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  KENSINGTON MANOR : RENTAL APPLICATION FORM
   

Rental Application

One application per adult 18+ A separate application must be filled out by each adult. Completely fill out each blank and sign where indicated. The application will not be considered if it’s not completely filled out. Please attached a recent bill with your home address.

PERSONAL

   
APPLICANT  
Phone  
Cell  
MARITAL STATUS:   Single Married Divorced
    Divorced Since Former Spouse
BIRTH DATE  
SIN  
DRIVERS LICENSE #  
     
ADDRESSES    
Present Address  
City  
Since  
Rent  
Phone  
Present Landlord  
Address  
City  
Phone  
Is present rent up to date?   Yes No
Have you given notice?   Yes No
Have you been asked to leave?   Yes No
Previous Address  
City  
Since  
Rent  
Phone  
Previous Landlord City  
Address  
State/Zip  
Phone  
Was rent up to date?   Yes No
Had you given notice?   Yes No
Had you been asked to leave?   Yes No
     

OCCUPANTS

   
Number to occupy  

NAME

  
RELATIONSHIP

BIRTH DATE

  
     
PETS   No Yes
   

If yes, give details

     

CARS

    
Make/ Province  
Lien  
Model/color #1  
License Plate #1  
Holder #1  
Make/ Province  
Lien  
Model/color #2  
License Plate #2  
Holder #2  
     

EMPLOYMENT

    
EMPLOYER  
Since  
Street/City  
What did you do?  
Supervisor  
Hrs  
Phone  
Previous EMPLOYER  
Since  
Street/City  
What do you do?  
Supervisor  
Hrs  
Phone  
     

INCOME

    
Current Income   $ Weekly Biweekly Monthly Yearly
Source  
Current Income   $ Weekly Biweekly Monthly Yearly
Source  
Bank/Credit Union  
Acct.#  
Bank/Credit Union  
Acct.#  
     

REFERENCE

    
Relative  
Address  
City  
Relation  
Phone  
Non-Relative Reference  
Address  
City  
Phone  
Non-Relative Reference  
Address  
City  
Phone  
Emergency Contact / Reference  
Phone  
     

CREDIT ACCOUNTS

  

Current (open) include Credit Card(s)

CREDITORS NAME  
ADDRESS
ACCOUNT#

PAYMENT CURRENT

  $ Yes No
CREDITORS NAME  
ADDRESS
ACCOUNT#
PAYMENT CURRENT $ Yes No
Has any signer ever been sued for bills?   Yes No
Has any signer ever been sued for eviction?   Yes No
Has any signer ever been bankrupt?   Yes No
Has any signer ever been guilty of a felony?   Yes No
Has any signer ever broken a lease?   Yes No
Explain any "YES" answers  

Name in which utilities are now billed and account number

Name  
Account No  
Applicant authorizes the owner to contact past and present landlords, employers, creditors, credit bureau, neighbours and any other sourcesdeemed necessary to investigate applicant.

All the information is true, accurate and complete to the best of applicant's knowledge. Owner reserves the right to disqualify tenant if information is not as represented.

ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME
     

APPLICANT DATE