Application For Rental Accommodation ⋆ AG Property Services

ACCOMODATION INFORMATION

Type of Unit:

e.g Condo Unit #, Basement, or Main

Address of the premises to be leased:*

Date to Occupy:*

Number of adults to occupy premises:*

Please enter a number from 1 to 10.

Number of children to occupy premises:*

Please enter a number from 0 to 10.

How many pets?*

Please enter a number from 0 to 10.

What type of pets?

PERSONAL INFORMATION OF APPLICANT

Name*

Email*

Date of Birth

Present Address

Previous Address

How long have you lived at the present address?*

How long have you lived at the previous address?

Phone*

Reason/s for leaving:*

Driver's License Number

SIN

Terms of Service*

I, hereby agree to lease form, known as the Landlord, the above premises as an indication of my good faith in making this offer, I hereby hand to the Landlord the sum of ($) dollars in the form of certified cheque, cash, or money order, as a deposit on the premises on the understanding that if my offer is accepted, the deposit shall be retained by the Landlord as a 'Deposit' in accordance with the provisions of the Lease Agreement, and if my offer is not accepted, the full deposit will be refunded to me provided, however, that if my offer is accepted and I cancel the application or fail to execute the Lease Agreement when prepared and presented, then I agree that the said deposit shall be absolutely forfeited to the Landlord. This shall be considered liquidated damages and not a penalty. Acceptance of this offer will be deemed to have been made by the Landlord's execution of the acceptance section.

I agree to the Terms of Service

BANK INFORMATION

Name of Bank

Home Branch Number / Address

EMPLOYMENT INFORMATION OF APPLICANT

Current Employer*

Position/Occupation*

Supervisor*

Phone*

How long?*

Monthly Income*

Address

Previous Employer Details

Previous Employer Fields

Check if previous employer field is not applicable

Previous Employer

Position

Supervisor

How long?

Monthly Income

Phone

Address

PERSONAL INFORMATION OF CO-APPLICANT/S

Personal Information of Co-Applicant

Co-Applicant's Name	Driver's License Number	Relationship to Applicant	Position/Occupation	Actions

There are no Entries.

RENTAL HISTORY

Current Landlord

Phone

Previous landlord field:

Check if previous landlord field is not applicable

Previous Landlord

Phone

Have You Ever Been Evicted Or Asked By A Landlord Or His Agent To leave The Rented Premises?*

Yes

No

RELATIVES OR FRIENDS WHO CAN BE CONTACTED IN CASE OF EMERGENCY

Name*

Relationship*

Phone*

Name

Relationship

Phone

TERMS TO BE INCLUDED IN THIS LEASE AGREEMENT

Tenants are the only those adults and children designated in this application.
The rent schedule shall be, due and payable on the first day of each month.
Street Parking
No pets unless written permission given by the Landlord.

5. If applicable, list all cars, license numbers, make, year and colour that will be parked in your assigned parking stall

The tenant must insure his or her own property against damage or loss.

Accept Terms*

ALL STATEMENTS THAT I MADE IN THIS APPLICATION ARE TRUE I AUTHORIZE THE LANDLORD TO DO A CREDIT CHECK.

I agree to the Terms of Service

Name

This field is for validation purposes and should be left unchanged.