RENTAL APPLICATION FORM QUESTIONS? MARYBETH@PENINSULA-REALTY.CA Which property are you interested in renting? APPLICANT INFORMATION Applicants Name * First Name Last Name Phone * (###) ### #### Birth Date MM DD YYYY Email * Current Address Address 1 Address 2 City State/Province Zip/Postal Code Country Employment History Are you employed? Yes No Full-Time or Part-Time Occupation Years 0 Y 1 Y 2 Y 3 Y 4 Y 5 Y 6 Y 7 Y 8 Y 9 Y 10 Y 11 Y 12 Y 13 Y 14 Y 15 Y 15+ Y Employer How long have you been employed? * Months 0 M 1 M 2 M 3 M 4 M 5 M 6 M 7 M 8 M 9 M 10 M 11 M 12 M Manager's Name Manager's phone number (###) ### #### Total gross monthly income ($) Financial Standing * I am financially independent and will be paying the rent myself I will be receiving financial support from family or by other means Name of current landlord Current rent ($) Landlord's phone number How long have you lived at this address? May I/we call your present/previous landlord? Yes No If no, why? Personal References (Professional Preferred) 1. Name Relationship E-mail Address or Phone Number CO-APPLICANT INFORMATION Co-Applicant's Name First Name Last Name Co-Applicant's number (###) ### #### Birth date MM DD YYYY Email Address Address Address 1 Address 2 City State/Province Zip/Postal Code Country Employment History Are you employed? Yes No Full-Time or Part-Time Employer How long have you been employed? Select Years 1 Y 2 Y 3 Y 4 Y 5 Y 6 Y 7 Y 8 Y 9 Y 10 Y 10+ Y Manager's Name Manager's phone number (###) ### #### Total gross monthly income ($) Financial Standing I am financially independent and will be paying the rent myself I will be receiving financial support from family or by other means Name of current landlord Current rent ($) Landlords phone number How long have you lived at this address? May I/we call your present/previous landlord? Yes No If no, why? Personal References (Professional Preferred) 1. Name Relationship E-mail Address or Phone Number Emergency Contact Name Relationship Address Phone number Have you ever lived in a place that had bed bugs or cockroaches? If yes, please specify which, how were they treated, and when? Credit Check * I/we consent to a credit check for the purpose of this rental application I/we do not consent to a credit check Your application has been submitted. If your application is approved you will be contacted within 48hrs. If you are not contacted within 48hrs your application has not been approved. Thank you for your interest!