Rental Application Apartment Rental Application Rental Application Please fill in all relevant information. Required fields are indicated by * Apartment Size Required * Bachelor 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom OtherOther Building Address * Unit # Rental Rate * Date Required * PERSONAL INFORMATION Applicant's Full Name * Home Phone * Cell Phone * Work Phone Email Address * Social Insurance Number Date of Birth * Marital Status * Single Married Divorced Common Law Co-Applicant's Full Name Home Phone Cell Phone Work Phone Email Address Social Insurance Number (Optional) Date of Birth Marital Status Single Married Divorced Common Law Other Residents (Include Children) Name Relationship Date Of Birth plus1 Add minus1 Remove RESIDENTIAL HISTORY Present Address * How Long There * Rent Amount * $ # of Late Rent Payments * Landlord/Management Company * Phone Number * Reason For Leaving * Previous Address How Long There Rent Amount $ # of Late Rent Payments Landlord/Management Company Phone Number Reason For Leaving INCOME INFORMATION Applicant's Income Information Employment Status * Full Time Part Time Student Retired Unemployed Income Assistance OtherOther Employer Length Of Employment Location Monthly Income Amount * $ Employment Supervisor (or Income Assistance Worker Name) Phone Number Co-Applicant's Income Information Employment Status Full Time Part Time Student Retired Unemployed Income Assistance OtherOther Employer Length Of Employment Location Monthly Income Amount $ Employment Supervisor (or Income Assistance Worker Name) Phone Number REFERENCES & OTHER INFORMATION Applicant’s Personal Reference (must not be a family relation) Name * Phone * Co-Applicant’s Personal Reference (must not be a family relation) Name Phone Do you have any Pets? * Yes No What Kind Of Pet? Are you willing to sign a pet agreement taking 100% responsibility for your pet? Yes No APPLICANT: Have you ever been asked to leave a rental unit? * Yes No Please Explain CO-APPLICANT: Have you ever been asked to leave a rental unit? Yes No Please Explain Emergency Contacts (someone not residing with you) Name * Phone Number * Relationship * plus1 Add minus1 Remove AUTOMOBILES Make Model License Plate Number Province plus1 Add minus1 Remove How Did You Hear About Us? * I hereby certify that the above information is true and complete and that I have not withheld any information relevant to this application. It is also understood that the property management and/or owner reserve the right to reject this application. I have read and understand these conditions. * I Agree I/we hereby give permission to the Landlord or their Agent(s) to obtain at any time a consumer/credit report about me/us, to contact previous landlords to obtain information about my/our previous tenancies, to contact agencies that provide landlord information, to contact my references, and to take any other reasonable steps necessary to assess this Rental Application, or for any renewal or extension of my/our tenancy. I/we also provide my/our consent to the Landlord or their Agent(s) to disclose information in my Rental Application and information arising from any tenancy between us to any third party for the purposes of providing a consumer/credit report or contributing information to a database of tenant information made available to landlords or their agents. * I Agree If you are human, leave this field blank. Send Application
