APPLICATION FOR TENANCY

Office # 204-505-0225

Address for Rent

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date you are wanting to move in to Unit? *

Date

Applicant Name *

First Name Last Name

Present Address *

Street Address
Street Address Line 2
City	Province
How long have you lived here?	Country

Cell Phone Number *

- Area Code Phone Number

Work Phone Number *

- Area Code Phone Number

Email *

example@example.com

Driver's License # *

Manitoba Medical # *

S.I.N

Previous Address *

Street Address
Street Address Line 2
City	State / Province
How long did you live here?	Country

Present Landlord *

Name
Street Address
Phone Number
Postal / Zip Code	Country

Previous Landlord

Name
Street Address
Phone Number
Postal / Zip Code	Country

Present Employer *

Company Name
Street Address
Phone #	Position Held
How long at job	Country

Income at Present Employment *

Previous Employer

Company Name
Street Address
Phone #	Position Held
How long at job	Country

Income at Previous Employment

Name of Spouse/Partner

Spouse Employer

Spouse/Partner

Name
Employer
Work Phone #	How long employed
Income	Country

Other Occupants/Children in Unit *

List all children and ages

Vehicles *

List all vehicles - make, colour and license plate

Please give 3 References and your relationship to them *

Monthly Rent Amount

Parking Amount

if extra

Damage Deposit Amount

Pet Deposit Amount

I/we submit our application for the above accommodation, subject to approval of this application by the landlord. I hereby declare that the information is true and complete and I understand that any false information may result in the refusal of my application. I hereby authorize the landlord or his agents to make a personal investigation in connection with application.

DIGITAL FORM SUBMISSION IS ACCEPTANCE OF TERMS