Application To Rent

APPLICATION TO RENT Each Individual Occupant Who is Responsible for Rent Payment MUST Complete A seperate Application Form
Rent Range		Are you a Smoker?
Bedrooms Required

First Name		Last Name
Middle Initial		Date of Birth
Social Insurance Number		Drivers License Number
Home Phone Number

Present Home Address
Landlord/Contact		Landlord/Contact Phone
City		Province
Length of Time		Reason From Leaving

Previous Home Address
Landlord/Contact		Landlord/Contact Phone
City		Province
Length of Time		Reason From Leaving

Next Previous Home Address
Landlord/Contact		Landlord/Contact Phone
City		Province
Length of Time		Reason From Leaving

PROPOSED OCCUPANTS Describe each & every person who will occupy the premises.

Do you have any Pets?		Do you have any liquid filled furniture?
If yes, please describe		If yes, please describe

EMPLOYMENT / FINANCIAL INFORMATION
Present Occupation		Employer Name
How long with this employer		Employer Phone
Name of Supervisor		Employer Address

Previous Occupation		Employer Name
How long with this employer		Employer Phone
Name of Supervisor		Employer Address

Gross Income $	per (year/week/day)

EMERGENCY INFORMATION
In case of emergency notify		Address
Phone		Relationship

VEHICLE INFORMATION
Vehicle Make		Vehicle Model
Vehicle Year		License No.

Vehicle Make		Vehicle Model
Vehicle Year		License No.

Have you ever filed for bankruptcy?		Have you ever been evicted or asked to move?
If yes, date bk filed and describe		If yes, please describe

APPLICANT AUTHORIZATION
Applicant represents that all the above statements are true and correct and hereby authorizes landlord/agent to verify the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request.
I agree to to these terms and conditions: