Residential Rental Application
For inquiries about the rental property, please contact Danielle:
email address: rentmerockland@gmail.com phone: 613-863-2154
Rental Property Address
Please Select
1825 Laurier St
1829 Laurier St
1833 Laurier St
1395 Laurier St
1999 Laurier St
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Personal information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Desired Move-In Date
*
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Co-Applicant's Personal Information (if applicable)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
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Other Occupants' Information (if applicable)
Occupant 1
Occupant 2
Occupant 3
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Rental History
Current Residence
Are you currently renting?
*
Yes
No
Current Address
*
How long have you been residing at this address?
*
Monthly Rent
$
Landlord's Name
First Name
Last Name
Landlord's Phone Number
Please enter a valid phone number.
Reasons for leaving this property
*
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Previous Residence (if applicable)
Previous Address
How long did you reside at this address?
Monthly Rent
$
Landlord's Name
First Name
Last Name
Landlord's Phone Number
Please enter a valid phone number.
Reasons for leaving this property
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Incident History
Have you ever been evicted from a rental residence?
*
Yes
No
Have you missed two or more rental payments in the past 12 months?
*
Yes
No
Have you ever refused to pay rent when due?
*
Yes
No
If you have answered YES to any of the above, please state your reasons and/or circumstances:
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Employment Information - Current Employment
Employment Status
*
Full-Time
Part-Time
Student
Unemployed
Retired
Current Employer
Supervisor's Name
First Name
Last Name
Phone
Please enter a valid phone number.
Job Title
Date Hired
-
Month
-
Day
Year
Date
Monthly Income
$
Other sources of income
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Previous Employment (if applicable)
Previous Employer
Supervisor's Name
First Name
Last Name
Phone
Please enter a valid phone number.
Job Title
Date Hired
-
Month
-
Day
Year
Date
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Co-Applicant's Current Employment (if applicable)
Employment Status
Full-Time
Part-Time
Student
Unemployed
Retired
Current Employer
Supervisor's Name
First Name
Last Name
Phone
Please enter a valid phone number.
Job Title
Date Hired
-
Month
-
Day
Year
Date
Monthly Income
$
Other sources of income
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Co-Applicant's Previous Employment (if applicable)
Previous Employer
Supervisor's Name
First Name
Last Name
Phone
Please enter a valid phone number.
Job Title
Date Hired
-
Month
-
Day
Year
Date
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Proof Of Income and ID
The applicant is required to attach proof of their income to this rental application form, as well as a copy of their ID. Acceptable income documentation includes pay stubs, employer’s letter/certificate, bank statements or copies of the previous year’s tax return.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
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Credit History and Background Check Authorization
Have you declared bankruptcy in the last seven (7) years?
*
Yes
No
Do you consent to a credit check?
*
Yes
No
Is there anything that we may find in our credit check that you want to comment on?
Do you consent to a criminal background check?
*
Yes
No
Is there anything that we may find in our criminal check that you want to comment on?
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Additional Information
Pets
The landlord allows pets in the rental property, with the following restrictions: a.restrictions on pets to be discussed with tenants.
Do you own a pet?
*
Yes
No
If YES, please describe the pet:
Smoking
The landlord does not allow smoking of cigarettes in the rental property. The landlord does not allow smoking of marijuana in the rental property. The landlord does not allow vaping in the rental property.
Waterbeds
The landlord does not allow the use of waterbeds on the premises
I declare that the information I have provided is true and correct, and contains no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and the Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies. The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of the application.
*
Co-Applicant's Signature
Date
*
-
Month
-
Day
Year
Date
SUBMIT
SUBMIT
Should be Empty: