Rental Application Residential
I/We hereby make application to rent:
What property address do you want to apply to
Start of occupancy:
-
Month
-
Day
Year
Date Picker Icon
Monthly Rent ($):
Rent is due in advance on the designated day of each month:
What date do you want the payment to come out of (1st, 15th etc.)
Why are you vacating your present place of residence:
1. Applicant
First or only person applying to lease
Name:
First Name
Last Name
Date of birth:
-
Month
-
Day
Year
Date
SIN # (Optional):
Drivers License #:
Occupation:
2. Applicant 2
Second person applying to lease
Name:
First Name
Last Name
Date of birth:
-
Month
-
Day
Year
Date
SIN # (Optional):
Drivers License #:
Occupation:
3. Other Occupants: Name
Who else is moving in with you? (children, parents etc.)
Name:
First Name
Last Name
Relationship:
Age:
Name:
First Name
Last Name
Relationship:
Age:
Name:
First Name
Last Name
Relationship:
Age:
Pets
Do you have any pets:
Include: How many pets?
Describe:
Type, weight etc.
LAST TWO PLACES OF RESIDENCE
Current Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From:
-
Month
-
Day
Year
Date
To:
-
Month
-
Day
Year
Date
Name of Landlord:
Telephone:
Format: (000) 000-0000.
Previous Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From:
-
Month
-
Day
Year
Date
To:
-
Month
-
Day
Year
Date
Name of Landlord:
Telephone:
Format: (000) 000-0000.
Employment
Applicant 1
Where do you work? (Current employer):
Rows
APPLICANT 1 PRESENT EMPLOYMENT
Employer
Business address
Business telephone
Position held
Length of employment
Name of supervisor
Current salary range - Monthly ($):
Where did you work? (Previous employer):
Rows
APPLICANT 1 PRIOR EMPLOYMENT
Employer
Business address
Business telephone
Position held
Length of employment
Name of supervisor
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Employment
Applicant 2
Where do you work? (Current employer):
Rows
APPLICANT 2 PRESENT EMPLOYMENT
Employer
Business address
Business telephone
Position held
Length of employment
Name of supervisor
Current salary range - Monthly ($):
Where did you work? (Previous employer):
Rows
APPLICANT 2 PRIOR EMPLOYMENT
Employer
Business address
Business telephone
Position held
Length of employment
Name of supervisor
Banking Information
(Optional)
Name of Bank:
Branch:
Address:
Chequing Account #:
Savings Account #:
FINANCIAL OBLIGATIONS
Cell phone bill, Car insurance etc.
Payments to:
Amount (per month):
Payments to:
Amount (per month):
PERSONAL REFERENCES
Please provide 2 references (Friends, Colleagues etc.)
Name:
Address:
Telephone:
Format: (000) 000-0000.
Length of Acquaintance:
Occupation:
Name:
Address:
Telephone:
Format: (000) 000-0000.
Length of Acquaintance:
Occupation:
AUTOMOBILE(S)
(If the place you are applying has 1 spot available, only include 1 vehicle)
Year:
Make:
Model:
Licence Plate #:
Year:
Make:
Model:
Licence Plate #:
The Applicant consents to the collection, use and disclosure of the Applicant's personal information by the Landlord and/or agent of the Landlord, from time to time, for the purpose of determining the creditworthiness of the Applicant for the leasing, selling or financing of the premises or the real property, or making such other use of the personal information as the Landlord and/or agent of the Landlord deems appropriate.
The Applicant represents that all statements made above are true and correct. The Applicant is hereby notified that a consumer report containing credit and/or personal information may be referred to in connection with this rental. The Applicant authorizes the verification of the information contained in this application and information obtained from personal references. This application is not a Rental or Lease Agreement. In the event that this application is not accepted, any deposit submitted by the Applicant shall be returned.
Signature of Applicant 1 :
Date of Signature:
-
Month
-
Day
Year
Date
Telephone:
Format: (000) 000-0000.
Signature of Applicant 2:
Date of Signature:
-
Month
-
Day
Year
Date
Telephone:
Format: (000) 000-0000.
The trademarks REALTORS, REALTORS®, MLS®, Multiple Listing Services and associated logos are owned or controlled by Real Estate Ass Association (CREA) and identify real estate professionals who membe A and the quality of services they provide. Used under license. ©2019, Ontario Real Estate Association ("OREA"). All rights reserved. This form was developed by OREA for the use and reproduction by its members and licensees only. Any other use or reproduction is prohibited except with prior written consent of OREA. Do not alter when printing or reproducing the standard pre-set portion. OREA bears no liability for your use of this form.
Form 410 Revised 2019 Page 2 of 2 WEBForms Dec/2018
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