Application for Property Rental

ALL INFORMATION MUST BE FILLED OUT IN FULL TO PROCESS YOUR APPLICATION

Personal Information

Applicants Name:	First and Last Name	Email:	@gmail.com, @live.ca, etc.
Phone:	(000) 000-000	Birthdate:	2019-01-01
Current Address:	116 Hunter St, Peterborough Ontario
Driver’s License #:	A2019-12345-67890
SIN:	123 123 123

Applicants Name:	First and Last Name	Email:	@gmail.com, @live.ca, etc.
Phone:	(000) 000-000	Birthdate:	2019-01-01
Current Address:	116 Hunter St, Peterborough Ontario
Driver’s License #:	A2019-12345-67890
SIN:	123 123 123

Tell us a little about yourself; Including additional occupents, pets, kids, social assistance, etc...

Current/Past Residence: (Start with current, list at least one prior address with in the past 5 yrs., if applicable)

Landlords Name:	Ashburnham Realty	Landlords Phone:	(000) 000-000
Length of Tenancy:	12 Months, 12 Years, etc.	Rent:	$1,000.00
Reason for Leaving:	moving for school, family is growing, etc.

Landlords Name:	Ashburnham Realty	Landlords Phone:	(000) 000-000
Length of Tenancy:	12 Months, 12 Years, etc.	Rent:	$1,000.00
Reason for Leaving:	moving for school, family is growing, etc.

Employment Status:

Applicants Name: First and Last
Employer:	Business Name	Position:	server, labourer, etc.
Address:	123 Paycheck Lane, Peterborough	How long:	12 months, 12 years, etc.
Phone:	(000) 000-000	Contact Name:	Supervisor or Manager
Income:	$1,200.00	Other Income:	ODSP, CPP, CCB, Tax, Cradits etc.

Applicants Name: First and Last
Employer:	Business Name	Position:	server, labourer, etc.
Address:	123 Paycheck Lane, Peterborough	How long:	12 months, 12 years, etc.
Phone:	(000) 000-000	Contact Name:	Supervisor or Manager
Income:	$1,200.00	Other Income:	ODSP, CPP, CCB, Tax, Cradits etc.

Miscellaneous:

Have you ever been a party to a Landlord and Tenant Board action?

Yes No	If yes; When and Why

Have you ever been evicted: Yes No	If yes; When and Why

References:(Minimum 2 - excluding family members or friends)

Name:	First and Last	Phone:	(000) 000-000
Address:	123 Well Wishes Lane	Relation:	Professor, co-workers, etc.

Name:	First and Last	Phone:	(000) 000-000
Address:	123 Well Wishes Lane	Relation:	Professor, co-workers, etc.

Reference:

Name:	First and Last	Phone:	(000) 000-000
Address:	123 Emergency Lane	Relation:	Relative, Partner, etc.

Name:	First and Last	Phone:	(000) 000-000
Address:	123 Emergency Lane	Relation:	Relative, Partner, etc.

I/We hereby certify that the above information is true and accurate to the best of my/our knowledge and grant permission for verification of same for the purpose of obtaining the above noted rental property. I/We also agreed that a credit check will be performed, and I/we authorize permission for this. If I/We default in rent or fail to pay any further charges, I/We understand and agree that this may result in further court action at which point Mine/Our personal information may be submitted to a collections agency. I acknowledge and agree that this application in no way constitutes a tenancy agreement between the Landlord and the

undersigned to any rental premises, and I/we understand that any tenancy agreement or lease will be entered into only upon the acceptance of this application by the Landlord and is subject to the provisions and conditions described herein.

Should my/our application be approved, it is understood that LMR is due on signing of a 1 (one) year lease and that 1st Month’s Rent is due upon receiving keys. I/We also understand that upon approval and receipt of last month’s rent deposit, we also require a copy of a piece of photo identification (drivers’ licence, etc.). Keys will not be given until this is received along with both first and last. I/We will also be responsible for any/all damage caused by pets.

Applicant’s Signature:	Date:
Applicant’s Signature:	Date: