Property Address: 44 Walmer Rd, Toronto
1 Longbridge Rd. Second Floor Thornhill, ON L4J 1L4
Tel: 905-763-7436 Fax: 905-763-7446
________________________________________________________________________________________________________________________________________________
NOTICE TO ALL APPLICANTS Property Address:
44 Walmer Rd, Toronto
Suite No:_______________________________________________ THE FOLLOWING INFORMATION IS REQUIRED IN ORDER TO PROCESS YOUR RENTAL APPLICATION: Certified cheque or money order made payable to: NAVY & JIM - WALMER, in the amount of $ ____________ for first and last month’s rent. Note: we do not accept cash.
•
Proof of income: Letter of employment on company letterhead stating your position, current annual salary and length of employment.
•
If you are self employed a statement of your PERSONAL income provided by your accountant or a copy of your income tax return or your Notice of Assessment.
•
If you are retired proof of pensions being received and/or income earned through investments. A reference letter completed by your bank. (Form attached)
Picture Identification: A passport, driver’s licence, health card, etc are example of suitable picture identification. Upon approval, you will be required to provide a copy of your Certificate of Insurance for fire, property damage (contents) and public liability. PLEASE NOTE: all the aforementioned information is required in order to fully process your application. We suggest you obtain this information as soon as possible as we will not hold an application for more than twenty four hours. Your application will take approximately 2 days to process. Should you require any further information kindly contact the Superintendent at 647-989-3145. Thank you,
NAVY & JIM - WALMER
APPLICANT’S CONSENT TO THE COLLECTION AND LIMITED USE OF PERSONAL INFORMATION (Residential Lease) To:
Berkley Property Management Inc. (referred to as “Berkley”)
Re:
Consent to the collection and limited use of personal information
For the purpose of facilitating compliance with the provisions of any applicable Federal and/or Provincial privacy legislation (including, without limitation, the Personal Information and Protection of Electronic Documents Act (Canada) [PIPEDA], the undersigned hereby consents to Berkley’s collection and use of the undersigned’s personal information necessary and sufficient to enable Berkley to assess the credit worthiness and suitability of the undersigned’s offer to lease, lease, or lease or indemnification, as the case may be (the “Lease Documentation” with respect to leasing the premises at 44 Walmer Road, Toronto, ON, Suite ______________ (the “Premises”), including, without limitation, the undersigned’s name, home address, email address, telephone number facsimile number, age, date of birth, business history, credit history and financial information and in respect of social insurance number only for the limited purpose described in subparagraph (f) below and the disclosure and/or distribution of any or all of such personal information to the following entities, on the express understanding and agreement that Berkley Property Management Inc. shall not sell or otherwise provide or distribute such personal information to anyone other than the following entities, namely to: (a)
The landlord of the Premises (the “Landlord”) to enable the Landlord to assess the credit worthiness and suitability of the undersigned in connection with the Lease Documentation;
(b)
Credit rating agencies, to facilitate the assessment of the undersigned’s credit worthiness in connection with the Lease Documentation;
(c)
Berkley or the Landlord’s solicitor, to facilitate the preparation, negotiation and completion of the Lease Documentation and the lease transaction;
(d)
Former and present employers of the undersigned, former and present landlords of the undersigned and former and present banking institutions of the undersigned, to check references of the undersigned in support of the Lease Documentation;
(e)
Any real estate agent or broker involved with the lease of the Premises, to facilitate the preparation, negotiation and completion of the Lease Documentation and the lease transaction;
(f)
Canada Customs & Revenue Agency, to whose attention the T-5 interest income tax information return and/or the NR4 non-resident withholding tax information return is submitted (where applicable), which will contain or refer to the undersigned’s social insurance number as required by Regulation 201 (1)(b)(ii) of the Income Tax Act (Canada); and
(g)
Any persons, where the undersigned further consents to such disclosure or disclosures required by law.
Dated the ______________day of________________________________, 20____. _________________________________ Print Name
____________________________________ Signature
_________________________________ Print Name
____________________________________ Signature
_________________________________ Print Name
____________________________________ Signature
BANKING INFORMATION (To be Completed by Your Bank) The following information is required for rental purposes: Address:
44 Walmer Road
Suite No.: _________________
NAME OF BANKING INSTITUTION: BRANCH ADDRESS:
Affix Bank Stamp Here:
We hereby certify the balance of Account Number
in the name(s) of
____________ at this office at the close of business on ___________ was $
.
