Tenant Self-Disclosure Form (Mieterselbstauskunft)

A Apartment You Are Applying For

Apartment Address (Street, House No., Postal Code, City)

Desired Move-in Date

Total Number of Occupants (including yourself)

Full Name (First and Last)

Date of Birth

Nationality

Current Address (Street, House No., Postal Code, City)

Phone Number

Email Address

Marital Status

Living in Germany Since

Leave empty if no additional persons. Add one row per person.

Full Name	Date of Birth	Relationship	Nationality	Net Income/Month (€)

Current Occupation / Job Title

Employer / University

Employed / Enrolled Since

Employment Type

Full-time Part-time Student Self-employed

Monthly Net Income (€)

Additional Income (€/month, e.g. BAföG, scholarship)

Proof of Income

Yes, enclosed / available No

Have you filed a statutory declaration of insolvency (Offenbarungseid) in the last 3 years?

No Yes

Have you had payment orders or enforcement proceedings against you in the last 3 years?

No Yes

Do you currently have rent arrears, or have you been evicted for rent arrears in the past?

No Yes

Do you have pets?

No Yes

If yes — which pets? (type and number)

Other Comments / Remarks

City (where you are signing)

Date

Your Signature (draw with finger, stylus, or mouse)

Sign here

The signature will be embedded in the PDF