Rental Application

The Landlord undertakes to treat the information provided herein by the Applicant(s) in a confidential manner.

Applicant #1 Name

First Name

Last Name

Phone

(###)

###

####

Present Address:

Date of birth:

YYYY

How long have you lived at your present address? (Applicant #1)

Current Landlord Contact Information (Applicant #1)

Occupation (Job title/student - course information) (Applicant #1)

Employer Name (Applicant #1)

Employer Phone (Applicant #1)

(###)

###

####

Employer Address (Applicant #1)

Length of time employed (Applicant #1)

Monthly Income (Applicant #1) (After Tax Deductions)

References (Applicant #1)

Pets (Applicant #1)

Smoking (Applicant #1)

Vehicle(s) (License Plate #, Make, Model, Colour) (Applicant #1)

PREMISES APPLIED FOR

Lease term to commence

YYYY

Length of lease:

Monthly Rent offer:

UTILITIES & APPLIANCES

I/we agree to pay for the following services and facilities to the Rental Premises:

Electricity

Water

Gas

Heat

Television/Phone/Internet

Do you agree to provide a credit check if the Landlord requests?

Yes