Application for Rental

Please complete the application below. Any supporting documentation (i.e. pay stubs, bank statements, etc.) can be uploaded prior to submitting your application. Please allow 1-2 business days for processing.

Application forms can also be downloaded in Adobe Acrobat PDF format.

 

Property Information:

Number One Evergreen Place
66064 Manitoba Ltd.

I/We are applying to rent suite number*
Desired possession date*

How did you find this suite? WebsiteWord of MouthKijijiSocial MediaOther

If other, please specify

 

Applicant Information:

Applicant #1

Basic Information:

Name (First & Last)*
Cell Phone Number*
Work Phone Number
Email Address*
Date of Birth*

Please attach scan of drivers license*

Have you ever been evicted from, or asked to leave any previous accommodation? YesNo

Did you leave any previous accommodation owing rent? YesNo

Do you own pets? YesNo

Do you smoke? YesNo

 

Rental History:

Current Address*
Period of Occupancy*
Landlord Name*
Landlord Phone Number*

 

Previous Address
Period of Occupancy
Landlord Name
Landlord Phone Number

 

Employment History:

Employer*
Address
Phone Number
Contact Name
Position Held
Length of Employment
Annual Salary
Weekly Hours

If retired, please provide all of the following:

Bank Statement
Net Worth Statement
Latest Tax Return

 

Personal References (other than relatives):

Name*
Address*
Phone Number*

 

Emergency Contact:

Name*
Relationship*
Address*
Cell Phone Number*
Work Phone Number

 

Parking:

Do you require parking? YesNo

Vehicle Description:

Make/Model
Year
Colour
License Plate

Basic Information:

Name (First & Last)
Cell Phone Number
Work Phone Number
Email Address
Date of Birth

Please attach scan of drivers license

Have you ever been evicted from, or asked to leave any previous accommodation? YesNo

Did you leave any previous accommodation owing rent? YesNo

Do you own pets? YesNo

Do you smoke? YesNo

 

Rental History:

Current Address
Period of Occupancy
Landlord Name
Landlord Phone Number

 

Previous Address
Period of Occupancy
Landlord Name
Landlord Phone Number

 

Employment History:

Employer
Address
Phone Number
Contact Name
Position Held
Length of Employment
Annual Salary
Weekly Hours

If retired, please provide all of the following:

Bank Statement
Net Worth Statement
Latest Tax Return

 

Personal References (other than relatives):

Name
Address
Phone Number

 

Emergency Contact:

Name
Relationship
Address
Cell Phone Number
Work Phone Number

 

Parking:

Do you require parking? YesNo

Vehicle Description:

Make/Model
Year
Colour
License Plate

The applicant(s) is/are advised to have insurance in a sufficient amount for third party liability within the suite and coverage on personal contents against fire, theft and water damage.

    As a prospective tenant, I/We hereby authorize the landlord, or the Landlord's representatives to utilize the above information, and any other information submitted by me/us, to carry out a credit check to assist in determining my/our credit-worthiness. I/We authorize the Landlord, or the Landlord's representatives to make any enquiries necessary. I/We hereby declare that the above statements are true in substance and in fact. I/We hereby take notice that the Landlord, or the Landlord's representatives may disclose the information contacted in this form to its credit grantors and/or consumer reporting agencies and that such information may contain personal information as define in Canadian and provincial legislation. I/We hereby consent to such disclosure and to the Landlord or its representatives obtaining subsequent credit information during the term of any lease entered into and within five (5) years of the expiry of the lease. The Landlord's detailed privacy policy will be provided upon written request.