There have been returned cheque(s) YES □
NO □
LAST DATE: ________________
The above noted customer has a loan at this branch in the amount of $ (monthly payments of $ YES
___________
_______ ) which is being paid as agreed.
NO
This account has been opened since
.
PLEASE NOTE THAT THIS IS AN ADVICE ONLY AND NOT NEGOTIABLE Bank Manager Officer in charge of Operations
ENROLLMENT / AUTHORIZATION FORM LANDLORD: NAVY & JIM - WALMER FOR OFFICE USE ONLY
NEW __________ CHANGE __________
ADDRESS: 44 Walmer Road, Toronto, ON M5R 2X5
SUITE NO.:___________
BUILDING NO.:
AMOUNT: $___________________
WALM0044
Pre-Authorized Payment Authorization Names(s) (Payor): ______________________________________________________________ Address: _____________________________________________________________________ Telephone: (Home) _______________________________ (Work) _______________________ I/We authorize Berkley Property Management Inc. to process a debit, in paper, electronic or other form in the amount of the total monthly rent on my/our account on the 1st of each month commencing ________________________________________________ (fill in date) I/we acknowledge that I/we have read and understood all the provisions contained in the terms and conditions of the pre-authorized payment authorization and that I/we have received a copy. Signature _____________________________________ Date ___________________________ Signature _____________________________________ Date ____________________________ I/we hereby authorize Berkley Property Management Inc. (Payee) to draw on ___________________________________________________________________(Name of Owner) with the Processing Institution, for the above purpose. ___________________________________________ ______________________________
(Name of Bank or Trust Co.)
(Account Number)
PLEASE ATTACH A VOID CHEQUE HERE.
Terms and Conditions 1
I (We) acknowledge that this Authorization is provided for the benefit of the Payee and Processing Institution and is provided in consideration of the Processing Institution agreeing to process debits against my account in accordance with the Rules of the Canadian Payments Association. I (We) warrant and guarantee that all persons whose signatures are required to sign on this account have signed this agreement. This authorization may be cancelled 15 days prior to the next due date of the pre-authorization debit by Payor. I (We) acknowledge that, in order to revoke this authorization, I (We) must provide notice of revocation to Payee. I (We) acknowledge that provision and delivery of this authorization to Payee constitutes delivery by Payor to the Processing Institution. Any delivery of this authorization to you constitutes delivery by Payor. I (We) undertake to inform Payee, in writing, of any change in the account information provided in this authorization prior to the next due date of the PAD. I (We) acknowledge that the Processing Institution is not required to verify that a PAD has been issued in accordance with the particulars of the Payor’s Authorization including, but not limited to, the amount. I (We) acknowledge that the Processing Institution is not required to verify that any purpose of payment for which the PAD was issued has been fulfilled by Payee as a condition to honoring a PAD issued or caused to be issued by Payee on Payor account. Revocation of this authorization does not terminate any contract for goods and services that exists between Payor and Payee. The Payor’s Authorization applies only to the method of payment and does not otherwise have any bearing on the contract for goods or services exchanged. A PAD may be disputed by a Payor under the following conditions: the PAD was not drawn in accordance with the Payor’s Authorization; or the authorization was revoked; or pre-notification was not received. The Payor, in order to be reimbursed, acknowledges that a declaration to the effect that either (1), (2) or (3) took place, must be completed and presented to the branch of the Processing Institution holding the Payor’s account up to and including 90 calendar days in the case of a personal household PAD (or up to and including 10 business days in the case of a business PAD), after the date on which the PAD in dispute was posted to the Payor’s account. The Payor acknowledges that a claim on the basis that the Payor’s Authorization was revoked, or any other reason, is a matter to be resolved solely between the Payee and the Payor when disputing any PAD after 90 calendar days in the case of a personal household PAD (or 10 business days in the case of a business PAD).
