Property*
Full Name*
Home Phone*
Cell Phone*
Date of Birth*
Email*
Co-Applicant Name
Co-Applicant Date of Birth
Names of Dependent(s) & Date(s) of Birth
Do you have any pets?* Yes No If yes, what is the pet(s)?
Applicant's Present Residence*
Since?*
Present Monthly Rent*
Reason For Leaving*
Contact Name*
Contact Telephone*
Applicant's Previous Residence (if present residence less than 3 years)
Since?
Monthly Rent
Reason For Leaving
Contact Name
Contact Telephone
Have you ever been evicted from a rental residence?* Yes No
Have you had two or more late rental payments in the past year?* Yes No
Have you ever willfully or intentionally refused to pay rent when due?* Yes No
Applicant's Status* Full Time Part Time Student Unemployed
Employer
Employed as
Dates Employed
Annual Salary
Supervisor Name
Supervisor Phone
If employed by above less than 12 months, give name & phone of previous employer or school
Co-Applicant's Status Full Time Part Time Student Unemployed
1. Name
1. Address
1. Phone
1. Relationship
2. Name
2. Address
2. Phone
2. Relationship
Make / Model
Year
License Plate
Province
Where may we reach you to discuss this application?
Day Phone
Evening Phone
* I hereby apply to lease the above described premises. I agree that rent is payable the first day of each month in advance.
When so approved and accepted, I agree to execute a Tenancy Agreement and to pay the damage deposit prior to the move in date. Prior to moving out, I agree to provide the owner with notice as provided for in the Yukon Landlord & Tenant Act.
I recognize that as a part of your procedure for processing my application, information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, personal characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.
I authorize an investigation of my tenant history and employment for the purposes of renting accommodations from this owner.
I hereby authorize the person or firm to whom this application is submitted to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or for any other direct business requirement.
