Poli Rentals Application

Date Required(Required)

Type of Accommodation Required(Required)

Applicant Full Name(Required)

(Applicant) Current Address(Required)

(Applicant) City, Province, Postal Code(Required)

(Applicant) Email Address(Required)

(Applicant) Phone Number(Required)

(Applicant) Work Number

(Applicant) How long have you lived at your current address?(Required)

(Applicant) Landlords Name

(Applicant) Landlord's Phone Number

(Applicant) Previous Address & Length of Tenancy(Required)

(Applicant) Name and Phone Number of Previous Landlord

(Applicant) Employer's Name and Phone Number(Required)

(Applicant) Length of Employment

(Applicant) Occupation

(Applicant) Previous Employer's Name and Number

(Applicant) Length of Previous Employment

(Applicant) Name of Bank(Required)

(Applicant) Branch(Required)

(Applicant) Licence Plate Number

(Applicant) In case of emergency, please notify (Name, Address, Phone, Relationship)(Required)

(Applicant) Reference #1 (Name, Address, Phone, Occupation)(Required)

(Applicant) Reference #2 (Name, Address, Phone, Occupation)(Required)

(Co-Applicant) Full Name

(Co-Applicant) Current Address

(Co-Applicant) City, Province, Postal Code

(Co-Applicant) Phone Number

(Co-Applicant) Work Number

(Co-Applicant) How long have you lived at your current address?

(Co-Applicant) Landlord's Name

(Co-Applicant) Landlord's Phone Number

(Co-Applicant) Previous Address and Length of Stay

(Co-Applicant) Name & Phone Number of Previous Landlord

(Co-Applicant) Employer's Name and Phone Number

(Co-Applicant) Length of Employment

(Co-Applicant) Occupation

(Co-Applicant) Previous Employer

(Co-Applicant) Length of Previous Employment

(Co-Applicant) Name of Bank

(Co-Applicant) Branch

(Co-Applicant) Licence Plate Number

(Co-Applicant) In case of emergency, please notify (Name, Address, Phone, Relationship)

(Co-Applicant) Reference #1 (Name, Address, Phone, Occupation)

(Co-Applicant) Reference #2 (Name, Address, Phone, Occupation)

Approximate Annual Earnings of Applicant(Required)

Approximate Annual Earnings of Co-Applicant

Other Income

Total Gross Income(Required)

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This field is for validation purposes and should be left unchanged.

NOTE: PETS ALLOWED WITH PERMISSION ONLY PET AGREEMENT TO BE SIGNED.

We reserve the right to size and quantity

Last month deposit due upon acceptance of application.

First month rent and paperwork required prior to move in

NOTE: Student – Parents / Guarantor agreement required

Postdated Cheques Preferred in 6 Month Intervals