ORILLIA OFFICE
705-792-9764

COLLINGWOOD OFFICE
705-792-9764 EMAIL

BARRIE OFFICE
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TOTTENHAM OFFICE
905-936-4941 EMAIL

Application To Rent

Landlord's Reference and Information Sheet

Date premises required

Address of premises desired

Have you seen this unit?

Type desired
Bachelor   1 Bedroom   2 Bedroom   3 Bedroom   House


Applicant Details - Applicant #1

Applicant's legal name

Email Address

Birth Date

Social Insurance Number

Drivers License Number

Provincial ID Number

Have you ever declared bankruptcy?
Yes   No

Have you ever been evicted before?
Yes   No

Have you ever been charged with a criminal offence?
Yes   No


Applicant Details - Applicant #2

Applicant's legal name

Email address

Birth Date

Social Insurance Number

Drivers License Number

Provincial ID Number

Have you ever declared bankruptcy?
Yes   No

Have you ever been evicted before?
Yes   No

Have you ever been charged with a criminal offence?
Yes   No


Residences - Applicant #1

Applicant's present residence

Phone

Fax

Cell Phone

E-mail

How long?

Present monthly rent

Reason for leaving

Present Landlord

Name

Phone #

Previous Address

Address

How long?

Previous Landlord

Name

Phone Number


Residences - Applicant #2 (if same, list SAME on form)

Applicant's present residence

Phone

Fax

Cell Phone

E-mail

How long?

Present monthly rent

Reason for leaving

Present Landlord

Name

Phone #

Previous Address

Address

How long?

Previous Landlord

Name

Phone Number


Occupancy

Number of adults to occupy apartment

Number of children under 18

Ages of children

Total number of occupants

Pets to occupy premises


Employment 1

Applicant 1 is employed by

Occupation

Phone

Average salary or annual income $

From

To

Supervisor's Name

Former employer name

Former employer phone


Employment 2

Applicant 2 is employed by

Occupation

Phone

Average salary or annual income $

From

To

Supervisor's Name

Former employer name

Former employer phone


Credit References

(List bank, credit union, type of accounts, or other credit references.)

Reference 1

Reference 2

Reference 3


Personal References

Reference #1

Name

Phone

Relationship

Cell phone

Reference #2

Name

Phone

Relationship

Cell phone

Referred to landlord by

By signing below, I/we declare that the information provided in this application is accurate and complete. I/We consent to a credit check and to a check of personal information with the references listed above by the landlord or their authorized representative, before during and after the tenancy if accepted. Applicants who are approved are required to provide the Landlord with last month's rent in advance in cash or certified funds, as a good faith deposit. This deposit is refundable only in the event that the property not being available for occupancy on the date set out in the Lease Agreement. The keys to the property will NOT be released until such time as the Lease is signed, proof of utilities and insurance are available (where applicable), and first month's rent, in cash or certified funds, are provided to the Landlord. The Landlord will automatically reject any applicant that is found to have provided incomplete, false or misleading information on this application.

Typing out your full name below signifies an electronic signature.

Applicant 1 Name

Application 2 Name