Interested in renting one of our properties?

| Use the form below |


Print it out, fill it in and fax it to us at:
(867) 669-9606

*Please note- This application will not be reviewed or approved unless it is completed in full.
An application is required for each applicant if applying for joint tenancy.

Please make sure to fill in compulsory fields

An application is required for each applicant if applying for joint tenancy

Contact Name: *
Contact Phone:*
Email: *
Rental Location:*
Date Required:
Pick a date
Personal Information

First & Last Name:*

Date of Birth: 
Driver's Licence#:
   

Current Address:*

How Long?*

Name of Landlord:*

Reason for Leaving:*
Landlord's contact#:*
 

Previous Address:

How Long?

Name of Landlord:

Reason for Leaving:
Landlord's contact#
 
Employment

Present Employer: *

Occupation: *

How Long? *
Monthly income:*

Name of Supervisor:

Contact #:
If current employment is less than 2 years, please fill in next section

Previous Employer:

Occupation:

How Long?
 

Name of Supervisor:

Contact #:
Credit Information
Your Bank:
Address:

Credit reference 1:*
(Credit cards, loans, Utility Co, etc.)
Credit reference 2:*

Personal reference 1:*
(Do NOT include mom, dad, brother, sister, )
Contact #:*
Personal reference 2:*
 Contact #:  *
Emergency Contact 1:*
(Next of kin preferred)
 Contact #:  *
Emergency Contact 2:*
 Contact #:  *

Other occupants

Name:

  
Age:
  Relationship

Name:

  
Age:
  Relationship

Name:

  
Age:
  Relationship

Vehicles
Description of vehicles used by occupants:
Unlicensed, uninsured or inoperable vehicles are not permitted on our property.
They will be towed at the owner's expense. NOTE: Only one parking stall per unit

Make/Model:

  
Colour:
  License#:

 


Thank you for taking the time to fill out this application form please press the submit button at the bottom of this form,
or print it, fill it in, then fax it to us at (867) 669-9606

The applicant certifies that all statements herein are true and correct and by submitting this form electronically or by fax, authorizes the Landlord to contact any references given herein. It is further understood that all information herein remains confidential and will not be released to anyone other than lawful authorities without prior consent of the applicant(s). Applicant(s) understands that no representations, promises or agreements as to occupancy, lease or date of possession have been made. The owners, their representatives or duly authorized agents shall not be liable for any loss or damage occurring due to the inability to deliver possession of the premises applied for. If the applicant withdraws this application, or upon acceptance does not take occupnacy of the premises, all sums deposited will be retained by the owner as liquidated damages and the applicant shall not acquire any right in, or t,o said premises by reason thereof.

NOTE: I/We, the applicant hereby consent, by submitting this form electronically or by fax, to the landlord or his agent obtaining a credit information report on myself/ourselves from a consumer reporting agency. We authorize the agencies and other persons to disclose information on me/us to the landlord/agent. The landlord/agent has the right to reject this application.

For Office Use Only

Monthly rent:

  
Security deposit received:
Address:
  
Landlord's authorization: