Application To Rent Form (Page 2 of 3) in pdf

Have y ou e ver r ented f rom a nother l ocal r ental c ompany? _ ________ I f s o, w hom? _ ________________

3. Employment H istory

Date(s): _ ___________________________ A ddress: _ ________________________________________

Current E mployer ( name): _ ______________________________ S upervisor n ame:__________________ P hone: ( ________)-‐________-‐

_______ A ddress:______________________________________________

Occupation: _ _____________________How L ong: _ _______Salary o r A nnual I ncome: _ _____________

Previous E mployer ( name): _ ______________________________ S upervisor N ame:_________________ P hone: ( ________)-‐________-‐

______ A ddress:________________________________________________

Occupation: _ _____________________ H ow L ong: _ _______ S alary o r A nnual I ncome:_________________

4. Spouse I nformation

Spouse’s L ast N ame: _ __________________ F irst: _ ____________________ M iddle: _ ______________

Date o f B irth ( y/m/d): _ ____ / _ ____ / _ ___ S ocial I nsurance N umber:_____________ D L # _________________

Current E mployer: _ _______________ S upervisor N ame _ __________________ H ow L ong: _ _______ P hone: ( ________)-‐________-‐

_______ S alary o r A nnual I ncome_______________

5. Vehicle I nformation

Vehicle I nformation ( y/make/model/color 1 .): _ _______ / _ _______ / _ _______ / _ _______

Vehicle I nformation ( y/make/model/color 2 .): _ _______ / _ _______ / _ _______ / _ _______

Vehicle L icense P late N umber 1 : _ ____________________ P rovince: _ _______________________________

Vehicle L icense P late N umber 2 : _ ____________________ P rovince: _ _______________________________

6. Credit H istory

Credit R eferences ( list b ank, c redit u nion, c harge a ccounts, o r o ther c redit r eferences.)

1. _ _______________________________________________________________________________________

2. _ _______________________________________________________________________________________

7. Personal R eferences ( list 2 p ersonal r eferences n ot r elated t o y ou)

1. N ame: _ _______________________________________ P hone: ( ________)-‐________-‐________

Street: _ __________________________ C ity: _ ______________________ P rovince: _ ______________

2. N ame: _ _______________________________________ P hone: ( ________)-‐________-‐________

Street: _ __________________________ C ity: _ ______________________ P rovince: _ ______________

Have y ou e ver b een c onvicted o f a c riminal o ffence? Y es___ N o___ ( If y es, o f w hat) _ ______________________

In c ase o f a n e mergency p lease n otify: _ _________________________ R elationship:_________________

Phone: ( ________)-‐_____-‐____Address:___________________________City_____________Prov._____

TENANCY W ILL B E D ENIED I F y ou m isrepresent a ny i nformation o n t he a pplication. I f m isrepresentations a re f ound

after t he r ental a greement i s s igned, y our r ental a greement w ill b e t erminated.

I d eclare t he a bove i nformation t o b e t rue a nd c orrect t o t he b est o f m y k nowledge. I g ive m y c onsent t o a ny

background c hecks n ecessary t o v erify t his i nformation a nd t o o btain m y c redit h istory f or t he p urposes o f t his r ental

application i n a ccordance w ith P rovincial L egislation.

Applicant’s S ignature: _ ______________________________ D ate: _ ________________________________

Application To Rent Form Page 2