RENTAL FORMFirst NameLast NameEmail AddressHome PhoneHow many people will be living in the AptAdults- Select -123456Children - Select -123456Desired Move in Date CO-APPLICANT'S PERSONAL INFORMATION (if applicable)First NameLast NameEmail AddressHome PhoneAlternative PhoneRENTAL HISTORY CURRENT RESIDENCE Current AddressHow long have you been residing at this address?Monthly RentLandlord's NameLandlord's Contact NumberCan we contact this landlord for a reference? Yes NoReason(s) for leaving this property 2. PREVIOUS RESIDENCEPrevious AddressHow long did you stay at this address?Monthly rent Landlord's NameLandlord's Contact NumberCan we contact this landlord for a reference? Yes NoReason(s) for leaving this propertyHave you ever been evicted from a rental residence? Yes NoHave you ever missed one or more rental payments in the past 12 months? Yes NoHave you ever refused to pay rent when due? Yes NoIf you answered YES to any above, please state your reasons and/or circumstancesEMPLOYMENT DETAILS CURRENT EMPLOYMENT Employment Status Full-time Part-time Student Unemployed RetiredCurrent EmployerSupervisor's NamePhone NumberJob TitleDate HiredMonthly IncomeOther Sources of Income 2. PREVIOUS EMPLOYMENTEmployment Status Full-time Part-time Student Unemployed RetiredPrevious EmployerSupervisor's NamePhone NumberJob TitlePeriod of Employment CREDIT HISTORY AND BACKGROUND CHECK AUTHORIZATIONHave you declared bankruptcy in the past seen (7) years? Yes NoIs there anything that we may find in our credit check that you want to comment onCRIMINAL BACKGROUND CHECK AUTHORIZATIONDo you consent to a criminal check? Yes NoIs there anything that we may find in our criminal record check that you want to comment on?REFERENCESPlease provide two (2) personal rental references Reference First NameLast NamePhoneAddressLength of AcquaintanceOccupation 2. ReferenceFirst NameLast NamePhoneAddressLength of AcquaintanceOccupationADDITIONAL INFORMATION PETS The Landlord does not allow pets in the rental property 2. SMOKING The Landlord does not allow smoking of cigarettes/cigars/pipes in the rental propertyI declare that the information I have provided is true and correct and contains no misrepresentations. If misrepresentations are found after Residential Lease Agreement is entered into between the Landlord and the Applicant, the Landlord shall have the option to terminate the Residential Lease Agreement and seek all available remedies. The Applicant authorizes the landlord to verify all references and facts, including but not limited to current and previous landlords, and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of the application.InitialsLocation of Inquiry (Stratford) Mutch Drive (Stratford) Glen Stewart (Charlottetown) Belvedere AveSubmit Form
