Application For Rental Accommodation

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APPLICATION FOR RENTAL ACCOMMODATION
1131 Newmarket Street
Ottawa, ON
Must be filled out on every page in block printing.
K1B 4N4
(Not in writing)
Office:
(613) 742-5778 Rentals: press 1
Must be signed by all applicants.
Fax:
(613) 745-5970
Applications can be submitted by fax, email or in person.
Web:
Incomplete applications will not be processed.
Email:
Hours:
Mon-Fri 8:30 am – 5:00pm
RENTAL UNIT INFORMATION
Address of property applied for:
Requested lease start date:
Rent amount
$
PERSONAL INFORMATION – APPLICANT 1
Name of applicant
E-mail address:
Date of birth (yyyy/mm/dd)
Social Insurance Number
Drivers license
Home telephone
Work telephone
Auto make/model
License plate number
Cell. telephone
Current address
City/Prov.
Postal Code
Current rent
Years at this address
Current landlord
Telephone
Business telephone
Previous address
City/Prov.
Postal Code
Rent amount
Years at this address
Previous landlord
Telephone
Business telephone
EMPLOYMENT/FINANCIAL INFORMATION
Have you ever filed for assignment of bankruptcy or declared bankruptcy?
If so, date discharged?
PLEASE NOTE: INCOME SOURCES WILL BE VERIFIED. IF YOU ARE SELF-EMPLOYED, RETIRED,
OR RECIEVE ANY TYPE OF GOVERNMENT ASSISTANCE, AN INDEPENDENT CONFIRMATION OF
YOUR STATED OCCUPATION AND INCOME *MUST* BE PROVIDED WITH THIS APPLICATION,
SUCH AS YOUR MOST RECENT NOTICE OF ASSESSMENT FROM CANADA REVENUE AGENCY.

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