Rental Application Form

Rental Application/Lease Agreement

For the property known as:

Number of Children:

Ages of Children:

Number of Occupants

Pets/Satellite:

PetsAquariumSatellite Dish

A. Applicant

Full Name (First, Middle, Last):

Date of Birth:

Do you smoke?:

Smoker

Residential Phone #:

Business Phone #:

Cell Phone #:

Email:

Present Address:

From:

To:

Landlord:

Landlord Address:

Landlord Business Phone #:

Landlord Cell Phone #:

Landlord Residential #:

Previous Address:

From:

To:

Landlord:

Landlord Address:

Landlord Business Phone #:

Landlord Cell Phone #:

Landlord Residential #:

Present Employer:

Employer Address:

Employer Phone #:

Position Held (PT/FT):

Supervisor:

Date Started:

Income:

Student (if yes, attending):

Course/Program:

1st, 2nd, 3rd, 4th year, other:

Next of Kin (not a friend):

Related How?:

Address:

Employed By:

Business #:

Residential #:

Cell #:

Personal Reference (not a friend):

Relationship to You?:

Employed By:

Personal Reference Address:

Residential #:

Cell #:

Businesss #:

Name of Bank:

Branch:

Tenant Pak:

YesNo

If Yes, Broker Is:

Social Worker (if applicable):

Status:

TempPerm

Phone #:

Fax #:

B. Co-Applicant

Full Name (First, Middle, Last):

Date of Birth:

Do you smoke?:

Smoker

Residential Phone #:

Business Phone #:

Cell Phone #:

Email:

Present Address:

From:

To:

Landlord:

Landlord Address:

Landlord Business Phone #:

Landlord Cell Phone #:

Landlord Residential #:

Previous Address:

From:

To:

Landlord:

Landlord Address:

Landlord Business Phone #:

Landlord Cell Phone #:

Landlord Residential #:

Present Employer:

Employer Address:

Employer Phone #:

Position Held (PT/FT):

Supervisor:

Date Started:

Income:

Student (if yes, attending):

Course/Program:

1st, 2nd, 3rd, 4th year, other:

Next of Kin (not a friend):

Related How?:

Address:

Employed By:

Business #:

Residential #:

Cell #:

Personal Reference (not a friend):

Relationship to You?:

Employed By:

Personal Reference Address:

Residential #:

Cell #:

Businesss #:

Name of Bank:

Branch:

Tenant Pak:

YesNo

If Yes, Broker Is:

Social Worker (if applicable):

Status:

TempPerm

Phone #:

Fax #:

C. Rental Information:

Monthly Rent ($):

Parking ($):

Stall #:

Vehicle:

Plate #:

D. Security Deposit

Security Deposit ($):

Balance of Security Deposit to be paid on/before:

Appliances Provided (Skip if unsure):

FridgeStoveDishwasherA/CIn-Suite W/DShared Coin Laundry

Other Applicances:

Thank you for completing the application, additional information and signatures will be required upon approval.