Tenant self-disclosure All information you provide is voluntary. Note: If you are missing any documents, you can save the form at any time and continue later. To do this, use the "Save and continue later" button at the end of the form.Property information (location, base rent):Information about the persons1. TenantName first NameRegistered addressresidential addressbirth date DD.MM.YYYY phoneMobilee-mail If applicable, a second tenant as a contractual co-tenant with joint and several liability:Name first NameRegistered addressbirth date DD.MM.YYYY Mobilee-mail Other people in the household (free description)Number of people in the householdOf which childrenAge of persons in the household (please specify with commas separated)Information on occupation and employment statusOccupation: TenantIf applicable, name and address of the employerEmployed since DD.MM.YYYY Current occupation: Co-tenantName/address of the employer of the co-tenant(s)Employed since DD.MM.YYYY Our household income is More than three times the rent Less than three times the rent Monthly net household incomeVoluntary information. Proof of creditworthiness and net income (e.g. payslip, bank statement, income tax assessment) only needs to be submitted upon conclusion of the rental agreement.Would you like to voluntarily attach proof of income for the last 3 months? Yes No Proof of income (voluntary information) Drag files here or select files Maximum file size: 128 MB. e.g. payslip, bank statement, income tax assessmentOther InformationName and address of the current landlord(s)Amount of current rent (rent plus additional costs)Reason for moving houseHas there been, or is imminent, or is currently happening in the last 4 years...?....a seizure against you or the second tenant? Yes No ...eviction proceedings against you or the second tenant? Yes No ... a sworn statement from you or the second tenant(s) Yes No A private/consumer insolvency against you or the second tenant? Yes No Animal husbandryDo you keep animals? Yes No Which ones / How many?Explanation* I/We declare that I/we have answered all questions truthfully and that I/we am/are able to fulfill all obligations arising from the tenancy agreement ; this applies in particular to the payment of rent and utilities, as well as the security deposit. Furthermore, I/we am/are aware that false statements may constitute grounds for termination of the tenancy agreement based on such statements. I have received and acknowledged the information on data protection/transparency obligations regarding data processing in accordance with Articles 13 and 14 of the General Data Protection Regulation (GDPR) as an attachment. The real estate agent will use my data only for the purpose of the tenancy and for providing further related information or alternative rental offers, unless otherwise agreed. Credit report* I am aware that, according to §34 of the Federal Data Protection Act (BDSG), the landlord not allowed to demand the submission of a self-disclosure report from credit agencies (such as SCHUFA, Creditreform, Bürgel, etc.). Credit report decision* Accordingly, I/we do not such information regarding my/our creditworthiness. I/We would still like to voluntarily attach a credit report, which may be kept confidential for the duration of the tenancy or destroyed if the tenancy is rejected. We expressly authorize the landlord or real estate agent, solely for the purpose of the tenancy agreement, to obtain such information, which may be kept confidential for the duration of the tenancy or otherwise destroyed in the event of a rejection. Credit report (voluntary information)Maximum file size: 128 MB.e.g. SCHUFA, Creditreform, Bürgel, ...This field will be hidden when the form is displayedRecipient PhoneThis field is used for validation purposes and should not be changed.
