Application for Rental Accommodation

The Landlord Acknowledges the Confidentiality of This Document

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Accommodation Information

City*

Building*

Unit Type

Date Requested*

Names of all people to occupy this property

Adults*

Children

Personal Information

Applicant

Full Name

Date of Birth

Phone Number

Email Address

Social Insurance Number

Driver’s License Number

Co-Applicant

Full Name

Date of Birth

Phone Number

Email Address

Social Insurance Number

Driver’s License Number

Present Address

Applicant

Street Address

City

Province

Country

Postal Code

Length of Tenancy

Months

Co-Applicant

Street Address

City

Province

Country

Postal Code

Length of Tenancy

Months

Previous Address

Applicant

Street Address

City

Province

Country

Postal Code

Length of Tenancy

Months

Co-Applicant

Street Address

City

Province

Country

Postal Code

Length of Tenancy

Months

Current Employment Information

Applicant

Employer*

Occupation

Length of Employment*

Months

Supervisor Name*

Supervisor Phone*

Co-Applicant

Employer

Occupation

Length of Employment

Months

Supervisor Name

Supervisor Phone

Previous Employment Information

Applicant

Employer

Occupation

Length of Employment

Months

Supervisor Name

Supervisor Phone

Co-Applicant

Employer

Occupation

Length of Employment

Months

Supervisor Name

Supervisor Phone

Credit Information

Applicant

Income*

Per month
(net after tax)

Bank Name

Branch Name

Co-Applicant

Income

Per month
(net after tax)

Bank Name

Branch Name

Rental History

Applicant

Current Landlord*

Current Landlord Phone*

Previous Landlord

Previous Landlord Phone

Co-Applicant

Current Landlord

Current Landlord Phone

Previous Landlord

Previous Landlord Phone

Emergency Contact

Applicant

Name*

Address*

Phone Number*

Relationship*

Co-Applicant

Name

Address

Phone Number

Relationship

Additional Information

Message

All statements that I have made in this application are true. By signing this application, ALL personal information is consensually given for use by us or our appointed agents in respect to your application, subsequent tenancy, or on- file records in accordance to The Personal Information Protection and Electronic Documents Act (PIPEDA 2004) This is to include and extend to the gathering and consent to access of account information and status for ALL utility companies that the Tenant may enter into contracts with for the duration and for periods after the termination of the tenancy to ensure accounts are in good and current standing during and at the completion of the lease period.

I agree to the terms above