2
CURRENT LANDLORD REFERENCE This form must be completed by the Landlord/Agent ONLY. This form WILL NOT be accepted if signed by anyone other then the Landlord/Agent. Please attach to you Tenancy Application or have your landlord fax to us at __________________
Lease Holder’s Name(s) __________________________________________________________________________ Residential Address ______________________________________________________________________________ Contact #: ____________________________ Email: __________________________________________________ Landlord’s Address (if different from residential address) _______________________________________________________ Additional Occupants: Children ________________ Move in Date:__________________________ (mm/dd/yy)
Adults _________________________________ Monthly Rent: $___________________________
Parking Included: Yes _______ No _______ Utilities Included: Yes _______ No _______ Length of Notice Provided: 30 Days __________ 60 Days _________ other: ________________ Does the tenant(s) have a pet: Yes _______ No _______ if yes, Dog________ Cat________, Other_______ Have any cheques been returned by the bank? Yes _____ No _____ Has the Tenant ever been late in paying rent? Yes _____ No _____ Have you received any complaints on this Tenant? Yes _____ No _____ Does he tenant maintain a clean unit? Yes _____ No _____ Reason for Moving Out: _______________________________________________
Name of Landlord/Agent
_____________________________________
Telephone (office)
_____________________________________
Contact Person
_____________________________________
Position
_____________________________________
Dated this ______________ day of ____________________, 20____
Signature of Landlord/Agent ______________________________________
NAVY & JIM - WALMER Landlord c/o BERKLEY PROPERTY MANAGEMENT INC. 1 Longbridge Road, Second Floor Thornhill, Ontario L4J 1L41 RENTAL APPLICATION Date:_________ Bldg. No.: WALM0044
New Application
Assignment
Sublet
Transfer
Bldg. Address: 44 WALMER ROAD, TORONTO, ON M5R 2X5
Suite No.:
Type:
NAME OF APPLICANTS FOR TENANCY: (dd/mm/yy)
(Optional)
(1)
D.O.B
M
F
SIN
(2)
D.O.B
M
F
SIN
D.O.B
M
F
SIN
(3)
NAME OF ADDITIONAL PROPOSED OCCUPANTS (including spouse, where not an applicant and children): (Optional) (1)
D.O.B
M
F
SIN
(2)
D.O.B
M
F
SIN
(3)
D.O.B
M
F
SIN
I understand and agree that if this application is accepted, no person other than those identified above may occupy the premises.
Applicant’s Initials:
RENTAL INFORMATION: Term:
year(s)
Date accommodation required: ________________
TERM TO COMMENCE FIRST DAY OF ______________, 20_____ TERM TO END: LAST DAY OF _____________, 20_____ Total Monthly Rent payable in advance on the first day of each month: • •
Where the amount is left blank, or “N/A” is inserted, the item is not to be provided as part of the tenancy.
Item
Amount/Month
Total Monthly Rental for first Month’s rent:
$__________________
Parking Privileges:
$__________________
outdoor: # of Spaces
$__________________
Underground/Garage/indoor: # of Spaces
Air Conditioner:
$__________________ $__________________
Refundable deposit for entry key/Card: Appliances: Additional Services: ______________
$__________________ $__________________
Total Monthly Rent:
$__________________
Last Month’s Rent Deposit (LMR) with this Rental Application: $ _____________________ A Pro-Rated Rent of $ ___________ is payable in advance to cover the period from________________, 20____________ to __________________, 20__________ The Applicants agree to pay for the following services and facilities applicable to the Rented Premises and to provide written confirmation from application utilities prior to commencement lease that utilities are in of Applicants name(s): or to pay the Landlord as a reimbursement of charges paid on my behalf for each of the following services applicable to the rented premises: Electricity / Hydro
X
Yes
No
Hot Water Heater Rental
Gas
Yes
x
No
Cable/Satellite TV
Heat
Yes
X
No
Water
Yes X
X
Yes Yes
X
No
Air Conditioner
Yes
No
Other [Telephone ]
No
Other [
]
X
X
No
Yes
No
Yes
No
Applicant’s Initials:
Rental Application -Page 3 APPLICANT’S PARTICULARS: [Must be completed in full before application will be considered] Applicant (1)
Applicant (2)
Applicant (3)
Applicant (1)
Applicant (2)
Applicant (3)
Applicant (1)
Applicant (2)
Applicant (3)
Name Present Address Street Address/City Province/Postal Code Present Monthly Rent Length of Occupancy Reason for Leaving Home Phone Cell Phone Email Address Landlord’s Name Landlord’s Phone No. Proof of Identification Prior Address (if less than 3 years) Previous Address Unit/ Street Address Province/Postal Code Monthly Rent Length of Occupancy Reason for Leaving Landlord’s Name Landlord’s Phone No. Employment Employer #1: Name & Address Occupation No. Of Years Annual Income Employer’s Address Employer’s Telephone If employment less than 3 years, provide information of previous employers and occupation to total 3 years: Employer #2: Name & Address Occupation Dates of Employment Applicant’s Initials:
Rental Application -Page 4 Employer #3: Name & Address Occupation Dates of Employment Credit Information
Applicant (1)
Applicant (2)
Applicant (3)
Primary Bank [Name, Branch] Account Type & No.
