RENTAL APPLICATIONFallingbrook1165 Kingston Rd.Toronto, ON T: 416-636-7890 F: 416-636-7050 E: email@example.com
Social Insurance Number*:
Date of Birth*: m/day/yr:
Driver’s license number:
License Expiration date:
Home phone #:
All additional occupants (name(s) and date(s) of birth):
Monthly rental: $
Reason for vacating:
Landlord’s phone number:
Emergency contact name:
*Optional, but filling in these fields will expedite the process.
Gross monthly salary:$
Work phone #: (ext.)
Work e-mail address:
Supervisor’s phone #: (ext.)
Other source of income(proof may be required):
Highest amount owed: $
Personal reference name:
Have you ever been evicted from tenancy?
If yes, explain:
Do you owe any unpaid rent?
If so, how much $:
Have you ever filed for bankruptcy?
Have you ever violated a lease, rental agreement,
or regulations at a former place of rent?
Have you ever been convicted of a crime other than
a motor vehicle violation?
If so, what?
Do you own a pet?
If yes, what type?
How did you find out about our rental?
Mark Kent1165 Kingston Rd.Toronto, OnM1N 1P2 416-636-7890
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