Application For Rental Accommodation Page 3

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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
ALL OCCUPANTS - ALL ADULT OCCUPANTS MUST COMPLETE THE APPLICATION FORM
List the names and ages of all intended occupants
Age
3.
1.
4.
2.
5.
YES/NO
YES/NO
Is anyone a smoker?
Do you have any pets?
Describe type of pet, breed, age, size, and temperament
ALL APPLICANTS (continued)
Have you given proper notice to vacate?
Applicant 1
Applicant 2
Why are you vacating your current address?
I/We, the applicant(s), understand and agree that:
1. A deposit in the amount of $ ___________ (last month’s rent) will be provided upon approval of this rental application. The deposit
will become non-refundable once received and considered confirmation by the applicant(s) of their intention to rent the premises
applied for. The last month’s rent deposit must be delivered to our office in the form of: cash, certified cheque, money order, or bank
draft.
Important Information **
The word “Information” means credit information, personal information, information about the services you use that are provided by the
Landlord as listed in this rental application and information relating to your tenancy at the Premises applied for in this rental application

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