chq
sav
trust
Acct. No:
chq
sav
trust
Acct. No:
chq
sav
trust
sav
trust
Acct. No:
Secondary Bank [Name, Branch] Account Type & No.
chq
sav
Acct. No:
trust
chq
sav
Acct. No:
trust
chq Acct. No:
Spouse’s Employer Address Spouse’s Income Vehicle Information
Applicant (1)
Applicant (2)
Applicant (3)
Driver’s Licence Make of Vehicle Model and Year Vehicle Licence No. References [Must be completed in Full] #1: Name #1: Address #1: Telephone #2: Name #2: Address #2: Telephone
Applicant’s Initials:
Rental Application -Page 5 IN CASE OF EMERGENCY CONTACT: ________________________________________________________________________ Phone No.: ____________________________________________ SUMMARY OF MONIES TO BE PAID: ProRated Rent: First Month Rent: LMR Deposit: Refundable deposit for entry key/card: ______________ TOTAL RECEIVED $
Relationship: _____________________________________
By Money Order
By Cheque
I/We hereby certify the information provided above and on the Rental Application (Applicant’s Particulars) to be true. I/We agree that upon acceptance of this Rental Application by the Landlord, I/We shall forthwith enter into Tenancy Agreement incorporating the above terms into the Landlord’s usual form which I/We have been given the opportunity to review, in which event the Last Month Rent Deposit shall be deemed to be a Rent Deposit and applied towards the rent of the last month’s occupancy. IF I/WE SHOULD FAIL TO ENTER INTO SUCH TENANCY AGREEMENT, IN ADDITION TO ANY OTHER RIGHT TO DAMAGES ACCRUING TO THE LANDLORD, THE LAST MONTH RENT DEPOSIT IS NON-REFUNDABLE UNLESS THE RENTAL UNIT IS RERENTED FOR THE LEASE COMMENCEMENT DATE OF THE ABORTED TENANCY. If the Landlord is unable to give possession of the rented premises on the date of commencement of the term for any reason, the Landlord shall not be subject to any liability to the Applicants and shall give possession as soon as the Landlord is able to do so. The rent shall abate until possession of rented premises is offered by the Landlord to the Tenant. Failure to give possession on the date of commencement shall not in any way affect the validity of the Tenancy Agreement, the obligations of the Tenant or in any way be construed to extend the term of this Tenancy Agreement. In the event that a Tenancy Agreement is entered into, this Rental Application by the terms of clause 27 of the Tenancy Agreement will be deemed to form part of the Tenancy Agreement. Any omission or misstatement by the Applicants in the Rental Agreement may result in the termination of your tenancy by the Landlord even after occupancy has been taken. The Tenant acknowledges that the rented premises and the Landlord’s premises are approximately 50 years old and as such they will require maintenance, repair, renovation and modernizing, from time to time, and that carrying out such work may result in disruption, inconvenience and other interference with the Tenant’s reasonable enjoyment of the rented premises and the Landlord’s premises. The Landlord and the Tenant acknowledge and agree that the total monthly rent agreed upon in this Agreement and subsequent renewals has taken into account and reflects a reduction in the total monthly rent and otherwise chargeable in recognition of the age and condition of the rented premises and the Landlord’s premises, as well as the potential disruption, inconvenience and other interference with the Tenant’s reasonable enjoyment of the rented premises and the Landlord’s premises resulting from or connected with the maintenance, repair, renovation and modernizing of the rented premises and Landlord’s premises carried out from time to time whether of the Landlord’s own initiative or as a result of Federal, Provincial or Municipal requirements. The Applicant hereby gives permission to the Landlord or his Agent to use the information collected herein to obtain a consumer report; to contact employers, previous landlords, references; to contact agencies that provide landlord information; to enforce the terms of any Tenancy Agreement that may be subsequently entered into with the Applicant; or to reasonably use it otherwise to assess this Rental Application. It is agreed that where this Application is rejected, the Landlord shall not be required to give reasons therefore. Witness
Applicant 1: Print Name
Sign Name
Witness
Applicant 2: Print Name
Sign Name
Witness
Applicant 3: Print Name
Sign Name
Acceptance by the Landlord: The Landlord hereby accepts this Rental Agreement/Offer to Lease for the Rented Premises as herein described: Date
Signature of Landlord or Agent
Tel: 905-763-7436 Fax: 905-763-7446
________________________________________________________________________________________________________________________________________________
NOTICE TO ALL APPLICANTS Property Address:
44 Walmer Rd, Toronto
Suite No:_______________________________________________ THE FOLLOWING INFORMATION IS REQUIRED IN ORDER TO PROCESS YOUR RENTAL APPLICATION: Certified cheque or money order made payable to: NAVY & JIM - WALMER, in the amount of $ ____________ for first and last month’s rent. Note: we do not accept cash.
