LEASE APPLICATION - PERSONAL DATA SHEET

Name:
Family Name

First Name

Middle Name

First Name

Middle Name

Spouse Name ( if married) :

Family Name

Home Address:
Provincial Address:
Home Phone Number:

Cellphone Number:

Email Address:
B-day:

Status:

Age:

Name of Employer or Business:

Office Address:
Office Phone Number:

Number of Years employed

by above Employer:

Occupation/ Designation:
Nature of Present Business:
NET Annual Income:

Vehicle Details:

NAME OF PERSONS WHO WILL OCCUPY APARTMENT WITH APPLICANT:

1

Age:

Relation:

Age:

Relation:

Age:

Relation:

Age:

Relation:

Age:

Relation:

Emergency Contact:
Name

Relation

Phone Number

Pets:
NO

YES (No. of pets)

Description

REQUIREMENTS: Xerox copy of 2 valid government issued ID; 2 mos. deposit and 1 mo. advance, residential purposes
only; 5 persons or less, 1 pay slip or proof of employment.
By signing below, I confirm that the information given by me is true and correct. I authorize you to verify and investigate
if from whatever sources you may consider appropriate.

SIGNATURE OF APPLICANT

DATE

SECONDARY/OCCUPANT - DATA SHEET

No. 1
Name:
Family Name

First Name

Middle Name

Home/Alternate/Provincial:
Address:

Home Phone Number:

Cellphone Number:

Email Address:
B-day:
Occupation/Position:
Name of Employer or Business:

Status:

Age:

Office Address:
Office Phone Number:

Number of Years employed

by above Employer:

Nature of Present Business:

NET Annual Income:

Vehicle Details:

No. 2
Name:
Family Name

First Name

Home/Alternate/Provincial:
Address:

Home Phone Number:

Cellphone Number:

Email Address:
Occupation/Position:
Name of Employer or Business:
Office Address:
Office Phone Number:

Number of Years employed

by above Employer:

Nature of Present Business:

NET Annual Income:

Vehicle Details:

SECONDARY/OCCUPANT - DATA SHEET - con't

Middle Name

No. 3
Name:
Family Name

First Name

Middle Name

Home/Alternate/Provincial:
Address:

Home Phone Number:

Cellphone Number:

Email Address:
B-day:

Status:

Age:

Occupation/Position:
Name of Employer or Business:
Office Address:
Office Phone Number:

Number of Years employed

by above Employer:

Nature of Present Business:

NET Annual Income:

Vehicle Details:

No. 4
Name:
Family Name

First Name

Home/Alternate/Provincial:
Address:

Home Phone Number:

Email Address:

Cellphone Number:

Middle Name

B-day:

Status:

Age:

Occupation/Position:
Name of Employer or Business:
Office Address:
Number of Years employed
by above Employer:

Office Phone Number:

Nature of Present Business:
NET Annual Income:

Vehicle Details:

SECONDARY/OCCUPANT - DATA SHEET - con't

No. 5
Name:
Family Name

First Name

Middle Name

Home/Alternate/Provincial:
Address:

Home Phone Number:

Cellphone Number:

Email Address:
B-day:

Status:

Age:

Occupation/Position:
Name of Employer or Business:
Office Address:
Number of Years employed

Office Phone Number:

by above Employer:

Nature of Present Business:

NET Annual Income:

Vehicle Details: