Rental Application Form | ASAP Housing Solutions

Address of the Property to be Leased*

What Date Do You Require Occupancy?

Applicant Information

All required fields are noted by *

Name*

First Last

Date of Birth (MM/DD/YYYY)*

Cell Phone*

Home Phone

Email*

Social Insurance Number (SIN)

Do You Have Pets?*

Yes
No

If you have pets, please provide a brief description

Who will be living in the property?*

Please provide a brief description including the ages of all occupants

Do you or anyone living in the unit use any of the following?*

Please select all that apply

Employment History

Current Employment Status*

Employer*

Position

This Employer is*

Current
Previous

Company Address*

Length of employment*

Supervisor Name*

Supervisor Cell Phone Number*

Annual Income*

Additional Comments

Residential History

Current Address*

Street Address Address Line 2 City Province Postal Code

How long have you been there?*

Landlord Name*

Landlord Phone Number*

Monthly Rent*

Why are you leaving this address?*

Credit History Description

Have you declared bankruptcy in the past (7) years?*

Yes
No

Have you ever been evicted from a rental residence?*

Yes
No

Have you had 2 or more late rental payments in the last 12 months?*

Yes
No

Have you ever refused to pay rent when due?*

Yes
No

If you answered YES to any of the above, please state your reasons and/or cirmumstances

References

Can be anyone other than a relative

Reference 1*

First Last

Relationship*

Cell Phone Number*

Reference 2*

First Last

Relationship*

Cell Phone Number*

Reference 3*

First Last

Relationship*

Cell Phone Number*

Emergency Contact

Name*

First Last

Relationship*

Cell Phone Number*

Any additional information you would like to add to you application

Information Agreement*

I agree.

I hereby certify that the above information is true and correct and contain no misrepresentations, and that I have not withheld any information relevant to this application. If misrepresentations are found after the residential tenancy agreement is entered into with the applicant(s), the Landlord will have the option to terminate the residential tenancy agreement and seek all available remedies. It is also understood that the property management and/or owner reserves the right to reject this application. I have read and understand these conditions.

Verification Agreement*

I agree.

I know that I have the right to verify the information about me held by credit reporting agencies, that the landlord and its agents are entitled to rely on such credit reports as being correct, and I release any claim I may have arising from reliance on that information. I hereby give irrevocable permission to the Landlord or its agents to obtain at any time a consumer/credit report and/or a criminal report about me, to contact previous landlords to obtain information about my previous tenancies, to contact agencies that provide landlord information, to contact my references, and to take any other reasonable steps necessary to assess this rental application or for any amendment or renewal of my tenancy. I provide my irrevocable consent to the Landlord or their agents to disclose information from my rental application and information arising from any tenancy between us to any third party for the purpose of contributing information to a database of tenant information to be used in providing consumer/credit reports.

Email

This field is for validation purposes and should be left unchanged.