Application Form
CENTA REAL ESTATE
RENTAL APPLICATION FORM
329 Waverley Street Ottawa, Ontario K2P 0V9 Phone: Fax: Email:
(613) 234-8034 (613) 234-8925 [email protected]
PREMISES APPLIED FOR Unit Details Address
Desired Move-In Date:
20
Lease From Appliances Included:
Fridge
20
to
Stove
APPLICANT 1 INFORMATION
Washer
Monthly Rental
Dryer
$
Dishwasher
APPLICANT 2 INFORMATION
Identification First Name
First Name
Last Name
Last Name
Date of Birth
Date of Birth
SIN #
SIN #
Driver License #
Driver License #
Phone #
Phone #
Address History Current Address City
Current Address Prov.
Phone # Length of Time
Postal Code
City
Cell #
Phone #
Monthly Rent
$
Prov.
Cell #
Length of Time
Current Landlord
Current Landlord
Phone #
Phone #
Previous Address
Previous Address
City
Prov.
Length of Time
Postal Code Monthly Rent
City $
Postal Code
Monthly Rent
Prov.
Length of Time
Former Landlord
Former Landlord
Phone #
Phone #
$
Postal Code Monthly Rent
$
Other Occupants Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Employment History Current Employer
Current Employer
Address
Address
Phone Number
Phone Number
Occupation
Occupation
How Long?
Annual Income
$
How Long?
Former Employer
Former Employer
Address
Address
Occupation
Occupation
How Long?
Annual Income
$
How Long?
Annual Income
$
Annual Income
$
Credit History Name of Bank
Name of Bank
Branch
Branch
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Personal References Name
Relationship
Name
Relationship
Address
Phone #
Address
Phone #
Name
Relationship
Name
Relationship
Address
Phone #
Address
Phone #
Emergency Contact
AKNOWLEDGEMENT AND AGREEMENT Consent I/We hereby agree that upon acceptance of this application by the Landlord, I/We shall forthwith enter into a Tenancy Agreement upon the above terms, upon the Landlord’s usual form, in which event the deposit shall be applied towards the rent of the last month’s occupancy. UNDER NO CIRCUMSTANCES WILL A DEPOSIT BE REFUNDED AFTER ACCEPTANCE OF THIS APPLICATION I/We authorize investigation of all statements contained herein, including but not limited to obtaining a credit report, and certify that to the best of my knowledge and belief that the answers given are correct. I/We also authorize our current and previous landlord(s) to release any information regarding our current and/or previous tenancies.
Applicant 1 Signature
(MM/DD/YYYY)
Applicant 2 Signature
(MM/DD/YYYY)
THIS APPLICATION MUST BE ACCOMPANIED BY A COPY OF PASSPORT, DRIVER’S LICENSE OR OTHER PHOTO ID
OFFICE USE ONLY - Deposit received with this application (min. $200) to be applied against last month’s rent Date Rec’d
Amount $
Debit
Money Order
Rec’d By
RENTAL APPLICATION FORM
329 Waverley Street Ottawa, Ontario K2P 0V9 Phone: Fax: Email:
(613) 234-8034 (613) 234-8925 [email protected]
PREMISES APPLIED FOR Unit Details Address
Desired Move-In Date:
20
Lease From Appliances Included:
Fridge
20
to
Stove
APPLICANT 1 INFORMATION
Washer
Monthly Rental
Dryer
$
Dishwasher
APPLICANT 2 INFORMATION
Identification First Name
First Name
Last Name
Last Name
Date of Birth
Date of Birth
SIN #
SIN #
Driver License #
Driver License #
Phone #
Phone #
Address History Current Address City
Current Address Prov.
Phone # Length of Time
Postal Code
City
Cell #
Phone #
Monthly Rent
$
Prov.
Cell #
Length of Time
Current Landlord
Current Landlord
Phone #
Phone #
Previous Address
Previous Address
City
Prov.
Length of Time
Postal Code Monthly Rent
City $
Postal Code
Monthly Rent
Prov.
Length of Time
Former Landlord
Former Landlord
Phone #
Phone #
$
Postal Code Monthly Rent
$
Other Occupants Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Employment History Current Employer
Current Employer
Address
Address
Phone Number
Phone Number
Occupation
Occupation
How Long?
Annual Income
$
How Long?
Former Employer
Former Employer
Address
Address
Occupation
Occupation
How Long?
Annual Income
$
How Long?
Annual Income
$
Annual Income
$
Credit History Name of Bank
Name of Bank
Branch
Branch
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Payments to
Amount
$
Personal References Name
Relationship
Name
Relationship
Address
Phone #
Address
Phone #
Name
Relationship
Name
Relationship
Address
Phone #
Address
Phone #
Emergency Contact
AKNOWLEDGEMENT AND AGREEMENT Consent I/We hereby agree that upon acceptance of this application by the Landlord, I/We shall forthwith enter into a Tenancy Agreement upon the above terms, upon the Landlord’s usual form, in which event the deposit shall be applied towards the rent of the last month’s occupancy. UNDER NO CIRCUMSTANCES WILL A DEPOSIT BE REFUNDED AFTER ACCEPTANCE OF THIS APPLICATION I/We authorize investigation of all statements contained herein, including but not limited to obtaining a credit report, and certify that to the best of my knowledge and belief that the answers given are correct. I/We also authorize our current and previous landlord(s) to release any information regarding our current and/or previous tenancies.
Applicant 1 Signature
(MM/DD/YYYY)
Applicant 2 Signature
(MM/DD/YYYY)
THIS APPLICATION MUST BE ACCOMPANIED BY A COPY OF PASSPORT, DRIVER’S LICENSE OR OTHER PHOTO ID
OFFICE USE ONLY - Deposit received with this application (min. $200) to be applied against last month’s rent Date Rec’d
Amount $
Debit
Money Order
Rec’d By
