RESIDENTIAL RENTAL APPLICATION

(렌트 신청서)

Landlord

Name:

Address:

Phone:

Rental Property Information

Address:

Suite # (if applicable):

Anticipated Possession Date:

Term of the Tenancy:

Monthly Rent Payable:

Security Deposit Payable:

Applicant’s Personal Information

Applicant’s Name:

Home Phone:                                                              Alternative Phone:

Email Address:                                                             Date of Birth:

Applicant’s Social Insurance #:

Second Applicant’s Name:

Second Applicant’s Date of Birth:

Second Applicant’s Social Insurance #:

Third Applicant’s Name:

Third Applicant’s Date of Birth:

Third Applicant’s Social Insurance #:

Dependant’s Name(s):                                                Date(s) of Birth:

___________________________________                       _________________________________

___________________________________                       _________________________________

___________________________________                       _________________________________

___________________________________                      __________________________________

___________________________________                      __________________________________

Do you have a pet(s)?  Y/N                                        How Many?

Please provide description of pet(s):

____________________________________________________________________________________________

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Residential History

Present Address:

City:                                                                             Province/Territory:

Postal Code:                                                               How Long at This Address?

Landlord’s Name:                                                       Landlord’s Phone:

Previous Address 1:

City:                                                                             Province/Territory:

Postal Code:                                                               How Long at This Address?

Landlord’s Name:                                                       Landlord’s Phone:

Previous Address 2:

City:                                                                             Province/Territory:

Postal Code:                                                               How Long at This Address?

Landlord’s Name:                                                       Landlord’s Phone:

Employment Details

Employer:                                                                    Position:                                  

Date Hired:                                                                  Salary:

Supervisor’s Name:                                                      Supervisor’s Phone:

If employed less than one year with the present Employer:

Previous Employer:                                                      Position:                                  

Date Hired:                                                                  Salary:

Supervisor’s Name:                                                      Supervisor’s Phone:

Other Sources of Income

Do you receive income from any of the following sources?  Y/N

Student Loans: $________   Pension Benefits: $________   Social Assistance: $________  Other: $________

Please provide contact persons who can verify the amount of income you receive:

____________________________________________________________________________________________

____________________________________________________________________________________________

Vehicle Information

Make/Model:                                                               Year:

License Plate #:                                                           Driver’s License #:

Make/Model:                                                               Year:

License Plate #:                                                           Driver’s License #:

Parking Stall Required?  Y/N

Banking Information

Banking Institution:

Address:

Phone #:

If you bank at more than one institution, please list below

Banking Institution:

Address:

Phone #:

References (other than family)

Name/Relationship:                                                                Phone:

Name/Relationship:                                                                Phone:

Name/Relationship:                                                                Phone:

Emergency Contact

Name/Relationship:                                                                Phone:

Criminal & Credit Background Check Authorization

 Are there any issues that we may find in our criminal &/or credit background check that you feel we should be made aware of?  Y/N

If so, please comment:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 I hereby declare that the information that I have provided is accurate. I authorize the individual or organization to whom this application is submitted to: (a) Contact any/all persons (i.e. Landlord’s, Employers, References, etc.) names in this application (b) Perform a credit and/or criminal check to ensure my suitability as a Tenant/Lessee.

Applicant’s Signature:                                                             Date: