Rental Application
1.
Please fill out Entire application. Any ommissions could disqualify you as a potential tenant.
2.
Submit form.
Landlord's Email:
doreen@jmsb.concordia.ca
Rental/Lease Info:
Bridget Flynn (514) 892-6143
Apartment Info
*
Unit:
Unit 05A
*
Length of Stay:
Applicant Info
*
Applicant's phone # home:
Applicant's phone # work:
Applicant's email:
Is there anything special we should know about you?
Applicant and all others who will reside at above property
What is the total number of residents in your unit?
*
Applicant's First Name
*
Applicant's Last Name
M.
S.I.N. #
*
Applicant's Date of Birth
(mm/dd/yy)
1.
2.
3.
4.
5.
6.
7.
Your Current Rental Location
*Address:
*Town:
*Prov./State:
*Postal Code/Zip:
Unit #:
Length of time at this address:
Years
Months
Reason for leaving:
*Current Landlord Name:
*Current Landlord Phone:
Your Previous Rental Location
Address:
Town:
Prov./State:
Postal Code/ZIP:
Unit #:
Length of time at this address:
Years
Months
Reason for leaving:
Landlord name:
Landlord phone:
Employment
Employer:
Manager:
Phone:
1.
How long employed?
Years
Months
2.
How long employed?
Years
Months
Bank Information
Bank/Branch:
Credit Cards:
Visa
Amex
Mastercard
Other
Automobiles
Make
Model
Color
Year
License #
Prov.
1.
2.
3.
Do you have any Pet(s)?
Yes
No
Type:
Age:
Size:
*Have you ever had eviction papers served to you, been evicted, or denied lease renewal?
Yes
No
Are you a Smoker? (Our units are all non-smoking.)
Yes
No
*
Have you Ever Been Arrested or Convicted of a crime?
Yes
No
*
I authorize my credit to be checked subject to terms and conditions below:
Yes
No
Signature:
Date:
I warrant that the information supply here is true and correct and that I am at least 18 years of age. I have been informed that the owner or his agent may request a consumer credit report to evaluate my qualifications as a potential tenant. The Owner or his agent is allowed to verify my credit from time to time. Owner/owner's agent warrants that any verifications are for the purposes of entering into a rental agreement or to guarantee a lease as a cosigner and further warrants that any information derived from credit reports or other sources will be kept confidential. False or intentional omission of requested information may result in automatic denial. To be given consideration, applications must be fully completed with names, phone numbers and addresses as requested.
Please Note:
It may take fifteen seconds to send your application due to heavy volume.
Please be patient! Thank You.