Why are you vacating your present place of residence?
LAST TWO PLACES OF RESIDENCE
Address:
Address:
From
To
From
To
Name of Landlord
Name of Landlord
Telephone No.
Telephone No.
PRESENT EMPLOYMENT
PRIOR EMPLOYMENT
Occupation
:
Employer
:
Business address
:
Business telephone
:
Position held
:
Length of employment
:
Name of supervisor
:
Current salary range
:
Monthly $
SPOUSE’S PRESENT EMPLOYMENT
PRIOR EMPLOYMENT
Occupation
:
Employer
:
Business address
:
Business telephone
:
Position held
:
Length of employment
:
Name of supervisor
:
Current salary range
:
Monthly $
Name of Bank
Branch
Address
Chequing Account #
Savings Account #
FINANCIAL OBLIGATIONS
Payments to:
Amount:
Payments to:
Amount:
PERSONAL REFERENCES
Name:
Address:
Telephone:
Length of Acquaintance:
Occupation:
Name:
Address:
Telephone:
Length of Acquaintance:
Occupation:
AUTOMOBILE(S)
Make:
Model:
Year:
License No.
Make:
Model:
Year:
License No.
The applicant represents that all statements made above are true and correct. The applicant is hereby notified that a consumer report containing credit and/or personal
information may be referred to in connection with this rental.The applicant authorizes the verification of the information contained in this application and information
obtained from personal references. This application is not a Rental or Lease Agreement. In the event that this application is not accepted, any deposit submitted by the