WATERSIDE APPLICATION FOR TENANCY

Office # 204-505-0225
WATERSIDE APPLICATION FOR TENANCY
Address for Rent

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date you are wanting to move in to Unit?*

MonthDayYear
Date
Applicant Name*

First NameLast Name
Present Address*

Street Address

Street Address Line 2

CityProvince

How long have you lived here?
Cell Phone Number*

Area CodePhone Number
Work Phone Number*

Area CodePhone Number
Email*
example@example.com
Driver's License #*
Manitoba Medical #*
S.I.N
Previous Address*

Street Address

Street Address Line 2

CityState / Province

How long did you live here?
Present Landlord*

Name

Street Address

Phone Number

Postal / Zip Code
Previous Landlord

Name

Street Address

Phone Number

Postal / Zip Code
Present Employer*

Company Name

Street Address

Phone #Position Held

How long at job
Income at Present Employment*
Previous Employer

Company Name

Street Address

Phone #Position Held

How long at job
Income at Previous Employment
Name of Spouse/Partner
Spouse Employer
Spouse/Partner

Name

Employer

Work Phone #How long employed

Income
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
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