Electronic Application Form
W.J. Realty Management
7 St. Dennis Drive, Suite 101
Don Mills, Ontario M3C 1E4
416-429-6555
416-429-6707(fax)

RENTAL/CREDIT CHECK APPLICATION
Date of application:

Applicants:

1.	Name
	Address1
	City	Province Postal Code
	Tel: Home	Business Fax
	Email

2.	Name
	Address1
	City	Province Postal Code
	Tel: Home	Business Fax
	Email

Rental Premises Applied For:

Building Address

		7 St. Dennis Drive
		10 Grenoble Drive
		2550 Kingston Road
		2560 Kingston Road
		22 Oakmount Road
		125 Neptune Drive
		140 Carlton Street

Unit Type:

Parking Required
(Specify No. Of Spaces):

Proposed occupants:
1. Name		Birthdate (mm/dd/yyyy)
2. Name		Birthdate (mm/dd/yyyy)
3. Name		Birthdate (mm/dd/yyyy)
4. Name		Birthdate (mm/dd/yyyy)
5. Name		Birthdate (mm/dd/yyyy)

Date accommodation required:

APPLICANT'S PARTICULARS
	APPLICANT 1	APPLICANT 2
Present Landlord's Name
Present Landlord's Address
Present Landlord's PhoneNumber
Years lived at present address
What is your previous address
Years lived at previous address
Name of Previous Landlord
Address of Previous Landlord
Phone number of Previous Landlord
Employer's Name
Address
Telephone
Length of Employment
Occupation
Annual Income
Previous Employer's Name
Previous Employer's Phone
Length of Employment

Banking Information
	Applicant 1	Applicant 2
Name of Bank
Branch Address
PhoneNumber
Account Number(s) and Type
Year, Make and Colour ofAuto

Extra Information
	Applicant 1	Applicant 2
Auto License Plate
Driver's Licence Number
Social Insurance Number
Date of Birth (mm/dd/yyyy)

References
	Applicant 1	Applicant 2
1. Name
Address
Phone
Relationship

2. Name
Address
Phone
Relationship

In Case of Emergency
	Applicant 1	Applicant 2
Name
Address
Phone
Relationship

How did you hear about us?

	Referral
	Website
	Newspaper
	Other	(please specify)

Have you ever been evicted?

No:

Yes:

Why

I/we hereby certify that the information given herein is correct and true. I/we hereby authorizethe landlord, or his agent, to perform credit checks, to contact employers, previous landlords andreferences, to obtain factual investigative credit and personal information regarding me/us fromany source which the landlord feels necessary, or to take any other reasonable steps to assess this Rental Application.

I/we understand that prior to this application being considered, we are required to provide letters verifying our employment and income and status of our bank accounts and/or any outstanding loans.