Rental Application
Personal Data
Name: Drivers Lic. Number
Exp. Date:
Present Address: Residential Phone:
City/Prov/Postal Code: Cell Phone:
Name of Co-Tenant: Drivers Lic. Number
Exp. Date:
Present Address: Residential Phone:
City/Prov/Postal Code: Cell Phone:
How long at present address? Lease Term Expiry:
Landlord Name: Landlord Phone:
Current Rent: Rent paid through:
Previous Address: How long:
Landlord Name: Landlord Phone:
Occupant 1: Relationship: Age: Pets?
Occupant 2: Relationship: Age:
Occupant 3: Relationship: Age:
Occupant 4: Relationship: Age:
Occupation
Present Occupation* Prior Occupation* Co-Tenants Occupation
Occupation
Employer
Business
Address
Business Phone
Type of
Business
Position Held
Name of
Supervisor
How long
Monthly Gross
Income
*If employed or self-employed less than two years, please provide prior occupation
References
Length of
Employer Reference Address Phone
Aquaintance
Length of
Personal Reference Address Phone
Aquaintance
**Landlords listed above will also be contacted
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Have you filed a petition for bankruptcy?
Have you ever been evicted for any tenancy?
Have you ever willfully and intentionally refused to pay any rent when due?
I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. I AUTHORIZE ITS
VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORT.
I agree that Landlord may terminate any agreement entered into in reliance on any mis-statement made
above.
Applicant: Dated:
Applicant: Dated:
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