Residential Tenant Application

Declaration of Agency:

We are solely the agents of the landlords. On their behalf we must be able to check your references, etc. and have them approved before we can agree to rent to you.
To apply for accommodation in one of the properties we manage please complete the following form.

Are you interested in one of the places you see on this website? (If so, which one) :

Have you been talking to one of our property managers? (If so, which one):

Identification and Personal Information

Personal Details

Full Name: *

Drivers License No:

Date of Birth:

Contact Information

Address: *

City: *

Province: *

Postal Code: *

Home Phone: *

Cell Phone:

Fax Number:

Employment Information

Present Information

Present Employer:

Supervisor's Name:

Address:

Work Phone:

Gross Monthly Salary:

Additional Income (please specify source):

Past Information

Previous Employer:

Supervisor's Name:

Address:

Work Phone:

Rental Information

We are looking for information on your last two places of residence.

First Residence

Address 1:

City 1:

Province 1:

Postal Code 1:

Landlord's Name:

Length of Tenancy:

Reason for Leaving:

Second Residence

Address 2:

City 2:

Province 2:

Postal Code 2:

Landlord's Name:

Landlord's Phone:

Length of Tenancy:

Reason for Leaving:

Full Names of Occupants:

Enter the full names (including children) of all individuals who will be occupying the premises (one per line)

Pet Descriptions:

Do You Smoke?:

Yes

Are You a Student?:

Yes

Have you Ever Been Convicted of a Crime?:

Yes

Have you ever been evicted, sued for nonpayment of rent, or breached a lease (if yes, please explain)?:

References

These people should not be related to you.

First Reference

Reference Name:

Reference Phone:

Relationship:

Second Reference

Reference Name:

Reference Phone:

Relationship:

Third Reference

Reference Name:

Reference Phone:

Relationship:

Acknowledge Authorization: *

Check this box to acknowledge authorization

I certify that the above information is true and complete. I authorize Coldwell Banker Horizon Realty to obtain a credit report through their business affiliate Mortgage Alliance Homeline Mortgage for purposes related to this application and further grant Mortgage Alliance Homeline Mortgage consent to release and to disclose certain personal information to Coldwell Banker Horizon Realty in regards to their services.