The PAS Rentals - Application Form


Click here to print the application form and fax it to (204) 623-5145 or fill in the online form below (after you click submit it will automatically be sent to us).

Applicant Information
*Name:		*Email :
*Date of birth:	/ / (mm/dd/yyyy)	SIN:		*Home Phone:
Are you a student at the University College of the North (UCN)?			Yes No
Current Address
*Street Number & Name:			*Street Type
*City:		*Province:		*Postal Code:
Own Rent		Monthly Payment / Rent:		*How long?
Name of current property Owner/Manager:				Property Owner/Manager Phone:
Previous Address
Street Number & Name:			Street Type
City:		Province:		Postal Code:
Own Rent		Monthly Payment / Rent:		How long?
Name of previous property owner/manager:				Property Owner/Manager Phone:

Credit Information
Bank:		Credit Card:
Bank:		Credit Card:

Current Employment Information
*Employer:
Address:
City:	Province:	Postal Code:
*Phone:	E-mail:	Fax:
Position:	Hourly Salary	*Annual income:

Emergency Contact
Name of a person not residing with you:		Relationship:
Street Name :		Street Type
City:	Province:
Postal Code:	Phone:

Co-Applicant Current Address
Name:
Date of birth:	/ / (mm/dd/yyyy)	SIN:	Phone:
Street Name:			Street Type
City:		Province:	Postal Code:
Own Rent		Monthly payment / rent:	How long?
Co-Applicant Previous Address
Street Number & Name:			Street Type
City:		Province:	Postal Code:
Own Rent		Monthly payment or rent:	How long?

Co-Applicant Employment Information
Employer:
Address:
City:	Province:	Postal Code:
Phone:	E-mail:	Fax:
Position:	Hourly Salary	Annual income:

Character References
If you have never rented before, please list the names of three persons (other the relatives ) who are personally knowledgeable of your suitability as a prospective tenant.
Name:	Address:	Phone:
Name:	Address:	Phone:
Name:	Address:	Phone:

Preferred Apartment Unit
	LaRose Manor (423 LaRose Avenue)		Dufferin Manor (334 to 358 Dufferin)
	Wood Manor (68 Campbell Drive)		Acres Manor (108 Campbell Drive)
	Cam Manor (142 Campbell Drive)		Rental Home (various addresses)
	Centennial Manor (1 to 41 Centennial Drive)

Preferred Apartment Type
Date Required	/ / (mm/dd/yyyy)	# of Persons		# of Bedrooms

Conditions

I/We hereby declare the forgoing information is true and correct. I/We understand that any false information may result in the refusal of my/our application. I/We hereby consent to a credit check and personal investigation (the application for tenancy, and the lease may include other conditions related to such matters as parking, etc.).

If this application is accepted and a suite is available, a security deposit (1/2 months rent) and the first month's rent is required prior to moving in.

Written notice is required in our office on the last day of the month in order to move out on the last day of the following month.

Please type the color of the first character:

By submitting this application form you are agreeing to the terms above.