Residential Tenancy Rental Application Form (Page 4 of 4) in pdf

Residential Tenancy Rental Application Form Page 4

Page 4 of 4

The undersigned applicant hereby confirms the “Information” set out in this Application.

I/We hereby deposit with the Housing Provider the sum of $ ______________. I/We understand

and agree that payment of the deposit and the Housing Provider’s acceptance of it do not, in and of

itself, constitute a tenancy agreement. I further understand that upon acceptance of this

application by the Housing Provider, whether conveyed to me verbally or in writing, I shall be

deemed to have entered into a tenancy agreement with the Housing Provider in the terms of the

Housing Provider’s usual form, which I have had the opportunity to read and understand prior to

signing below. I further agree that upon acceptance of this application by the Housing Provider, I

will execute the same written tenancy agreement. In the event that I refuse or neglect to do so, I

agree to be bound by its terms jointly and severally with all co-applicants and the deposit above is

deemed as part of the rent forfeited

EXPRESS CONSENT

Applicant 1

Applicant 2



Yes, I have read, understood and

voluntarily consent to the above terms

and content.

Applicants’ Signature:

Print Name:

Date

(yyyy / mm / dd)

_____________________________________________________

_______________/___________/___________

Housing Provider’s Signature

Approved on Date: (yyyy / mm / dd)

Optimal Property Management Inc. 3-35 Stone Road, P.O. 218, Ancaster, ON L9K 1S5

Tel: 905-648-6440

Residential Tenancy Rental Application Form Page 4