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

Co-‐Applicant’s S ignature: _ ___________________________ D ate: _ ________________________________

ALL I NFORMATION H EREIN I S D EEMED C ONFIDENTIAL

AUTHORIZATION T O R ELEASE P ERSONAL I NFORMATION

(PRINT C LEARLY)

This is to advise that I, the undersigned hereby authorize ACTION PROPERTY MANAGEMENT GROUP the

Landlord, which term shall also include any landlord of any premises of which I/We may become tenants as a

result of this application, to obtain a consumer credit report, to conduct a criminal record search, an eviction

search and to make any other inquiries as deemed necessary in determining eligibility for tenancy and assessing

credit worthiness.

1. The Landlord, which term shall also include any landlord of any premises of which I/We may become tenants

as a result of this application, including any successor to such landlord is hereby authorized to obtain

whatever personal information about me/us as it may reasonably require, including but not limited to,

employment history and income, tenant history and credit information from;

a. current and former employers

b. current and former landlords

c. current and former suppliers, creditors and financial services

d. credit agencies

e. All Utility Companies

This Consent shall be sufficient authorization for such parties to disclose to Action Property Management any

personal information relating to me/us.

2. The Landlord is hereby authorized to disclose personal information about me/us gained from my/our

application and personal information about me/us relating to an obtained in connection with any tenancy that

may result from this application to any person who bona fide purports to be a prospective or current employer

or landlord of me/us without obtaining any further consent from me/us.

3. The landlord is hereby authorized to retain personal information about me/us as follows:

a. Where a tenancy results from this application, during any such tenancy and for up to 7 years after cessation of

such tenancy, provided that the landlord shall be entitled to retain information about performance or default of

any tenant obligations indefinitely; and

b. Where no tenancy results from this application, for up to 5 years for the purpose of considering it in

connection with possible future vacancies and/or subsequent application I/we may make.

I understand that the information set out in the rental application form may be used for purposes of responding to

emergencies, ensuring the orderly management of the tenancy, complying with legal requirements and for credit

reporting and collection purposes should rent be left owing or rental property damaged at termination of lease or

end of tenancy.

Applicant’s Signature: ____________________________________ Date: ______________________

Co-Applicant’s Signature: _________________________________ Date: ______________________

Application To Rent Form Page 3