319 Langbrae Application

Rental Application

Langbrae Suites at 319 Langbrae Drive
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Suite*
Possession Date*

MonthDayYear
Date
Monthly rent
Monthly Parking
Applicant Name*

First NameMiddle NameLast Name

Applicant Information *
Applicant Date of Birth*

MonthDayYear
Date
Applicant Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Phone Number (Res)*
Please enter a valid phone number.
Applicant Driver's License*
Applicant SIN
Applicant Reference Name (1)*
Applicant Reference Phone number(1)*
Please enter a valid phone number.
Applicant Reference Name (2)*
Applicant Reference Phone number(2)*
Please enter a valid phone number.
Applicant Emergency Contact Name*
Applicant Emergency Contact phone number*
Please enter a valid phone number.

Co-applicant information
Co-applicant Name

First NameMiddle NameLast Name
Co-applicant Date of Birth

MonthDayYear
Date
Co-applicant Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-applicant Phone Number (Res)
Please enter a valid phone number.
Co-applicant Driver's License
Co-applicant SIN
Persons who will occupy the suite other than above applicant/s
Co-Applicant Reference Name (1)
Co-Applicant Reference Phone number(1)
Please enter a valid phone number.
Co-Applicant Reference Name (2)
Co-Applicant Reference Phone number(2)
Please enter a valid phone number.

Other Applicants
Other Applicant Name (1)

First NameLast Name
Co-Applicant Date of Birth (1)

MonthDayYear
Date
Other Applicant SIN (1)
Other Applicant Name (2)

First NameLast Name
Co-Applicant Date of Birth (2)

MonthDayYear
Date
Other Applicant SIN (2)

Employment Information *
Applicant Current Employer*
Applicant Occupation*
Applicant Immediate Supervisor Name*
Applicant Immediate Supervisor Phone number*
Please enter a valid phone number.
Applicant Years Employed*
Applicant Employment Income*
Co-Applicant Current Employer
Co-Applicant Occupation
Co-Applicant Immediate Supervisor Name
Co-Applicant Immediate Supervisor Phone number
Please enter a valid phone number.
Co-Applicant Years Employed
Co-Applicant Employment Income

Landlord and Superintendent Information *
Present Landlord's Name*
Landlord's Address*
Landlord's phone number*
Please enter a valid phone number.
Present Superintendent Name*
Superintendent's phone number*
Please enter a valid phone number.
Reason for moving*
Is the landlord aware of your intent to move?*

YesNo
Previous Landlord's Name*
Previous Landlord's Address*
Previous Landlord's phone number*
Please enter a valid phone number.

Consent and Signature
It is understood that only those who are named on the lease will occupy the suite. I have received a copy of the Residential Tenancy Act.
I hereby consent to you obtaining factural or investigative information about me or to your procurring or causing to be prepared a credit or consumer report containing credit and personal information about me with respect to this application.

Information in connection with the entering into or renewal of a tenancy agreement may be conveyed to a third party.
Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Applicant Signature*

Clear
Co-Applicant Signature

Clear
Please verify that you are human*
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