Residential Rental Form Firstname Lastname Your email Phone Number Current Address Postal Zip code Province Street Property ID Property Date of Birth Desired move in Date Is move in date flexible? —Please choose an option—YesNo How many occupants? Are any Potential Residents Smokers? —Please choose an option—YesNo Have you rented a property before? —Please choose an option—YesNo Additional rental history —Please choose an option—YesNo [group livedbefore] Name of Landlord / Property Manager Phone number of former Landlord Address of Property Monthly Rent How long did you live there Reason for moving [/group] Do you have any vehicle? —Please choose an option—YesNo [group vehicle1] Number of parking space needed? [/group] Are you currently employed —Please choose an option—YesNo [group employee] Date of employement Supervisor's Name Supervisors Phone Number Current Position Do you receive additional income outside of your Employment? —Please choose an option—YesNo Are you a good tenant? Please explain further [/group] Do you have any pets? —Please choose an option—YesNo Do you have a criminal record? —Please choose an option—YesNo [group criminal] What crime did you commit [/group] [group additional-rent] Do you have additional rental history [/group] [group type-pet] What type of pets do you have [/group] I declare that the information I have provided is accurate. I authorize the individual or organization to whom this application is submitted to: (a) Contact my references and all other persons that I have named in this application; and (b) perform a credit and/or criminal check to assess my suitability as a tenant/lesse. Agree Δ