•
Proof of income: Letter of employment on company letterhead stating your position, current annual salary and length of employment.
•
If you are self employed a statement of your PERSONAL income provided by your accountant or a copy of your income tax return or your Notice of Assessment.
•
If you are retired proof of pensions being received and/or income earned through investments. A reference letter completed by your bank. (Form attached)
Picture Identification: A passport, driver’s licence, health card, etc are example of suitable picture identification. Upon approval, you will be required to provide a copy of your Certificate of Insurance for fire, property damage (contents) and public liability. PLEASE NOTE: all the aforementioned information is required in order to fully process your application. We suggest you obtain this information as soon as possible as we will not hold an application for more than twenty four hours. Your application will take approximately 2 days to process. Should you require any further information kindly contact the Superintendent at 647-989-3145. Thank you,
NAVY & JIM - WALMER
APPLICANT’S CONSENT TO THE COLLECTION AND LIMITED USE OF PERSONAL INFORMATION (Residential Lease) To:
Berkley Property Management Inc. (referred to as “Berkley”)
Re:
Consent to the collection and limited use of personal information
For the purpose of facilitating compliance with the provisions of any applicable Federal and/or Provincial privacy legislation (including, without limitation, the Personal Information and Protection of Electronic Documents Act (Canada) [PIPEDA], the undersigned hereby consents to Berkley’s collection and use of the undersigned’s personal information necessary and sufficient to enable Berkley to assess the credit worthiness and suitability of the undersigned’s offer to lease, lease, or lease or indemnification, as the case may be (the “Lease Documentation” with respect to leasing the premises at 44 Walmer Road, Toronto, ON, Suite ______________ (the “Premises”), including, without limitation, the undersigned’s name, home address, email address, telephone number facsimile number, age, date of birth, business history, credit history and financial information and in respect of social insurance number only for the limited purpose described in subparagraph (f) below and the disclosure and/or distribution of any or all of such personal information to the following entities, on the express understanding and agreement that Berkley Property Management Inc. shall not sell or otherwise provide or distribute such personal information to anyone other than the following entities, namely to: (a)
The landlord of the Premises (the “Landlord”) to enable the Landlord to assess the credit worthiness and suitability of the undersigned in connection with the Lease Documentation;
(b)
Credit rating agencies, to facilitate the assessment of the undersigned’s credit worthiness in connection with the Lease Documentation;
(c)
Berkley or the Landlord’s solicitor, to facilitate the preparation, negotiation and completion of the Lease Documentation and the lease transaction;
(d)
Former and present employers of the undersigned, former and present landlords of the undersigned and former and present banking institutions of the undersigned, to check references of the undersigned in support of the Lease Documentation;
(e)
Any real estate agent or broker involved with the lease of the Premises, to facilitate the preparation, negotiation and completion of the Lease Documentation and the lease transaction;
(f)
Canada Customs & Revenue Agency, to whose attention the T-5 interest income tax information return and/or the NR4 non-resident withholding tax information return is submitted (where applicable), which will contain or refer to the undersigned’s social insurance number as required by Regulation 201 (1)(b)(ii) of the Income Tax Act (Canada); and
(g)
Any persons, where the undersigned further consents to such disclosure or disclosures required by law.
Dated the ______________day of________________________________, 20____. _________________________________ Print Name
____________________________________ Signature
_________________________________ Print Name
____________________________________ Signature
_________________________________ Print Name
____________________________________ Signature
BANKING INFORMATION (To be Completed by Your Bank) The following information is required for rental purposes: Address:
44 Walmer Road
Suite No.: _________________
NAME OF BANKING INSTITUTION: BRANCH ADDRESS:
Affix Bank Stamp Here:
We hereby certify the balance of Account Number
in the name(s) of
____________ at this office at the close of business on ___________ was $
.
