REQUIRED APPLICATION: Prior to Viewing and Rental

Company

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:

****** Phone first adult:*

****** Email first adult:*

SECOND ADULT

###### FULL Name Second Adult

Prefix First Middle Last

###### Date of birth second adult:

###### 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.