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(Each applicant and co-applicant (roommate) must apply separately.)

Applicant name:
Your Email:
Address:
How long:
Phone #:
Current rent: $
Monthly income: $

Reason(s) for moving:

Name(s) of everyone who will be living in the unit:

Landlord:
Phone #:
Employer:
Phone #:
Occupation (job title):
How long employed?:

REFERENCES: (nonfamily)
Name:
Address:
Occupation:
Phone #:

Name:
Address:
Occupation:
Phone #:

Automobile:
Year:
Make:
Model:
Colour:
Driver’s license #:
License plate #:

This application is to be binding upon the applicant(s) for a period of seven days from the date completed, during which time this application shall be open for acceptance by, or on behalf of, the landlord. If approved, this application will form part of the tenancy agreement, and the deposit will be applied towards the payment of the last month's rent. Any false or misleading statements are cause for immediate termination of tenancy.

I agree to the terms and conditions stated above.


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