There have been returned cheque(s) YES □
NO □
LAST DATE: ________________
The above noted customer has a loan at this branch in the amount of $ (monthly payments of $ YES
___________
_______ ) which is being paid as agreed.
NO
This account has been opened since
.
PLEASE NOTE THAT THIS IS AN ADVICE ONLY AND NOT NEGOTIABLE Bank Manager Officer in charge of Operations
ENROLLMENT / AUTHORIZATION FORM LANDLORD: NAVY & JIM - WALMER FOR OFFICE USE ONLY
NEW __________ CHANGE __________
ADDRESS: 44 Walmer Road, Toronto, ON M5R 2X5
SUITE NO.:___________
BUILDING NO.:
AMOUNT: $___________________
WALM0044
Pre-Authorized Payment Authorization Names(s) (Payor): ______________________________________________________________ Address: _____________________________________________________________________ Telephone: (Home) _______________________________ (Work) _______________________ I/We authorize Berkley Property Management Inc. to process a debit, in paper, electronic or other form in the amount of the total monthly rent on my/our account on the 1st of each month commencing ________________________________________________ (fill in date) I/we acknowledge that I/we have read and understood all the provisions contained in the terms and conditions of the pre-authorized payment authorization and that I/we have received a copy. Signature _____________________________________ Date ___________________________ Signature _____________________________________ Date ____________________________ I/we hereby authorize Berkley Property Management Inc. (Payee) to draw on ___________________________________________________________________(Name of Owner) with the Processing Institution, for the above purpose. ___________________________________________ ______________________________
(Name of Bank or Trust Co.)
(Account Number)
PLEASE ATTACH A VOID CHEQUE HERE.
Terms and Conditions 1
I (We) acknowledge that this Authorization is provided for the benefit of the Payee and Processing Institution and is provided in consideration of the Processing Institution agreeing to process debits against my account in accordance with the Rules of the Canadian Payments Association. I (We) warrant and guarantee that all persons whose signatures are required to sign on this account have signed this agreement. This authorization may be cancelled 15 days prior to the next due date of the pre-authorization debit by Payor. I (We) acknowledge that, in order to revoke this authorization, I (We) must provide notice of revocation to Payee. I (We) acknowledge that provision and delivery of this authorization to Payee constitutes delivery by Payor to the Processing Institution. Any delivery of this authorization to you constitutes delivery by Payor. I (We) undertake to inform Payee, in writing, of any change in the account information provided in this authorization prior to the next due date of the PAD. I (We) acknowledge that the Processing Institution is not required to verify that a PAD has been issued in accordance with the particulars of the Payor’s Authorization including, but not limited to, the amount. I (We) acknowledge that the Processing Institution is not required to verify that any purpose of payment for which the PAD was issued has been fulfilled by Payee as a condition to honoring a PAD issued or caused to be issued by Payee on Payor account. Revocation of this authorization does not terminate any contract for goods and services that exists between Payor and Payee. The Payor’s Authorization applies only to the method of payment and does not otherwise have any bearing on the contract for goods or services exchanged. A PAD may be disputed by a Payor under the following conditions: the PAD was not drawn in accordance with the Payor’s Authorization; or the authorization was revoked; or pre-notification was not received. The Payor, in order to be reimbursed, acknowledges that a declaration to the effect that either (1), (2) or (3) took place, must be completed and presented to the branch of the Processing Institution holding the Payor’s account up to and including 90 calendar days in the case of a personal household PAD (or up to and including 10 business days in the case of a business PAD), after the date on which the PAD in dispute was posted to the Payor’s account. The Payor acknowledges that a claim on the basis that the Payor’s Authorization was revoked, or any other reason, is a matter to be resolved solely between the Payee and the Payor when disputing any PAD after 90 calendar days in the case of a personal household PAD (or 10 business days in the case of a business PAD).
