Smitco Rental Application: Apply Online for NS Properties

Applicant Name

Phone

Date of Birth

Social Insurance Number

Co-Applicant Name

Phone

Date of Birth

Social Insurance Number

Occupant 1: Name

Relation to Applicant

Date of Birth

Occupant 2: Name

Relation to Applicant

Date of Birth

Address

How long you have been residing at this address?

Monthly Rent

Landlord's Name

Landlord's Contact Number

Reason(s) for leaving this property

Have you ever been evicted from a rental residence?

Yes No

Have you ever missed two or more rental payments in the 12 months

Yes No

Have you ever refused to pay rent when due?

Yes No

If you have answered YES to any of the above, please state reasons and/or circumstances

Employer

Supervisor's Name

Phone Number

Your Job Title

Date Hired

Monthly Income

Other Source of Income

Most recent 2 pay stubs

Letter of employment

Bank Statements or copies of the previous year's tax return

Have you declared bankruptcy in the past Seven (7) years?

Yes No

Do you consent to a credit check?

Yes No

Is there anything that we may find in your credit check that you may want to comment on?

Do you consent to a criminal check?

Yes No

Is there anything that we may find in your criminal check that you may want to comment on?

PETS: Must be pre-approved by the landlords, generally we do not allow pets.

I agree

SMOKING: There is to be absolutely no smoking in the units, anywhere.

I agree

WATERBEDS: Waterbeds are not allowed in the units.

I agree

PARKING: There is limited space available, you must discuss availability with the Landlord.

I agree

Do you own a vehicle, or intend to have one parked?

Yes No

Reference 1: Name

Phone Number

Relation and reason for selecting this Reference

Reference 2: Name

Phone Number

Relation and reason for selecting this Reference

Acceptance

I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies. The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause delay in processing or may result in the denial of application

Applicant's Signature

Date

Co-Applicant's Signature

Date

Residential Rental Application

Your Property. Our Priority.

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