Property: The Birchwood or The Lookoff

Rental Rate

Date Required

Applicant's Full Name

First, Initial, Surname

Phone Number

Country

(###)

###

####

Date of Birth

YYYY

Co-Applicant's Full Name

First, Initial, Surname

Co-Applicant's Phone Number

(###)

###

####

Co-Applicant's Email

Co-Applicant's Date of Birth

YYYY

Other Residents (Including Children)

Name, Age, Relationship

Applicant's Present Address

Include address, how long there, rent amount

Applicant's Current Landlord

Include name, phone #, reason for leaving

Co-Applicant's Present Address

Include address, how long there, rent amount

Co-Applicant's Current Landlord

Include name, phone #, reason for leaving

Applicant's Employment Status

Full TIme

Part Time

Casual

Student

Retired

Unemployed

Other

Applicant's Employer

Name, address and phone number

Applicant's Annual Income

Please provide description of income source (i.e.- salary, CPP, etc.)

Co-Applicant's Employment Status

Full Time

Part Time

Student

Retired

Unemployed

Other

Co-Applicant's Employer

Name, address and phone number

Co-Applicant's Length of Employment

Co-Applicant's Annual Income

Please provide description of income source (i.e.- salary, CPP, etc.)

Are any of the applicants smokers? YES or NO

Any pets?

Yes

If yes, how many and what kind?

Online Signatures

I/we hereby certify that the above information is true and complete and that I/we have not withheld any information relevant to this application. If accepted, I/we undertake to execute a yearly lease in the approved standard form of the province. If after being notified of acceptance, and prior to signing an official lease, I/we cancel this agreement to occupy, we will receive our full deposit. It is also understood that the property management and/or owner reserve the right to reject this application. I have read and understand these conditions. Note: Upon execution of the lease and occupancy of the premises by the tenant, the deposit shall become the Security Deposit.

I hereby give permission to the Landlord or their Agent(s) to obtain at any time a consumer/credit report about me/us, to contact previous landlords to obtain information about my/our previous tenancies, to contact agencies and provide landlord information, to contact my references including employment, and to take any other reasonable steps necessary to assess this Rental Application.

The Birchwood Rental Application