2
CURRENT LANDLORD REFERENCE This form must be completed by the Landlord/Agent ONLY. This form WILL NOT be accepted if signed by anyone other then the Landlord/Agent. Please attach to you Tenancy Application or have your landlord fax to us at __________________
Lease Holder’s Name(s) __________________________________________________________________________ Residential Address ______________________________________________________________________________ Contact #: ____________________________ Email: __________________________________________________ Landlord’s Address (if different from residential address) _______________________________________________________ Additional Occupants: Children ________________ Move in Date:__________________________ (mm/dd/yy)
Adults _________________________________ Monthly Rent: $___________________________
Parking Included: Yes _______ No _______ Utilities Included: Yes _______ No _______ Length of Notice Provided: 30 Days __________ 60 Days _________ other: ________________ Does the tenant(s) have a pet: Yes _______ No _______ if yes, Dog________ Cat________, Other_______ Have any cheques been returned by the bank? Yes _____ No _____ Has the Tenant ever been late in paying rent? Yes _____ No _____ Have you received any complaints on this Tenant? Yes _____ No _____ Does he tenant maintain a clean unit? Yes _____ No _____ Reason for Moving Out: _______________________________________________
Name of Landlord/Agent
_____________________________________
Telephone (office)
_____________________________________
Contact Person
_____________________________________
Position
_____________________________________
Dated this ______________ day of ____________________, 20____
Signature of Landlord/Agent ______________________________________
NAVY & JIM - WALMER Landlord c/o BERKLEY PROPERTY MANAGEMENT INC. 1 Longbridge Road, Second Floor Thornhill, Ontario L4J 1L41 RENTAL APPLICATION Date:_________ Bldg. No.: WALM0044
New Application
Assignment
Sublet
Transfer
Bldg. Address: 44 WALMER ROAD, TORONTO, ON M5R 2X5
Suite No.:
Type:
NAME OF APPLICANTS FOR TENANCY: (dd/mm/yy)
(Optional)
(1)
D.O.B
M
F
SIN
(2)
D.O.B
M
F
SIN
D.O.B
M
F
SIN
(3)
NAME OF ADDITIONAL PROPOSED OCCUPANTS (including spouse, where not an applicant and children): (Optional) (1)
D.O.B
M
F
SIN
(2)
D.O.B
M
F
SIN
(3)
D.O.B
M
F
SIN
I understand and agree that if this application is accepted, no person other than those identified above may occupy the premises.
Applicant’s Initials:
RENTAL INFORMATION: Term:
year(s)
Date accommodation required: ________________
TERM TO COMMENCE FIRST DAY OF ______________, 20_____ TERM TO END: LAST DAY OF _____________, 20_____ Total Monthly Rent payable in advance on the first day of each month: • •
Where the amount is left blank, or “N/A” is inserted, the item is not to be provided as part of the tenancy.
Item
Amount/Month
Total Monthly Rental for first Month’s rent:
$__________________
Parking Privileges:
$__________________
outdoor: # of Spaces
$__________________
Underground/Garage/indoor: # of Spaces
Air Conditioner:
$__________________ $__________________
Refundable deposit for entry key/Card: Appliances: Additional Services: ______________
$__________________ $__________________
Total Monthly Rent:
$__________________
Last Month’s Rent Deposit (LMR) with this Rental Application: $ _____________________ A Pro-Rated Rent of $ ___________ is payable in advance to cover the period from________________, 20____________ to __________________, 20__________ The Applicants agree to pay for the following services and facilities applicable to the Rented Premises and to provide written confirmation from application utilities prior to commencement lease that utilities are in of Applicants name(s): or to pay the Landlord as a reimbursement of charges paid on my behalf for each of the following services applicable to the rented premises: Electricity / Hydro
X
Yes
No
Hot Water Heater Rental
Gas
Yes
x
No
Cable/Satellite TV
Heat
Yes
X
No
Water
Yes X
X
Yes Yes
X
No
Air Conditioner
Yes
No
Other [Telephone ]
No
Other [
]
X
X
No
Yes
No
Yes
No
Applicant’s Initials:
Rental Application -Page 3 APPLICANT’S PARTICULARS: [Must be completed in full before application will be considered] Applicant (1)
Applicant (2)
Applicant (3)
Applicant (1)
Applicant (2)
Applicant (3)
Applicant (1)
Applicant (2)
Applicant (3)
Name Present Address Street Address/City Province/Postal Code Present Monthly Rent Length of Occupancy Reason for Leaving Home Phone Cell Phone Email Address Landlord’s Name Landlord’s Phone No. Proof of Identification Prior Address (if less than 3 years) Previous Address Unit/ Street Address Province/Postal Code Monthly Rent Length of Occupancy Reason for Leaving Landlord’s Name Landlord’s Phone No. Employment Employer #1: Name & Address Occupation No. Of Years Annual Income Employer’s Address Employer’s Telephone If employment less than 3 years, provide information of previous employers and occupation to total 3 years: Employer #2: Name & Address Occupation Dates of Employment Applicant’s Initials:
Rental Application -Page 4 Employer #3: Name & Address Occupation Dates of Employment Credit Information
Applicant (1)
Applicant (2)
Applicant (3)
Primary Bank [Name, Branch] Account Type & No.
