No Smoking

Application for Rental

    Please complete the application below. Any supporting documentation (i.e. pay stubs, bank statements, etc.) can be uploaded prior to submitting your application. Please allow 1-2 business days for processing.

    Application forms can also be downloaded in Adobe Acrobat PDF format.

     

    Property Information:

    Number One Broadway Place
    67117 Manitoba Limited

    I/We are applying to rent suite number*

    Desired possession date*

    How did you find this suite? WebsiteWord of MouthKijijiMLSSocial MediaOther

    If other, please specify

     

    Applicant Information:

    Applicant #1

    Basic Information:

    Name (First & Last)*

    Cell Phone Number*

    Work Phone Number

    Email Address*

    Date of Birth*

    Please attach scan of drivers license*

    Have you ever been evicted from, or asked to leave any previous accommodation? YesNo

    Did you leave any previous accommodation owing rent? YesNo

    Do you own pets? YesNo

    Do you smoke? YesNo

     

    Rental History:

    Current Address*

    Period of Occupancy*

    Landlord Name*

    Landlord Phone Number*

     

    Previous Address

    Period of Occupancy

    Landlord Name

    Landlord Phone Number

     

    Employment History:

    Employer*

    Address

    Phone Number

    Contact Name

    Position Held

    Length of Employment

    Annual Salary

    Weekly Hours


    If retired, please provide all of the following:

    Bank Statement

    Net Worth Statement

    Latest Tax Return


     

    Personal References (other than relatives):

    Name*

    Address*

    Phone Number*

     

    Emergency Contact:

    Name*

    Relationship*

    Address*

    Cell Phone Number*

    Work Phone Number

     

    Parking:

    Do you require parking? YesNo

    Vehicle Description:

    Make/Model

    Year

    Colour

    License Plate

    Basic Information:

    Name (First & Last)

    Cell Phone Number

    Work Phone Number

    Email Address

    Date of Birth

    Please attach scan of drivers license

    Have you ever been evicted from, or asked to leave any previous accommodation? YesNo

    Did you leave any previous accommodation owing rent? YesNo

    Do you own pets? YesNo

    Do you smoke? YesNo

     

    Rental History:

    Current Address

    Period of Occupancy

    Landlord Name

    Landlord Phone Number

     

    Previous Address

    Period of Occupancy

    Landlord Name

    Landlord Phone Number

     

    Employment History:

    Employer

    Address

    Phone Number

    Contact Name

    Position Held

    Length of Employment

    Annual Salary

    Weekly Hours


    If retired, please provide all of the following:

    Bank Statement

    Net Worth Statement

    Latest Tax Return


     

    Personal References (other than relatives):

    Name

    Address

    Phone Number

     

    Emergency Contact:

    Name

    Relationship

    Address

    Cell Phone Number

    Work Phone Number

     

    Parking:

    Do you require parking? YesNo

    Vehicle Description:

    Make/Model

    Year

    Colour

    License Plate

    The applicant(s) is/are advised to have insurance in a sufficient amount for third party liability within the suite and coverage on personal contents against fire, theft and water damage.

        As a prospective tenant, I/We hereby authorize the landlord, or the Landlord's representatives to utilize the above information, and any other information submitted by me/us, to carry out a credit check to assist in determining my/our credit-worthiness. I/We authorize the Landlord, or the Landlord's representatives to make any enquiries necessary. I/We hereby declare that the above statements are true in substance and in fact. I/We hereby take notice that the Landlord, or the Landlord's representatives may disclose the information contacted in this form to its credit grantors and/or consumer reporting agencies and that such information may contain personal information as define in Canadian and provincial legislation. I/We hereby consent to such disclosure and to the Landlord or its representatives obtaining subsequent credit information during the term of any lease entered into and within five (5) years of the expiry of the lease. The Landlord's detailed privacy policy will be provided upon written request.