I/We hereby make an application to rent (Address),
from the date
at a monthly rental rate of $ to become due and payable in advance on the first day of every month during my tenancy.


Name
Home Phone
Mobile
SIN#(Optional)
Drivers License #
Date Of Birth
Email Address:
Occupation


Other Occupants
Name:
Relationship
Age
Name:
Relationship
Age
Name:
Relationship
Age
Do you have any Pets?
If so describe?
Reason for vacating your present place of residence:
LAST TWO PLACES OF RESIDENCE
Address 1
From
to
Name of Landlord
Landlord's Telephone
Rent being paid
What utilities do you pay
Address 2
From
to
Name of Landlord
Landlord's Telephone
Rent being paid
What utilities do you pay
PRESENT EMPLOYMENT
Employer
Business Address
Business Telephone
Position Held
Length of Employment
Name of Supervisor
What time is best to contact your supervisor
Current Salary Range Monthly $
PRIOR EMPLOYMENT
Employer
Business Address
Business Telephone
Position Held
Length of Employment
Name of Supervisor
What time is best to contact your supervisor?
Current Salary Range Monthly $
Do you have any other source of income?(i.e.loans, OSAP, family, government)
If yes, how much per month?
Do you have any collections of judgements outstanding against you?
If yes, provide details
Have you ever been evicted or taken to court by a Landlord OR otherwise a Tenancy Agreement?
If yes, provide details
Please confirm that you are aware that 1st and last month's rent is due at lease signing that ALL post-dated cheques are required.Yes I am aware;
PERSONAL REFERENCES(other than Employment References)
Name:
Telephone Number(s)
Length of Acquaintance
Occupation
Relationship to Acquaintance
Option
Name
Telephone Number(s)
Length of Acquaintance
Occupation
Relationship to Acquaintance
IN CASE OF EMERGENCY, Contact Next of Kin
Name
Telephone
Address
Relationship
AUTOMOBILE(S): Do you have any vehicles that will be parked at the address:
Make
Model
Year
License Plate Number
Make
Model
Year
License Plate Number
 The Application consents to the collection, use and disclosure of the Applicant's personal information by the Landlord and/or agent of the Landlord, from time to time, for the purpose of the determining the creditworthiness of the Applicant for the leasing, selling or financing of the premises or the real property, or making such other use of the personal information as the Landlord and/or agent of the Landlord deems appropriate.The Applicant represents that all statement made above are true and correct.The Applicant is hereby notified that a consumer report containing credit and/or personal information may be referred to in connection with this rental. The Applicant authorizes the verification of the information contained in this application and information obtained from personal references. This application is not a Rental or Lease Agreement. In the event that this application is not accepted, any deposit submitted by the Applicant shall be returned. By signing, the applicant agrees that ALL information and statements made in the application are true and falsifying and details will be ground for dismissal or denying the application.