Rental Application | Apexia Properties

Application Notice

Thank you for your interest in our rental property listed on Facebook. Please fill out the following application completely. At the bottom, click the submit button to send us your application. You will be contacted shortly after (generally within 24 hours). If you don't want to answer a question, just leave it blank or type "N/A". Your information will be kept confidential and not shared with anyone. Thank you.

Personal Information

Full Name:

Date of Birth:

Phone Number:

Email Address:

Current Address:

Driver's License Number (optional):

Province of Issue:

2nd Person (If there's a 2nd person going on the lease please provide their info as well here):

Rental History

Current Landlord Name:

Current Landlord Contact Number:

Current Rent Amount:

Length of Tenancy:

Reason for Leaving:

Previous Landlord Name:

Previous Landlord Contact Number:

Duration of Previous Tenancy:

Employment Information

Current Employer:

Position:

Monthly Income:

Length of Employment:

Employer Contact Number:

Supervisor Name:

Do you receive any other forms of income?

Personal References

Reference 1 Name:

Relationship:

Contact Number:

Reference 2 Name:

Relationship:

Contact Number:

Background Information

Have you ever been evicted?

Have you ever been convicted of a serious crime?

If yes, please explain:

How is your credit history, please explain (ie: good, fair, poor, or provide a number if you know it):

Do you have any pets?

Do you smoke (any of the following: tobacco, or vap, or weed, or other)?

If yes, please specify types and number of pets:

Property Preferences

Are you able to cover a non-refundable $25 dollar per month pet deposit (for a cat) at the time of move in? (for a dog it will be $50 per month)

Do you have a vehicle?

Preferred Move-In Date:

Number of people planning to stay in the house?:

Can you sign a 1 year lease?:

Select the house you're wanting to rent?:

Facebook Profile Address (ie: www.facebook.com/kelly)

Emergency Contact

Name:

Relationship:

Phone Number:

Additional Information

Do you have any special requirements or requests?

Authorization & Signature

I declare that the information provided in this application is true and correct to the best of my knowledge. I authorize the landlord to verify the information provided and to perform a credit and background check as needed. I understand that this may include obtaining a credit report from a credit bureau.

Signature (type your name):

Date:

Rental Application Form

Application Notice

Personal Information

Rental History

Employment Information

Personal References

Background Information

Property Preferences

Emergency Contact

Additional Information

Authorization & Signature