Assignment Application Form

APPLICATION FOR TENANCY
In order to process this application, all information must be completed and proof of income submitted. If there will be two lease holders, both applicants are required to fill out their own application and submit their own proof of income as well. Valid photo ID is required at the time of application. As this application is specifically for an assignment, please be aware that this unit comes "as is", meaning you will be assuming the responsibilities of the current resident and therefore the current condition(cosmetically) as it currently stands.

45 South Landing Dr, Oak Bluff, Manitoba R4G 0C4 Main Office: 204-898-9570 www.ParagonLiving.com
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Our company policy requires applicants to view the suite before submitting an application. Please contact the listing to schedule a viewing.
Property*
Unit Number*
This is a fixed term tenancy beginning on*

DayMonthYear
Date
Parking*
*Please note: parking is subject to availability
Do you have a pet?
APPLICANT: Please print (Co-applicants must complete information on separate rental applications)
Name*

First nameMiddle nameLast name
Date of Birth*

MonthDayYear
Date
Home Phone #*
Cell Phone #
Email Address*
example@example.com
NAME OF CO-APPLICANT(S): (NOTE: Co-applicants must complete information on separate rental applications)
Name

First NameLast Name
Name

First NameLast Name
Present Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prov.
Landlord's Name
Landlord's Phone #
How Long
Current Rent
Lease expiry date

MonthDayYear
Date
Previous Address
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Landlord's Name
How Long
Rent amount
Present Employment
Company
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
How long
Gross monthly income
Supervisor's Name
Supervisor's Phone #
Fax #
PREVIOUS EMPLOYMENT: (If less than 1 year with present employer complete this section below)
Company
Position
Supervisor
Phone #
How Long
Income
OTHER PERSONS OCCUPYING THE SUITE other than co-applicant(s):
Name
Phone #
Relationship
Age
Name
Phone #
Relationship
Age
Name
Phone #
Relationship
Age
References
Reference Name
Address
Phone #
EMERGENCY CONTACT: (Other than a personal reference)
Name*
Phone #*
VEHICLES:
Year/Make/Model
Plate #
Driver's License #
Year/Make/Model
Plate #
Driver's License #
Pet Registration:
Type of pet
Breed and Colour
Pet’s Name
Age
Male or Female
Spayed/Neutered*
License Number
License Expiry Date
Applicant Name
Signature

Clear
Applicant Name
Signature

Clear
I hereby apply to lease the suite referenced above. I hereby certify that all statements made in this application are true and I authorize Paragon Living to conduct a personal investigation/credit check and to contact any person identified in this Application. In order for Paragon Living to comply with federal and/or provincial privacy legislation, I understand that all personal information collected from me may be used and disclosed by Paragon Living for the purpose of my application assessment, of debt collection, and/or to uphold and maintain the rules and regulations of the property. By signing below, I understand and agree smoking at the above address is prohibited throughout the property. By signing below, I understand and agree the Security Deposit is due upon approval of my application and is forfeitable, in the event that the applicant does not take occupancy on the commencement date as agreed upon or fails to execute the standard lease agreement when presented for execution.
Date*

MonthDayYear
Date
Upload Proof of Income #1*

- If you are submitting paystubs, please upload TWO of your most recent pay stubs. Alternatively, you can submit your offer of employment (stating your salary), bank statement of account, your most recent Notice of Assessment or a screenshot of your bank account balance.
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Upload Proof of Income #2*

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Upload Photo ID*

- You can upload your current valid photo ID, or your passport (to be accompanied with your work/study permit).
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Signature of Applicant*

Clear
Signature of Witness*

Clear
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Should be Empty:

APPLICATION FOR TENANCY

Present Address

Previous Address

Present Employment

References

VEHICLES:

Pet Registration: