Application For Residency
(Print and Bring In or Fill Out Online)
Date:
Date Required:
Desired Length of Occupancy:
Rental Unit (House/Apartment/Other):
Number of Bedrooms:
Price:
APPLICATION INFORMATION
Name:
SIN#:
Date of Birth:
Co-Applicant:
SIN#:
Date of Birth:
Other Tenants to Occupy Unit:
Tenant:
Age:
Occupation:
Relationship:
Tenant:
Age:
Occupation:
Relationship:
Tenant:
Age:
Occupation:
Relationship:
Pets:
Pet:
Breed:
Sex:
Indoor/Outdoor:
RESISDENCE HISTORY
Present Address:
Telephone:
Email:
City, Province, Postal Code:
Own/Rent:
Monthly Rent: $
How Long There?:
Reason for Leaving:
Landlord Name:
Phone:
Email:
INCOME
Applicant Employment (Past 3 Years):
Status:
Full time
Part time (If part time, hours per week:
)
Self Employed
Student
Retired
Unemployed
Current Employer:
Address:
Occupation:
Supervisor Name:
Phone:
Date Started:
Source of Pay:
Hourly
Salary
Commission
Tips
Other
Other Income: $
Source:
Total Gross Monthly Income: $
Previous Employer:
Address:
Occupation:
Supervisor Name:
Phone:
Date Started:
Rate of Pay:
Previous Employer:
Address:
Occupation:
Supervisor Name:
Phone:
Date Started:
Rate of Pay:
Co-Applicant Employment (Past 3 Years):
Status:
Full time
Part time (If part time, hours per week:
)
Self Employed
Student
Retired
Unemployed
Current Employer:
Address:
Occupation:
Supervisor Name:
Phone:
Date Started:
Source of Pay:
Hourly
Salary
Commission
Tips
Other
Other Income: $
Source:
Total Gross Monthly Income: $
Previous Employer:
Address:
Occupation:
Supervisor Name:
Phone:
Date Started:
Rate of Pay:
Previous Employer:
Address:
Occupation:
Supervisor Name:
Phone:
Date Started:
Rate of Pay:
Other Personal Information:
Do you smoke?:
Yes
No
Make/Model of Car:
Year:
License #:
Prov:
Make/Model of Car:
Year:
License #:
Prov:
Credit References (List bank, credit union, type of accounts, other credit references):
1.
2.
3.
Personal References:
1. Name:
Relationship:
Phone:
2. Name:
Relationship:
Phone:
Family References:
1. Name:
Relationship:
Phone:
2. Name:
Relationship:
Phone:
Authorization:
I/We hereby authorize
Royal LePage - Casey Realty
to obtain such credit reports of other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or for any other direct business requirement.
The applicant declares all above statements to be true and authorizes the landlord to contact available references. This information is confidential and will not be released to anyone without the consent of the applicant.
I hereby apply for accommodation and realize that the completion of this form does not guarantee that such accommodation will be made available.
Signed/Applicant:
Date:
Signed/Co-Applicant:
Date:
Witness (if printed):
Date: