applicationforrentalaccomodation_sreiab
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8/2/2019 ApplicationForRentalAccomodation_SREIAB
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SREI Application for Rental Accommodation
The Landlord Acknowledges the Confidentiality of This Document(Must Be Fully Completed)
1. ACCOMMODATION INFORMATION: Date of Application: ___________________________
Address of Premises: ______________________________________________________________________
Type Requested: 1 bedroom 2 bedroom 3 bedroom Other ________________
Date Requested: Day ________ Month ____________ Year _________
Names of all people to occupy the premises:
Adults __________________________________________________________________________________
Children ________________________________________________________________________________
2. PERSONAL INFORMATION OF APPLICANTS:
(1stAdult)
Full Name: ______________________________________________ Birth date: ____________
Present Address: __________________________________________ Phone: _______________
________________________________________________________ How Long: ___________
Previous Address: _________________________________________
________________________________________________________ How Long: ___________
SIN #: __________________________________________________
Drivers License: __________________________________________
(2ndAdult)
Full Name: ______________________________________________ Birth date: ____________
Present Address: __________________________________________ Phone: _______________
________________________________________________________ How Long: ___________
Previous Address: _________________________________________
________________________________________________________ How Long: ___________
SIN #: __________________________________________________
Drivers License: __________________________________________
3. EMPLOYMENT INFORMATION OF APPLICANTS:
(1stAdult)
Current Employer: ________________________________________ Occupation: ___________
Supervisor: ______________________________________________ How long: ____________
Address: ________________________________________________
________________________________________________________
Previous Employer: ________________________________________ Occupation: ___________
Supervisor: ______________________________________________ How long: ____________
Address: ________________________________________________
________________________________________________________
(2ndAdult)
Current Employer: ________________________________________ Occupation: ___________
Supervisor: ______________________________________________ Phone: _______________
Address: ________________________________________________ How long: ____________
________________________________________________________
Previous Employer: ________________________________________ Occupation: ___________
Supervisor: _______________________________________________ Phone: _______________
Address: _________________________________________________ How long: ____________
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_________________________________________________________
4. CREDIT INFORMATION OF APPLICANTS:
(1stAdult)
Income: __________________________________ per month (net after tax)
Bank: ________________________________________________ Branch: ______________
Credit references:
Name: ________________________________________________ Phone: _______________
Name: ________________________________________________ Phone: _______________
(2ndAdult)
Income: __________________________________ per month (net after tax)
Bank: ________________________________________________ Branch: ______________
Credit references:
Name: _________________________________________ Phone: _______________
Name: _________________________________________ Phone: _______________
5. RENTAL HISTORY:
(1stAdult)
Current Landlord: _________________________________________ Phone: _______________
Previous Landlord: ________________________________________ Phone: _______________
(2ndAdult)
Current Landlord: _________________________________________ Phone: _______________
Previous Landlord: ________________________________________ Phone: _______________
6. ADDITIONAL INFORMATION:
7. RELATIVES OR FRIENDS WHO CAN BE CONTACTED IN CASE OF EMERGENCY:
1stAdult 2ndAdult
Name: ____________________________________ Name: ____________________________________
Address: __________________________________ Address: __________________________________
Phone #: __________________________________ Phone #: __________________________________
Relationship: _______________________________ Relationship: ______________________________
Approval of this application is subject to the Landlord and Tenant signing a Residential Tenancy Agreement.
Additional Details of Applicant Provided on a Separate Attached Sheet
All statements that I have made in this application are true. I authorize the Landlord to do a credit check and criminal background
check. By signing this application, ALL personal information is consensually given for use by us or our appointed agents in respect to your
application, subsequent tenancy, or on- file records in accordance to The Personal Information Protection and Electronic Documents Act
(PIPEDA 2004) This is to include and extend to the gathering and consent to access of account information and status for ALL utility
companies that the Tenant may enter into contracts with for the duration and for periods after the termination of the tenancy to ensure accountsare in good and current standing during and at the completion of the lease period.
_________________________________________ Dated this _______ day of _______________________, 20_____,
Signature of 1st Applicant
_________________________________________ Dated this _______ day of _______________________, 20_____,
Signature of 2nd Applicant
_________________________________________ Dated this _______ day of _______________________, 20_____,
Signature of 3rd Applicant