Tenancy Application

Please complete one application for each adult person applying for tenancy. If a line is not filled in we will return the application to you. You will also be required to present 2 pieces of identification for verification purposes.

Premises Address: *
Rental Rate : *
Security Deposit : *
Date Required : *
First Name : *
Last Name : *
Middle Name :
Date Of Birth (MM-DD-YYYY) : *
Phone Number : *
Mobile Number : *
Email address : *
Social Insurance Number
Driver's License# :
Province :
Valid :
Current Address (Full) : *
City *
State *
P.code *
Duration residing at this place : Years *
Months *
Rent Amount: *
Reason for leaving : *
Landlord's Name: *
Landlord's Phone #: *
Previous Address (Full) : *
Zip Code: *
Duration Residing at this Address: Year *
Months *
Rent Amount : *
Reason for leaving : *
Landlord's Name: *
Landlord's Phone #: *
Current Employer *
Occupation *
How Long: Years : * Months : *
Employers Contact Name : *
Employers Phone #: *
Income: *
Previous Employer: *
Occupation *
How Long: Years : * Months : *
Employer's Contact Name: *
Employer's Phone #: *
Vehicle Information :Year
Vehicle License Plate Number:
Personal References (List 2 personal references not related to you)
1. Name : *
1. Phone : *
2. Name : *
2. Phone :*
Have you ever been evicted as a tenant? * Yes No
Have you ever been convicted of a criminal offence? * Yes No
Number of adults to occupy rental unit: *
Number of children under 18 to occupy rental unit: *
Please lists all occupants: *
Number of pets to occupy rental unit:
In case of an emergency please notify: *
Phone: *
Address: *
e-mail address: *
TENANCY WILL BE DENIED IF you misrepresent any information on the application.

If misrepresentations are found after the rental agreement is signed, your rental agreement will be terminated.

This is to advise that by sending this application, I, the applicant, give the Agent to whom my application has been submitted, permission to obtain a consumer credit report, to conduct a criminal record search, an eviction search and to make any other inquiries as deemed necessary in determining eligibility for tenancy and assessing credit worthiness. I understand that the information set out in the rental application form may be used for purposes of responding to emergencies, ensuring the orderly management of the tenancy, complying with legal requirements and for collection purposes should rent be left owing or rental property damaged at termination of lease or end of tenancy.

This document does not form a Tenancy, it is an offer to rent subject to the Landlords approval based on information supplied and other possible applicants and offers pending

All Information herein is deemed CONFIDENTIAL
Your Signature : Create Your Signature. *Please set your signatures to proceed further.
Date Signed :