application

RENTAL APPLICATION

Neatly complete all information below. All applicants over the age of 18 must complete and sign their own application.

If under the age of 19, you must complete this application and your parents must also complete an application.

Applicants full name_______________Phone #___________Cell#____________DOB________ Email:________

I am a: first year / second year / third year student or other: ___________________________________________

Social Insurance #____________________Drivers License # _________________________Exp._____________

Current Address________________________________City________________Prov________Postal_________

Current Landlords Name__________________________________Landlords Phone #______________________

How long at this address__________Reason for leaving______________________________________________

Previous Address_______________________________City___________________Prov_________Postal_____

Previous Landlords Name__________________________________________Phone #______________________

How long at this address__________Reason for leaving______________________________________________

Auto Yr______Make____________Model_____________________Prov/License Plate #___________________

Present Employer_____________________________Position__________________Mo. Income______________

Phone #__________________How long at job_________Other income/source____________________________

Employers Address_________________________________________City___________________Prov________

Both Parents Names & contact information (include: home phone, cell phone, business phone & email for both parents)

Mom: ____________________________________________________________________________________

Dad:_____________________________________________________________________________________

Other:____________________________________________________________________________________

Number and type of Pets____What Type of Pet________Have you ever been party to an eviction? [ ] Yes [ ] No

Name of bank_________________________Branch_____________________Type of Account_______________

Personal References

Name______________________________Yrs. Known____Relationship____________Phone #______________

Total number of adults___________Total number of children living with you under the age of 18_____________

Names and relations of all other applicants_________________________________________________________

___________________________________________________________________________________________

First & Last plus a $150 damage / cleaning deposit required.

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above. I/We authorize the landlord or its designee to view my/ personal credit profile from a national credit bureau. I also understand that i must keep any house rental clean and in good repair. That my $150.00 cleaning deposit will not be returned to me in the event that the home is not clean and in good repair.

Signature________________________________________________________________Date________________

Comments: ______________________________________________________________________________________________________________________________________________________________________________________

AUTHORIZATION TO OBTAIN CREDIT INFORMATION

By signing below, each undersigned individual(s) who is either a principal of the credit

applicant listed below or a guarantor of its obligations, provides written instruction to

Lessor or its designee (and any nominee or potential assignee thereof) authorizing review

of his/her personal credit profile from a national credit bureau. Such authorization shall

extend to obtaining a credit profile in considering the application of the credit applicant

and subsequently for the purposes of update, renewal or the extension of such credit and

for reviewing and collecting the resulting account, now and from time to time, as may be

needed in the credit evaluation and review process and waives any right or claim they

would otherwise have under Fair Credit Reporting Act or any Provincial or Federal Act

pertaining to the Credit Reporting Act in the absence of this continuing consent.

A photocopy or facsimile of this authorization shall be valid as the original.

In addition to authorizing review of my/our credit profile from any national credit bureau,

the undersigned also authorizes my/our financial institutions and creditors to release

Credit information required by Lessor or its designee (and any assignee or potential

assignee thereof). By signing below, I/we affirm our identity as the respective

individuals identified in the related application. The undersigned states that all of the

statements and information in the application provided are true & complete.
I also confirm that i am requesting to rent a house with my friends that are family to me.

I am not applying for a room in a house or rooming house. I am applying to rent a home

with my group of friends. We will all live like a family and will respect the neighbors and the community.

No pets are permitted. No Smoking. The drive way will be kept clean, snow removed, grass cut and no garbage

on the property unless its out for garbage day pick up. No mini fridges in the bedrooms or house as

this could be a fire hazard. No loud music or parties.

Anyone that cannot respect these items will be asked to leave.

CREDIT APPLICANT (LESSEE):________________________________________

Name (Please print):____________________________________________________

Signature: ____________________________________________________________

Social Insurance Number: ________________________________________________

CREDIT APPLICANT (LESSEE):________________________________________

Name (Please print):____________________________________________________

Signature: ____________________________________________________________

Social Insurance Number: ________________________________________________

* Please provide a copy of your drivers license (front & back) and two other pieces of ID

and return by fax to 1-800-440-1597.

If you have any questions, please contact us 705-223-3701