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RENTAL APPLICATION FORM

Rental Application

To: Brock-King Properties

440 Adelaide Street West Toronto, Ontario M5V 1S7


NOTE: Fields marked by an asterisk (*) are required.

1. Rental Applicant(s)

Rental Applicant #1
*Name:
*E-mail:
*Address:
*City:
*Postal Code:
*Tel. Home:
Tel. Business:

Rental Applicant #2
Name:
E-mail:
Address:
City:
Postal Code:
Tel Home:
Tel Business:

2. Rental Premises Applied For:
City:
*Address:
Suite Number:
*Unit Type:

Parking privileges required for private automobiles.

Note: No dogs, cats or other pets or animals allowed.

3. Proposed Occupant(s)
*Name:
* Date Of Birth:
Name:
Date Of Birth:
Name:
Date Of Birth:
Name:
Date Of Birth:


* Term to commence:
Term to End:
* Date required:

4. (i) Rental Information: [Includes discount specified in 4(ii)]
Monthly Rental:		$
Parking:		$
Air Conditioner:		$
Appliances:		$
Additional Services: (Specify)		$
Additional Services: (Specify)		$
Total Monthly Rental:		$

4. (ii) Rental Incentive

If the Rented Premises are subject to a rental discount, the amount of the discount shall be $

which shall be given as follows:

A Pro-Rated Rent of $ is to be paid in advance to cover the period from:

(Date) to (Date)

The Applicants agree to pay for the following services and facilities applicable to the Rented Premises and to provide written confirmation from applicable utilities prior to commencement of lease that utilities are in Applicants name(s):

		Specify Yes or No
Electricity:		Yes No
Water:		Yes No
Gas:		Yes No
Heat:		Yes No
Water Heater Rental:		Yes No
Cable TV:		Yes No
Other (specify)	:	Yes No

4. (iii) Summary Of Monies To Be Paid
Total Monthly Rental for first month's rent:	$
Pro-Rated Rent:	$
Contract Deposit:	$
Refundable deposit for entry key/card:	$
Total:	$

Contract Deposit received with this rental Application $

5. Applicant’s Particulars	Applicant 1	Applicant 2
Present Landlord’s Name:
Present Landlord’s Address:
Present Landlord’s Phone Number:
Years lived at present address?
What is your previous address?
Years lived at previous address?
Name of Previous Landlord:
Address of Previous Landlord:
Phone# of Previous Landlord:
Employer’s Name:
Employer’s Address:
Employer’s Telephone:
Length of Employment:
Occupation:
Annual Income:
Previous Employer’s Name:
Previous Employer’s Phone:
Length of Employment:
Name of Bank:
Branch:
Account Number(s) and Type:
Other Income or Assets (Please Specify):
Year, Make and Colour of Auto:
Licence No. (Auto):
Driver’s Licence No.:
Social Insurance No.:
Date of Birth (D/M/Y):

What made you choose this accommodation?

6. References: Two personal (other than relatives) and one credit card other than the aforementioned Bank. Must be completed in full.

Reference #1
Name:
Address:
Phone:
Reference #2
Name:
Address:
Phone:
Credit Reference
Name:
Address:
Phone:

In case of Emergency, Contact next of kin:
Name:
Address:
Phone:
Relationship:

I/We hereby certify the information provided above and the Applicant's Particulars to be true. I/We agree upon acceptance of this Rental Application by the Landlord, I/We shall forthwith enter into a Tenancy Agreement incorporating the above terms into the Landlord's usual form which I/We have been given the opportunity to review, in which event the Contract Deposit shall be deemed to be a Rent Deposit and applied towards the rent of the last month's occupancy. IF I/WE SHOULD FAIL TO ENTER INTO SUCH TENANCY AGREEMENT, IN ADDITION TO ANY OTHER RIGHT TO DAMAGES ACCRUING TO THE LANDLORD, I/WE AGREE AND ACKNOWLEDGE THAT THE CONTRACT DEPOSIT SHALL BE FORFEITED.

If the Landlord is unable to give possession of the rented premises on the date of commencement of the term for any reason, the Landlord shall not be subject to any liability to the Applicants and shall give possession as soon as the landlord is able to do so. The rent shall abate until possession of rented premises is offered by the Landlord to Tenants. Failure to give possession on the date of commencement shall not in any way affect the validity of the Tenancy Agreement, the obligations of the Tenants or in any way be construed to extend the term of this Tenancy Agreement. In the event that a Tenancy Agreement is entered into, this Rental Application by the terms of clause 25 of the Tenancy Agreement will be deemed to form part of the Tenancy Agreement. Any omission or misstatement by the Applicants in this Rental Application may result in the termination of your tenancy by the Landlord even after occupancy has been taken.

The Applicant hereby gives permission to the Landlord or his Agent to obtain a consumer report, to contact employers, previous landlords, references or to take any other reasonable steps to assess this Rental Application.