Application For Rental Accommodation Page 2
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EMPLOYMENT/FINANCIAL INFORMATION (continued)
Occupation
Years at current
Annual $
employment
salary
Employer &
Supervisor(s) &
address
telephone #
Additional
Income from
$
income sources
other sources
$
REFERENCES
Emergency contact name
Address
Telephone
Personal reference (NOT a relative)
Address
Telephone
PERSONAL INFORMATION – APPLICANT 2
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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Parent category: Business