April 1, April 1, 2000 Addrss Lndlord Smpl Stt 12, PE12 34G Smpl Town, Grmny John Smpl Lndlord's phon Endd by Rson why tnncy cm to n nd Crtd on / 16:57 on 6 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

7 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Idntiiction ttchmnt Crtd on / 16:57 on 7 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

8 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Prormnc uthoriztion bill - 1 / 1 Crtd on / 16:57 on 8 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

9 Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Dposit nd commission bill - 1 / 1 Crtd on / 16:57 on 9 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

10 Powrd by TCPDF ( Sl Disclosur Mr. John Smpl (45) Unmployd Unmployd ID: #LEJIQK 100% ţ Ovrviw Prson Employmnt Incom Gn. Ino. Rntl Attchmnts Rsidnc quliiction crtiict - 1 / 1 Crtd on / 16:57 on 10 o 10 0cb148b1b644b c bd9c803c943c8c2c311d41d8cd9800b c842753d42b65bd5b43d c352321

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