Rental application form

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Apply for apartment
 Modern 2-bedroom apartment for rent at 4855 queen mary
Applicant 1
$ 100
Applicant 2
$ 100
Guarantor 1
$ 50
Total
$ 250

My deposit is applicable on my first month’s rent, if my application request is accepted. However, if I change my mind after filling out and signing this form, I renounce the reimbursement of my deposit