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trust
Acct. No:
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trust
Acct. No:
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sav
trust
sav
trust
Acct. No:
Secondary Bank [Name, Branch] Account Type & No.
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sav
Acct. No:
trust
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Acct. No:
trust
chq Acct. No:
Spouse’s Employer Address Spouse’s Income Vehicle Information
Applicant (1)
Applicant (2)
Applicant (3)
Driver’s Licence Make of Vehicle Model and Year Vehicle Licence No. References [Must be completed in Full] #1: Name #1: Address #1: Telephone #2: Name #2: Address #2: Telephone
Applicant’s Initials:
Rental Application -Page 5 IN CASE OF EMERGENCY CONTACT: ________________________________________________________________________ Phone No.: ____________________________________________ SUMMARY OF MONIES TO BE PAID: ProRated Rent: First Month Rent: LMR Deposit: Refundable deposit for entry key/card: ______________ TOTAL RECEIVED $
Relationship: _____________________________________
By Money Order
By Cheque
I/We hereby certify the information provided above and on the Rental Application (Applicant’s Particulars) to be true. I/We agree that upon acceptance of this Rental Application by the Landlord, I/We shall forthwith enter into Tenancy Agreement incorporating the above terms into the Landlord’s usual form which I/We have been given the opportunity to review, in which event the Last Month Rent Deposit shall be deemed to be a Rent Deposit and applied towards the rent of the last month’s occupancy. IF I/WE SHOULD FAIL TO ENTER INTO SUCH TENANCY AGREEMENT, IN ADDITION TO ANY OTHER RIGHT TO DAMAGES ACCRUING TO THE LANDLORD, THE LAST MONTH RENT DEPOSIT IS NON-REFUNDABLE UNLESS THE RENTAL UNIT IS RERENTED FOR THE LEASE COMMENCEMENT DATE OF THE ABORTED TENANCY. If the Landlord is unable to give possession of the rented premises on the date of commencement of the term for any reason, the Landlord shall not be subject to any liability to the Applicants and shall give possession as soon as the Landlord is able to do so. The rent shall abate until possession of rented premises is offered by the Landlord to the Tenant. Failure to give possession on the date of commencement shall not in any way affect the validity of the Tenancy Agreement, the obligations of the Tenant or in any way be construed to extend the term of this Tenancy Agreement. In the event that a Tenancy Agreement is entered into, this Rental Application by the terms of clause 27 of the Tenancy Agreement will be deemed to form part of the Tenancy Agreement. Any omission or misstatement by the Applicants in the Rental Agreement may result in the termination of your tenancy by the Landlord even after occupancy has been taken. The Tenant acknowledges that the rented premises and the Landlord’s premises are approximately 50 years old and as such they will require maintenance, repair, renovation and modernizing, from time to time, and that carrying out such work may result in disruption, inconvenience and other interference with the Tenant’s reasonable enjoyment of the rented premises and the Landlord’s premises. The Landlord and the Tenant acknowledge and agree that the total monthly rent agreed upon in this Agreement and subsequent renewals has taken into account and reflects a reduction in the total monthly rent and otherwise chargeable in recognition of the age and condition of the rented premises and the Landlord’s premises, as well as the potential disruption, inconvenience and other interference with the Tenant’s reasonable enjoyment of the rented premises and the Landlord’s premises resulting from or connected with the maintenance, repair, renovation and modernizing of the rented premises and Landlord’s premises carried out from time to time whether of the Landlord’s own initiative or as a result of Federal, Provincial or Municipal requirements. The Applicant hereby gives permission to the Landlord or his Agent to use the information collected herein to obtain a consumer report; to contact employers, previous landlords, references; to contact agencies that provide landlord information; to enforce the terms of any Tenancy Agreement that may be subsequently entered into with the Applicant; or to reasonably use it otherwise to assess this Rental Application. It is agreed that where this Application is rejected, the Landlord shall not be required to give reasons therefore. Witness
Applicant 1: Print Name
Sign Name
Witness
Applicant 2: Print Name
Sign Name
Witness
Applicant 3: Print Name
Sign Name
Acceptance by the Landlord: The Landlord hereby accepts this Rental Agreement/Offer to Lease for the Rented Premises as herein described: Date
Signature of Landlord or Agent
