Rental Application

Property Information
Applicant(s)
Present Address
Name
Apt. #
Street
City
Postal Code
Applicant (1)
Applicant (2)
Contact Information
Home
Cell
Bus
Email
Applicant (1)
Applicant (2)
Former Address
Apt. #
Street
City
Postal Code
Applicant (1)
Applicant (2)
Present Employer
Employer
Position
How Long?
Address
Phone
Income/Month
Applicant (1)
Applicant (2)
Former Employer
Employer
How Long?
Applicant (1)
Applicant (2)
Emergency Contact (not resident of suite)
Name
Relationship
Address
Phone
Applicant (1)
Applicant (2)
Personal Reference
Name
Phone
Applicant (1)
Applicant (2)
Bank/Credit Union Information
Name
Branch Address
Applicant (1)
Applicant (2)
Additional Information
Applicant 1 *
Applicant 2
Have you ever been evicted from a tenancy?
Have you ever refused to pay rent?
Have you ever been convicted of a crime?
Do you associate with a gang?
Proposed Occupant(s)
Names
Birth Date
Names
Birth Date
Term to Commence
Term to end
Date accomodation required
Rental Incentive

If the Rented Premises are subject to a rental discount, the amount of the discount shall be $ which shall be given as follows:

A Pro-Rated Rent of $ is to paid in advance to cover the period of from to

Pet Details
Rental Information
Monthly Rental
$
Parking
$
Additional Services
(specify)
$
Additional Services
(specify)
$
TOTAL MONTHLY RENTAL
$

The following are included with base rent: (Specify Yes or No)

Electricity
Water
Gas
Heat
Cable TV
Other
Specify
Summary of Monies to be paid
Total Monthly Rental for first month's rent
$
Pro-Rated Rent
$
Contract Deposit
$
Refundable deposits: (for laundry, entry, key/card)
$
TOTAL
$
Contract Deposit received with this Rental Application
$
I/we hereby declare that the information provided is true and complete and agree to allow Kay Four Properties Inc. (the Landlord) to make such credit checks and personal investigations as are necessary in order to confirm information and/or in order to collect balances due. I/we understand that the Landlord does not sell information regarding applicants or tenants; such information may be released in a limited manner as required in the normal course of business. I/we understand that this application/offer to lease is subject to approval and acceptance by the Landlord. I/we agree that upon acceptance of this offer by the Landlord, I/we shall enter into a tenancy agreement (a copy of which has been made available for our review) for the period noted above, in the Landlord’s usual form. Should I/we choose not to sign a tenancy agreement after acceptance of this application/offer, the Landlord is not required to lease the above noted suite to me/us, may retain the security deposit provided by me/us and may assess any additional charges as allowed under prevailing legislation including, but not limited to, lost rent.