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Der/die Mietinteressent(en) erteilt dem Vermieter
StudiZentrum Nordhausen GmbH, Rautenstrae 8a, 99734 Nordhausen
hiermit folgende freiwillige und wahrheitsgeme Selbstauskunft:
MietinteressentName/VornameGeburtsdatum StaatsangehrigkeitFamilienstand
(ledig, verheiratet) Anschrift
LebensunterhaltTelefon privat Handy - NummerName BankKonto-Nr./BLZE-Mail:
Achtung: Wichtiger Hinweis!
Ein etwaiger Mietvertrag kommt nur unter der Bedingung zustande, dass die Angaben der Wahrheit entsprechen.
Der/die Mietbewerber versichert/n hiermit ausdrcklich und rechtsverbindlich, dass die vorstehenden Angaben richtig und vollstndig sind. Sollte sich nach Abschluss des Mietvertrags herausstellen, dass einzelne Angaben falsch sind, ist die Vermieterseite berechtigt, den Mietvertrag anzufechten bzw. diesen fristgerecht gegebenenfalls sogar fristlos zu kndigen.
Der/die Mieter ist/sind zur sofortigen Rumung und Herausgabe des Mietobjekts verpflichtet und hat/haben dem Vermieter jeden mittelbaren und unmittelbaren Schaden zu ersetzen.
.............................................., den ..........................
............................................................ .............................................................. (Mietinteressent/in) (Mietinteressent/in)
______________________________________________________________________________________________________________________
StudiZentrum Nordhausen GmbH Telefon: 0 36 31 / 47 30 88 -0 mail: ndh@studizentrum.de
99734 Nordhausen Fax: 0 36 31 / 47 30 88 30 Steuernummer: 157/120/03526
Rautenstrae 8a
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