Lease Application

Lease Application

Any false statements will automatically give the lessor the right to cancel the lease at any time
Dwelling to rent: *

Street Address

Apartment #

CityState / Province

Postal / Zip Code
Lease Date From:*

MonthDayYear
Date
Lease Date To:*

MonthDayYear
Date
Rent ($XXXX/month):*
Inclusions in Rent*

HeatElectricityFurnitureParkingNone
Number of People Occupying The Unit:*
Size Required*
Which listing site/medium did you find this vacancy?*
If other, please describe.
Applicant Information:

Note that each tenant applying to reside in this unit must fill out an application. This information will be used to pull your credit report and check references.
Name *

First NameLast Name
Birthdate *

MonthDayYear
Date
SIN *
Phone Number*

Area CodePhone Number
Email*
example@example.com

Current Employment:
Are you a Student? (If yes, please fill below with co-signer's information)*

YesNo
University
Cosigner's name (If Applicable)

First NameLast Name
Company:*
If student put n/a
Phone Number*

Area CodePhone Number
Extension
Address of Company:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name:*

First NameLast Name
Annual Salary:*
Type of Business:*
Position Held:*
Years with Firm:*
Employment Status*
Previous Employer:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of business:*
Position Held:*
Years with Firm:*
Salary*

Additional Information:
Emergency Contact:*

First NameLast Name
Relationship*
Phone Number*
Email*
Any judgement against you?*

YesNo
Police Record?*

YesNo
I hereby agree to sign a lease no later than * days after being informed that my Rental Application has been accepted.
Please upload a valid piece of Government ID
Upload*

I understand that this application does NOT constitute an agreement on the part of the landlord to provide me with accommodation. I acknowledge the right of the landlord at any time prior to the delievery to me of a lease covering the premises hereby applied for, to withdraw, revoke, or cancel, without penalty or liability for damages or otherwise, any acceptance of approval of this application previously made.

I certify that the information provided is truthful and complete, and I have not in any way distorted, falsified, or omitted facts that could invalidate this form or influence the landlord’s decision. I understand that making a false statement may result in the lease cancellation. I hereby authorize the landlord and his/her representatives to obtain or exchange my personal information with any personal information agents, financial institutions, employers, landlords, or other institutions, as well as the above-mentioned institutions and persons in order to establish my financial capacity and my ability to meet my lease obligations. I also authorize the landlord personally or his intermediaries to obtain or exchange any relevant information from a past, present and future owner, employer, financial institution, collection agency or other in the event of the existence of a debt and / or judgment in favor of one or other of these persons
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Current Lease