Rental Application Form

EACH ADULT MUST SUBMIT A RENTAL APPLICATION
Please take your time in filling in this application.
Your references will be contacted for verification.

We thank you in advance for your interest in renting with us.

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This field is for validation purposes and should be left unchanged.
APPLICATION FOR VIEWING AND RENTAL
Number of adults:*
Number of Children:*
Give age or each child under 18:
Do you smoke?*
Do you smoke?
FIRST ADULT RENTERS INFORMATION:
****** FULL Name First Adult*
Prefix First Middle Last
****** Date of birth first adult:
MM slash DD slash YYYY
****** Phone first adult:*
****** Email first adult:*
SECOND ADULT
###### FULL Name Second Adult
Prefix First Middle Last
###### Date of birth second adult:
MM slash DD slash YYYY
###### Phone second adult:
###### Email second adult:
CURRENT Address*
Street Address Address Line 2 City State / Province / Region
Start Of Your Current Tenancy:
Monthly Rent amount:
First Name Of Current Landlord:
Last Name Of Current Landlord:
Current Landlord Phone Number:
Reason for leaving:*
Name of PRIOR Landlord to where you are living now.
First Last
How long did you live there:
PAST Landlord Phone Number:
Monthly rent amount:
Reason for leaving:
*******Employment Status & Income Verification**********
Other Income description: Disability, Income Assistance Savings etc)
FIRST ADULT EMPLOYMENT
****** CURRENT Employer Name & Address FIRST adult:*
****** CURRENT Job Title FIRST adult:*
****** How long have you worked here? FIRST adult:*
****** Monthly Salary FIRST adult:*
****** Current employer phone. FIRST adult:*
SECOND ADULT EMPLOYMENT
###### CURRENT Employer. Name & Address SECOND adult:
###### CURRENT Job Title SECOND adult:
###### How long have you worked here? SECOND adult:
###### Monthly Salary SECOND adult:
###### Current employer phone. SECOND adult:
MUST have THREE (prefer local) personal references. MUST NOT BE FAMILY MEMBERS
1) Personal reference NAME*
1) Personal Reference Phone*
1) How Long Have They Known You*
1) Relationship: Friend/old employer or landlord/teacher etc*
1) Where do they live? What town/province?*
SECOND PERSONAL REFERENCE (Prefer local references.) MUST NOT BE FAMILY MEMBERS
2) Personal reference NAME*
2) Personal Reference Phone*
2) How Long Have They Known You*
2) Relationship: Friend/old employer or landlord/teacher etc*
2) Where do they live? What town/province?*
THIRD PERSONAL REFERENCE (Prefer local references.) MUST NOT BE FAMILY MEMBERS
3) Personal reference NAME*
3) Personal Reference Phone*
3) How Long Have They Known You*
3) Relationship: Friend/old employer or landlord/teacher etc*
3) Where do they live? What town/province?*
By submitting this rental application you state that the information is true and you authorize your references as listed above to release information regarding your employment and/or past/current tenancies.
By submitting this electronic application for rental, you authorize a credit check and criminal check to be conducted.