Votre garantie de loyer pour un bail d'habitation

Informations sur le (ou les) locataire(s)

Veuillez remplir ce formulaire conformément aux informations figurant sur votre bail ou projet de bail.

= Information obligatoire

Locataire principal
Titre / Nom :		Mlle Mme M.
Prénom :
Date de naissance :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Nationalité :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Suisse Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe permis B permis C
Profession :
Adresse (actuelle) :
Adresse suite :
NPA / Localité :
Pays :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Suisse Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe
Téléphone mobile :		Un sms vous sera adressé pour vous confirmer l’émission de votre certificat de garantie de loyer.
Téléphone privé :
Téléphone professionel :
E-mail :		Votre adresse e-mail est indispensable pour vous envoyer votre numéro de demande de garantie de loyer.
Confirmation de l'e-mail :

2ème Locataire ou Garant Retirer cette personne
Titre / Nom :		Mlle Mme M.
Prénom :
Date de naissance :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Nationalité :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Suisse Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe permis B permis C
Profession :
E-mail :

3ème Locataire ou Garant Retirer cette personne
Titre / Nom :		Mlle Mme M.
Prénom :
Date de naissance :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Nationalité :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Suisse Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe permis B permis C
Profession :
E-mail :

Veuillez saisir tous les Locataires ou Garants inscrits sur votre bail.

Informations sur votre bail et votre garantie de loyer

Veuillez remplir ce formulaire conformément aux informations figurant sur votre bail ou projet de bail.

= Information obligatoire

Informations sur votre bail
Date de début du bail :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Adresse de l'objet loué :
Adresse suite :
NPA / Localité :
Agence immobilière (Représentant du bailleur)
Nom de l'agence immobilière :
Adresse :
NPA / Localité :
Pays :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Suisse Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe
Bailleur (Propriétaire)
Nom du bailleur :
Adresse :
NPA / Localité :
Pays :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Suisse Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe
Montant de votre garantie de loyer
Loyer mensuel : (hors charges)		CHF
Montant de votre garantie de loyer : (maximum CHF 15’000.-)		CHF
Conditions générales
Je déclare accepter, ainsi que tous les Locataires ou Garants inscrits sur le bail ou projet de bail, les conditions générales de SwissCaution.
Je souhaite recevoir une offre sans engagement d'assurance RC.