3468 Drummond Street, Suite 1, Montreal, QC, H3G 1Y4
Tel. : 514.525.8777 E-mail: Montreal@akelius.ca akeliusmontreal.ca
Rental Application
□ New Tenant Assignment Transfer Other___________
A) Dwelling Applied For
Building Address:___________________________________
Apt:_______________________
B) Rental Information / Initial Term
Monthly Rent:__________
Lease Start Date:_____________
Lease End Date:________________
C) Applicant(S)
Applicant Guarantor
Applicant Guarantor
First name, last name (picture id attached):
First name, last name (picture id attached):
____________________________________
____________________________________
Date of Birth:
Date of Birth:
_________________________
Social Insurance Number:
___________________
Social Insurance Number:
__________________
D) Contact Information
Home Phone
Home Phone:
_________________________
Cell Phone:
_____________________________
Cell Phone:
__________________________
Work Phone:
Work Phone:
_________________________
Email:
_________________________________
Email:
______________________________
E) Living History
Current Address (include apt #, postal code):
_______________________________________
_______________________________________
_______________________________________
Current Address (include apt #, postal code):
_______________________________________
_______________________________________
_______________________________________
Rent:
_________________________________
Rent:
_________________________________
How long?
_________________________________
How long?
_________________________________
Landlord Contact:
__________________________
Landlord Contact:
__________________________
Previous Address (include apt #, postal code):
_______________________________________
_______________________________________
_______________________________________
Previous Address (include apt #, postal code):
_______________________________________
_______________________________________
_______________________________________
Rent:
_________________________________
Rent:
_________________________________
How long?
_________________________________
How long?
_________________________________
Landlord Contact:
__________________________
Landlord Contact:
__________________________
F) Employment History
Occupation:
_________________________
Occupation:
__________________________
Employer:
__________________________
Employer:
___________________________
Address:
____________________________
Address:
____________________________
Tel:
________________________________
Tel:
________________________________
Gross Annual Income (proof of income
attached):____________________________
Gross Annual Income (proof of income
attached):____________________________
Duration of Employment:
_______________
Duration of Employment:
_______________
If employment is less than 3 years, please provide information of previous employment
Occupation:
_________________________
Occupation:
__________________________
Employer:
__________________________
Employer:
___________________________
Address:
____________________________
Address:
____________________________
Tel:
________________________________
Tel:
________________________________
Gross Annual Income (proof of income
attached):____________________________
Gross Annual Income (proof of income
attached):____________________________
Duration of Employment:
_______________
Duration of Employment:
_______________
G) Emergency Contact
Name:
______________________________
Name:
______________________________
Relationship:
Relationship:
_________________________
Tel:
________________________________
Tel:
________________________________
Email:
______________________________
Email:
______________________________
3468 Drummond Street, Suite 1, Montreal, QC, H3G 1Y4
Tel. : 514.525.8777 E-mail: Montreal@akelius.ca akeliusmontreal.ca
H) Terms And Conditions
1- I/We hereby understand and agree that if this Application is accepted, no person
other than those identified herein may occupy the dwelling.
2- I/We hereby certify that the information provided herein to be true. Any omission or
misstatement by the Applicant(s) in this Rental Application may result in the
termination of the Lease by the Landlord, even after occupancy has been taken.
3- I/We hereby give permission to the Landlord or any of its representatives,
employees, agents or any other authorized person to perform credit checks, to
contact employers, previous landlord(s) or to take any other reasonable steps to
adjudicate this Rental Application.
4- I/We hereby grant my/our consent to my/our current and previous landlords to
release any and all information in its file regarding my/our tenancy for the purposes
of approving this Rental Application.
5- I/We agree that upon acceptance of this Rental Application by the Landlord, I/We
shall forthwith enter into a Lease incorporating the terms set out herein into the
Landlord’s usual form.
6- If the Landlord is unable to give possession of the Dwelling on the Lease Start Date
for any reason whatsoever, the Landlord shall not be subject to any liability to the
Applicant(s) and shall give possession as soon as the Landlord is able to do so. The
Rent shall abate until possession of the Dwelling is offered by the Landlord to the
Tenant. Failure to give possession on the Lease Start Date shall not in any way
affect the validity of the Lease, the obligations of the Tenant or in any way be
construed to extend the term of the Lease.
7- The Landlord reserves the right to enter the Tenant’s Dwelling during the first two
weeks of the Lease Start Date in order to complete any finishings deemed necessary
by the Landlord. The foregoing shall not be interpreted by the Tenant as the
Dwelling being incomplete or unfit for habitation, unless stated otherwise by law.
Further, the Tenant shall not be entitled to request any Rent abatements in such
case.
8- It is understood that where this Application is rejected, the Landlord shall not be
required to give reasons therefore.
Print name:___________________________
Signature:
_________________________
Applicant Guarantor
Date:
____________________________
Print name:___________________________
Signature:
________________________
Applicant Guarantor
Date:
____________________________
How did you hear about this unit?
_________________________________________
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