Kenora Apartments Ltd. Rental Application

Rental Property Applying For
Choose One:		If "Other", please specify:
Applicant Information
Name:*	A value is required.	Date of Birth [mm/dd/yy]:	Invalid format.
SIN#:		Phone:*	A value is required.
E-mail:*	A value is required.Invalid format.	Current Address:*	A value is required.
City:*	A value is required.	Province:
Postal Code:		Number of Occupants:*	A value is required.Invalid format.
Current Housing Status:	Own Rent	Monthly Payment or Rent:
How Long?		Previous Address:
City:		Province:
Postal Code:		Previous Housing Status:	Owned Rented
Monthly Payment or Rent:		How Long?
Employment Information
Current Employer:*	A value is required.	Employer Address:
City:		Province:
Postal Code:		Phone:
E-mail:	Invalid format.	Fax:
How Long?		Position:
Payment Basis:	Hourly Salary	Annual Income:*	A value is required.
Emergency Contact
Name [not residing with you]:*	A value is required.	Address:
City:*	A value is required.	Province:
Postal Code:		Phone:*	A value is required.
Relationship:
Co-Applicant Information
Name:		Date of Birth [mm/dd/yy]:	Invalid format.
SIN#:		Phone:
Current Address:		City:
Province:		Postal Code:
Current Housing Status:	Own Rent	Monthly Payment or Rent:
How Long?		Previous Address:
City:		Province:
Postal Code:		Previous Housing Status:	Owned Rented
Monthly Payment or Rent:		How Long?
Co-Applicant Employment Information
Current Employer:		Employer Address:
How Long?		Phone:
E-mail:	Invalid format.	Fax:
City:		Province:
Postal Code:		Position:
Payment Basis:	Hourly Salary	Annual Income:
Previous Two Landlord References
Name:*	A value is required.	Name:
Address:*	A value is required.	Address:
Phone:*	A value is required.	Phone:
Why are you moving?
Authorization
I authorize the verification of the information provided on this form as to my credit, employment and Criminal Record Check:*			Please make a selection. Yes No Please make a selection.
Criminal Record?*			Yes No Please make a selection.
Upon application being accepted, I agree to pay monthly rent by Email Money Transfer or Automatic Withdrawl:*			Yes No Please make a selection.
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