Tenant Collections Form - Affinity Credit Solutions

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If this is your first account, complete this now.

ResidentialCommercial Type of Tenancy

Your Information

First Name*

Last Name*

Company Name

Address*

City*

Province*

Postal Code*

Phone*

Email Address*

Property Information

Property Address*

City*

Province*

Postal Code*

Property / Code / Ref.

Exit Date* (YYYY/MM/DD)

VacatedEvicted Exit Terms

Tenant Information

Tenant 1

First Name*

Middle Name

Last Name*

Date of Birth* (YYYY/MM/DD)

Forwarding Address

City

Province

Postal Code

Phone

Email Address

Place of Employment

Employer Phone

RTDRS Orders/Judgments

YesNo Do you have a court order or judgment?*

If yes - What is the amount? ?

Balance Clarification and Reconciliation

Charges - Tenant Owes

Rent Owing

Late or NSF Fees

Cleaning Charges

Carpet Cleaning

Garbage Removal

Repair Walls

Painting

Flooring Repairs or Replacement

Misc Repairs

Locks and Keys

Other

Credits - Tenant Balances

Damage Deposit

Other

Totals

Total Charges

Total Credits

Total Balance Due to Landlord

Supporting documents (Supported file types: jpg,pdf,docx. Each file must be under 2MB.)

The types of supporting documents are:

Court Orders/Judgments
Lease Agreement
Photos
Rental Applications
Statement of Security Deposit

Choose a file…

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