ONLINE RENTAL APPLICATION
 FOR
 DUFFERIN HOUSE/JUBILEE APARTMENTS

 Please select a location or both:

 Dufferin House:
 Jubilee:

First Applicant

 Email:

Name:

Address:

Phone:

Landlord's Name:

Phone:

Employer's Name:

Address:

Phone:

Reference 1 Name:

Address:

Phone:

Reference 2 Name:

Address:

Phone:

Annual Income:

 

Second Applicant (if applicable)

Name:

Address:

Phone:

Landlord's Name:

Phone:

Employer's Name:

Address:

Phone:

Reference 1 Name:

Address:

Phone:

reference 2 Name:

Address:

Phone:

Annual Income:

 

Name of Occupant(s) other than above

Name:

Age:

Relation to Applicant:

Name:

Age:

Relation to Applicant:

Name:

Age:

Relation to Applicant:

Name:

Age:

Relation to Applicant:

  The undersigned hereby certify that the foregoing information is true and correct in all respects. The undersigned consent to the obtaining of such information as the landlord may deem necessary at any time in connection with the undersigned. The undersigned also consent to the disclosure of any information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned proposes to have financial relations.

Date:

Applicant 1:

Applicant 2: