APPLICATION FOR PROPERTY RENTAL
Address:
Date:
ALL INFORMATION MUST BE FILLED OUT IN FULL TO BE ABLE TO PROCESS YOUR APPLICATION IN A TIMELY MANNER.
We appreciate all your feedback. Please visit the website below to complete our survey. Completion of this will provide you with a credit of $25.00 that you may apply to your first month’s rent should you choose to rent with us and are approved. Thank you for your time.
PERSONAL INFORMATION:
Applicant Name:Phone:
Current Address: (YY/MM/DD)Date of Birth:
Driver’s License #: ______SIN: ______
Email address:
Co-Applicant Name:Phone:
Current Address: (YY/MM/DD) Date of Birth:
Driver’s License #: ______SIN: ______
Email address:
CURRENT/PAST RESIDENCE: (start with current address and list at lease 1 prior address going back to a maximum of 5 years, if applicable)
Applicant:
Landlord Name: ______Phone: ______Rent: ______
Length of Tenancy: ______Reason for Leaving: ______
Landlord Name: ______Phone: ______Rent: ______
Length of Tenancy: ______Reason for Leaving: ______
Co- Applicant:
Landlord Name: ______Phone: ______Rent: ______
Length of Tenancy: ______Reason for Leaving: ______
Landlord Name: ______Phone: ______Rent: ______
Length of Tenancy: ______Reason for Leaving: ______
EMPLOYMENT STATUS:
Applicant:
Employer:Phone:
Address:Contact:
Position:How Long:
Income:Other Income: ______
Co-Applicant:
Employer:Phone:
Address:Contact:
Position:How Long:
Income:Other Income: ______
MISCELLANEOUS:
Have you ever been a party to a Landlord and Tenant Board action? Yes No
If yes, when and why? ______
Have you ever been evicted? Yes No
If yes, when and why? ______
Do you have any pets? Yes No
If yes, what kind? ______
Spayed/neutered? Yes No
OTHER OCCUPANTS:
Name:______
Relationship to Applicant:______
Name:______
Relationship to Applicant:______
REFERENCES (excluding family members or friends):
Name:______Phone: ______
Address:______Relation: ______
Name:______Phone: ______
Address:______Relation: ______
EMERGENCY CONTACT (alternative address for service):
Applicant:
Name:Phone:
Address:Relation:
Co-Applicant:
Name:Phone:
Address:Relation:
I/We hereby certify that the above information is true and accurate to the best of my/our knowledge and grant permission for verification of same for the purpose of obtaining the above noted rental property. I/We also agreed that a credit check will be performed and I/we authorize permission for this. If I/We default in rent or fail to pay any further charges, I/We understand and agree that this may result in further court action at which point Mine/Our personal information may be submitted to a collections agency. I acknowledge and agree that this application in no way constitutes a tenancy agreement between the Landlord and the undersigned to any rental premises, and I/we understand that any tenancy agreement or lease will be entered into only upon the acceptance of this application by the Landlord, and is subject to the provisions and conditions described herein.
Should my/our application be approved, it is understood that LMR is due on signing of a 1 (one) year lease and that 1st Month’s Rent is due upon receiving keys. I/We also understand that upon approval and receipt of last months rent deposit, we also require a copy of a piece of photo identification (drivers licence, etc.). Keys will not be given until this is received along with both first and last. I/We will also be responsible for any/all damage caused by pets.
Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Office: 254 Brock Street, Suite #2 Upper, Peterborough, Ontario, K9H 2P7
Mailing: P.O. Box 742, Peterborough, Ontario, K9J 6Z8
Tel (705) 743-1168 Fax (705) 743-2332