All adults must submit an application online

Heron Management – Residential Rental Application

Personal Information:

Date: (*)
Address of Property: (*)
Applicants First Name: (*)
Applicants Middle Name: (*)

Date of Birth - Month/Day/Year (*)
Home Phone: (*)
Do you have any Pets?  Yes No
Social Insurance Number:
Business Phone:
Please specify what animal you have:


Guarantor Information (If Applicable):

Guarantor’s Name:
Home Phone / Cell Phone:
Driver’s License or SIN:
Relationship to Applicant:
E-­Mail Address:


Emergency Information:

Emergency Contact Name:
Home Phone / Cell Phone:
Relationship to Applicant:


Parking:

Will you require parking? Yes No

Make:
License Plate:
Model:


Current/Previous Address:

Address of Property:
Amount of Rent$:
Landlords Name:


Employment Information:

Status:  Full Time Part Time Student Unemployed

Employer:
Supervisor’s Name:
Time Employed:
Contact Phone:


*If Unemployed/Student/Additional Source of Income:

Source of Income:
Amount of Income $:

Status:  Weekly Monthly Quarterly Semi‐Annual


Other Information:

Have you ever filed for bankruptcy?:  Yes No
Been Evicted from a tenancy??:  Yes No

Any Additional Information:

Definitions: Information**

The word “Information” means credit information, personal information, and information about the services you use that are provided by the Landlord as listed in this rental application and information relating to your tenancy at the Premises applied for in this rental application including information regarding the duration of your tenancy, monthly rent, emergency contacts and any matters relating to your lease/tenancy agreement, including misrepresentations relating to, defaults under and/or breaches of your lease/tenancy agreement or any other matter experienced by The Landlord.

“Credit Information” means information about you, including your name, age, date of birth, occupation, place of residence, previous places of residence, occupancy length, marital status, co-occupant’s/spouse’s/same sex partner’s name and age, number of dependants, particulars of education or professional qualifications, field of employment, places of employment, previous places of employment, employment durations, estimated income, paying habits, outstanding debt obligations, cost of living obligations, involvement in bankruptcy proceedings or landlord and tenant disputes, assets, and banking information (including account and credit card information).

“Personal Information” means information about you other than credit information that is relevant to your suitability as a tenant, including information gathered from references (provided by you to The Landlord) concerning your character, reputation, physical or personal characteristics or mode of living or about any other matter or experience concerning you that is relevant to your suitability as a tenant.

Collection, Use and Disclosure of Information:

In consideration for the Landlord accepting you as a tenant and entering into a lease/tenancy agreement with you, you expressly consent to authorize the following:

1.The Landlord may obtain information about you through a tenancy and/or credit report conducted by Rent Check Credit Bureau and as permitted or required by law. You expressly authorize Rent Check Credit Bureau to provide Credit Information regarding you to The Landlord.

2.The Landlord may use information about you to determine your suitability as a tenant and as permitted or required by law.

3.The Landlord may disclose Credit Information about you to Rent Check Credit Bureau, as permitted or required by law, for inclusion within a database of rent-roll information and within a tenancy file on you, for purposes of:

  • tenant reporting and credit reporting in accordance with provincial create and consumer reporting acts;
  • establishing a credit history and or a rental history;
  • maintaining aggregate statistical data for purposes of tenancy and credit scoring; and
  • supporting the credit approval process in accordance with governing legislation.

4. You expressly authorize Rent Check Credit Bureau to retain positive Credit Information regarding you for the purposes outlined in section 3 above, for up to 20 (twenty) years. Negative Credit Information shall be maintained on record in accordance with provincial credit and consumer reporting acts.

5. You agree that all statements on this Residential Rental Application are true and you expressly authorize all references given to release information about to The Landlord for verification subject to sections 1 to 5.

Please provide your consent by checking the following box and signing in the appropriate space below:

 I have read, understood and voluntarily agree to the terms and conditions outlined above. .

Applicants Signature: (*)
Date: (*)
 

 

 I have read, understood and voluntarily agree to the terms and conditions outlined above. .

Co-Applicants Signature: (*)
Date: (*)

*Signature space is provided for applicant and co-applicant however Rent Check suggests that if more than 2 applicants that the landlord provides additional tenancy applicants with a separate copy of this Residential Rental Application for completion.

**DISCLAIMER: Rent Check does not represent, warrant or guarantee that this Consent statement will be valid or enforceable in all circumstances or for every landlord. Each individual landlord should modify the language of this Consent Statement to suit their individual circumstances, and should obtain legal advice regarding the appropriate consent to be obtained from their prospective tenants.

Please provide your consent by checking the following box and signing in the appropriate space below:

The information collected in this form is for the purpose of internal record keeping. The information contained herein, may be shared with the individuals (i.e. guarantors) during the leasing process. The applicant(s) hereby certify the information provided above (Applicant particulars) to be true. The Applicant(s) agree that upon acceptance of the Rental Application by the Landlord, the Applicant(s) shall forthwith enter into a Tenancy Agreement incorporating the above information into the Landlord’s usual form, which the Applicant(s) have been given the opportunity to review. The undersigned consents to the obtaining of such information, as the Landlord may deem necessary at any time in connection undersigned in conjunction with the premises hereby applied for or any renewal or extension of my/our tenancy agreement. The undersigned also consents to the disclosure of any information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations.

I understand and accept the residence for which I have applied, to be in “as in” condition subsequent to any special clauses agreed to in writing by Heron Management and the Tenant at Heron Management’s sole discretion. I understand that upon the signing of this application and receipt by Heron Management of my first and last month’s rent, I have committed to the terms of my lease, including the length of the term. The full terms of the lease apply.

 I agree to the terms cited above.

Applicants Signature: (*)
Date: (*)