Apartment Rental Application

First Name *

Last Name *

Date of birth *

Email *

Tel/Cell Number *

Do you consent to a criminal background check? *

• Yes
• No

For which apartment are you applying? *

• Select One
• 283 Ayer Avenue
• 285A Ayer Avenue
• 285B Ayer Avenue

Pets *

• 1 cat
• 2 cats
• 3 cats
• dog
• Other
• None

Vehicle (Make - Model - Year)

Who will be living with you?

Since when have you lived at your current address? *

Current Address (#, Street Name) *

Current Address (City) *

Current Address (Province) *

Current Address (Postal Code) *

Current Address Landlord Name *

Current Address Landlord Telephone Number *

Reason for moving from current address. *

When did you move into your previous address? *

When did you move out of your previous address? *

Previous Address (#, Street Name) *

Previous Address (City) *

Previous Address (Province) *

Previous Address (Postal Code) *

Previous Address Landlord Name *

Previous Address Landlord Telephone Number *

Reason for moving from previous address *

Personal Reference (1) - First and Last Name *

Personal Reference (1) - Relationship *

Personal Reference (1) - Telephone *

Personal Reference (2) - First and Last Name *

Personal Reference (2) - Relationship *

Personal Reference (2) - Telephone *

Employer *

Supervisor Name *

Supervisor Telephone Number *

Employed Since *

Additional information you would like to provide

By typing my full name and clicking the Submit button I confirm my understanding that the rental premises are non-smoking and declare that the statements above are true and correct. I hereby authorize verification of references provided. *

Comment

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