RENTAL APPLICATION

 

The undersigned hereby makes an application to rent a 1 bedroom + den Suite located at:

Suite 301

234 Rideau St.

Ottawa, Ontario

 

 

Anticipated move date of May 1, 2014 at a monthly rent of $1550.

Last month rent to be paid at the signing of the lease by cash or certified cheque, first month rent to be paid at the day of possession by cash or certified cheque.

 

PLEASE TELL US ABOUT YOURSELF

 

Primary Applicant

Full Name (Last, First)

 

Home Phone

(†††† †††)

Date of Birth

 

Social Insurance Number

 

Email Address

 

Other phone

 

 

Co-Applicant

Full Name (Last, First)

 

Date of Birth

 

Social Insurance Number

 

 

List All Pets

 

Do you smoke?††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Yes††††† No

 

PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)

 

Current Address

 

Date MovedIn

 

Rent

$

Owner/Agent

 

Phone

(†††††† )

Reasons for leaving

 

 

Address

 

Date MovedIn

 

Rent

$

Owner/Agent

 

Phone

(†††††† )

 

Address

 

Date MovedIn

 

Rent

$

Owner/Agent

 

Phone

(†††††† )

 

PLEASE DESCRIBE YOUR CREDIT HISTORY

 

Have you:

Declared bankruptcy in the past (7) years?†††††††††††††††††††††††† ††††††††††††††††††† Yes††††† No

Ever been evicted from a rental residence?††† †††††††††††††††††††††††††††††††††††††††† Yes††††† No

Had two or more late rental payments in the past year?†††††††††††††††††††††††††† Yes††††† No

Ever willfully or intentionally refused to pay rent when due?†††††††††††††††††††† Yes††††† No

 

 

PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION

 

Your Status:

Full Time†††††††††††††††††††††† Part Time††††††††††††††††††††† Student†††††††††††† Unemployed

 

Employer

 

Address

 

Start Date

 

Position

 

Supervisor Name

 

Phone #

 

Salary

$†††††††††††††††††††††††† per

 

Previous Employer

 

Address

 

Start Date

 

Position

 

Supervisor Name

 

Phone #

 

Salary

$†††††††††††††††††††††††† per

 

PLEASE LIST YOUR REFERENCES

 

Banking Accounts:

Name

Type of Account

Account Number

 

 

 

 

 

 

 

Personal Reference

Name

 

Relationship

 

Address

 

Phone #

(†††††† )

 

Driverís license:

License #

 

Issuing Province

 

 

I hereby apply to lease the above described premises upon the conditions above set forth and agree that the rent is to be payable the first day of each month in advance. I warrant that all statements above set forth are true. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information obtained though personal interviews with others with whom I may be acquainted.

The above information, to the best of my knowledge is true and correct.

 

 

††††††††††††††††††††††† Please sign: X_________________________________________

 

††††††††††††††††††††††† Name of Applicant________________________†† Date:________

 

 

AUTHORIZATION

Release of information

I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment with this owner.

 

 

Name (Please print): _______________________________________

 

Signature: X______________________________ Date: ____________________

FAX to (613) 784-8968