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info@100properties.ca

Tel: 204-408-2364

4-68 Penner Drive South, Blumenort MB. R0A 0C1

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FORMS

RENTAL PREFERENCES

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City:

Address:

Unit Number:

Date Required:

How many parking spots are required?

PERSONAL INFORMATION

First Name:

Middle Name:

Last Name:

Date of Birth:

Work Telephone:

Home Telephone:

Cell Telephone:

Social Insurance Number:

Driver's License:

Email:

OTHER PROPOSED OCCUPANTS

Only Applicant

Occupant One:

Occupant Two:

Occupant Three:

Occupant Four:

PRESENT ADDRESS

Unit #:

Street #:

Street:

City:

Province:

Postal Code:

Length of Tenancy:

Rent Paid:

Company/Landlord Name:

Landlord's Phone:

Relationship to Landlord:

Reason for Leaving:

PREVIOUS ADDRESS

Reason for Leaving:

Landlord's Phone:

Relationship to Landlord:

Company/Landlord Name:

Rent Paid:

Length of Tenancy:

Postal Code:

Province:

City:

Street:

Street #

Unit #

OCCUPATIONAL INFORMATION

Occupation:

Length of Employment:

Employer:

Street #:

Supervisor Phone:

Street:

Gross Monthly Salary:

Other Occupational/Income:

BANK INFORMATION

Bank Name:

Account Number:

Bank Phone Number:

Branch:

Unit #:

Street #:

City:

Street:

VEHICLE INFORMATION

Vehicle One:

Vehicle Two:

Vehicle Three:

EMERGENCY CONTACT

Contact Person:

PERSONAL REFERENCES

Reference #1:

Reference #2:

Reference #3:

PET INFORMATION

Pet Two:

Pet One:

ADDITIONAL INFORMATION

Have any of your tenancies have been terminated by the landlord for breach? (eviction/non-payment of rent/late payment of rent/noise/cleanliness)

Yes

Have you been treated for pests (cockroaches, bedbugs, etc.) in the last 12 months?

Yes

Do you currently smoke?

Yes

ATTACHED DOCUMENTS

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Additional Information:

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I/We understand that a background check will be performed prior to being considered as a tenant

Thank you for filling out our application. Once it is received and reviewed, we will contact you to discuss your application and determine if we have any further questions.

Dont Miss Out - Inquire Now

Explore Our Properties

FORMS

RENTAL PREFERENCES

City:

Address:

Unit Number:

Date Required:

How many parking spots are required?

PERSONAL INFORMATION

OTHER PROPOSED OCCUPANTS

Occupant One:

Occupant Two:

Occupant Three:

Occupant Four:

PRESENT ADDRESS

PREVIOUS ADDRESS

OCCUPATIONAL INFORMATION

BANK INFORMATION

VEHICLE INFORMATION

Vehicle One:

Vehicle Two:

Vehicle Three:

EMERGENCY CONTACT

Contact Person:

PERSONAL REFERENCES

Reference #1:

Reference #2:

Reference #3:

PET INFORMATION

ADDITIONAL INFORMATION

ATTACHED DOCUMENTS

FINALIZE APPLICATION

Suite Type:

Desired Suite :

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