Rental Application Residential
Form 410 for use in the Province of Ontario
from the date:
Month
20
to become due and payable in advance on the ... day of each and every month during my tenancy.
Applicant #1
1. Applicant #1
*
First Name
Last Name
Applicant #1: Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant #1: Drivers License No
*
Applicant #1: Occupation
*
Applicant #2
2. Applicant #2
First Name
Last Name
Applicant #2: Date of birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant #2: Drivers License No
Applicant #2: Occupation
Other Occupants 1-3
Occupant 1
3. Other Occupants: Name (1)
First Name
Last Name
Other Occupants: Relationship (1)
Other Occupants: Age (1)
Occupant 2
Other Occupants: Name (2)
First Name
Last Name
Other Occupants: Relationship (2)
Other Occupants: Age (2)
Occupant 3
Other Occupants: Name (3)
First Name
Last Name
Other Occupants: Relationship (3)
Other Occupants: Age (3)
Do you have any pets?
*
If so, describe
Why are you vacating your present place of residence?
*
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APPLICANT RESIDENCE
APPLICANT #1 & #2 LAST TWO PLACES OF RESIDENCE
*
Rows
APPLICANT #1 LAST TWO PLACES OF RESIDENCE
APPLICANT #2 LAST TWO PLACES OF RESIDENCE
Present Address
From
To
Landlord
Phone#
Prior Address
From
To
Landlord
Phone#
APPLICANT EMPLOYMENT
APPLICANT #1 & #2 LAST TWO EMPLOYMENTS
*
Rows
APPLICANT #1 LAST TWO EMPLOYMENTS
APPLICANT #2 LAST TWO EMPLOYMENTS
Current Employer
Business address
Business telephone
Position held
Length of employment
Name of supervisor
Current salary range: Monthly $
Previous Employer
Business address
Business telephone
Position held
Length of employment
Name of supervisor
Current salary range: Monthly $
APPLICANT #2
PERSONAL REFERENCES #1
Name #1
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
*
Format: (000) 000-0000.
Length of Acquaintance
*
Occupation
*
PERSONAL REFERENCES #2
Name #2
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
*
Format: (000) 000-0000.
Length of Acquaintance
*
Occupation
*
AUTOMOBILE(S)
Make
Model
Year
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Licence No
Make
Model
Year
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Licence No
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)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Telephone
*
Format: (000) 000-0000.
Email Address
*
example@example.com
(Signature of Applicant #2)
(Date)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Telephone
Format: (000) 000-0000.
Email Address
example@example.com
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