Eleven Eleven Group

APPLICANT INFORMATION

Your name

Your email

Applying for which location:

Unit Number:

Expected Move in Date:

Date of birth:

Phone:

Current Address:

Current City

Current Province

Current Postal Code

CURRENT LANDLORD INFORMATION

Current landlord:

Current Landlord Phone:

Current Landlord Email:

Did You Own Or Rent:

Monthly payment or rent:

How long At This Location??

Current Rent includes (Please check): HEATWATERHOT WATERPOWER

Approximate Cost of Utilities not included:

PREVIOUS LANDLORD INFORMATION

Previous Address:

Previous City:

Previous Province:

Previous Postal Code:

Previous landlord:

Previous Phone:

Previous Email:

Previous Did You Own Or Rent?

Previous Monthly Payment Or Rent:

Previous How Long At This Location:

Previous Rent includes (Please check): HEATWATERHOT WATERPOWER

Previous Approximate Cost of Utilities Not Included In Rent:

EMPLOYMENT INFORMATION

Are You Employed Full Or Part Time:

Current Employer:

Supervisor:

Employer address:

For How long?

Employer City:

Employer Province:

Postal Code:

Supervisor Phone:

Supervisor Email:

Are You Paid Hourly Or Salary:

Annual income:

EMERGENCY CONTACT

Name Of A Person Not Residing With You:

Contact Address:

Contact City:

Contact Province:

Contact Postal Code:

Contact Email:

Contact Phone:

Contact Relationship:

UNIVERSITY STUDENT STATUS

Are You Currently A University Student:

(If yes, we may ask you to have a co-signer guarantee your lease)

University/College Name:

Field of Study:

PERSONAL REFERENCES

Reference One Name:

Reference One email:

Reference One Phone:

Reference Two Name:

Reference Two email:

Reference Two Phone:

Reference Three Name:

Reference Three Email:

Reference Three Phone:

Vehicle Information

Make & Model:

Year:

Colour:

License Plate:

Province:

ADDITIONAL PEOPLE STAYING IN UNIT

Names of additional residents:

TERMS AND CONDITIONS

I ACKNOWLEDGE THAT PETS ARE NOT ALLOWED IN THIS RENTAL UNIT
pets not allowed

Tenant Insurance is required for this apartment. Proof of insurance will be required when lease is signed.
Insurance Required

Collection and Use of Credit and Rental History Information

I hereby consent to you obtaining factual or investigative information about me from outside parties, including a credit report. I authorize
those parties to give you the Information about me. The personal information on this form is required for, and will be used to process your
application.

In processing your application, personal information may be collected from, or disclosed to, credit or consumer bureaus, other landlords,
and government or regulatory authorities. I verify that all statements on this application are true and I authorize verification of all references
given. Information in connection with the entering into or renewal of a tenancy agreement may be conveyed to a third party.
All personal information will otherwise be kept confidential and secure.
Upon receiving a lease to sign, a security deposit will be required. The security deposit will be refunded at expiry of the lease
provided that all covenants of the Lease agreement have been adhered to and that the unit is left in a proper state of cleanliness
and repair.

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