4404 39st Secured Rental Application Rental Application Credit Report Check Do you have a recent credit report in PDF ready to upload? * Yes No Order a copy of your credit report from either Equifax Canada or TransUnion Canada at your own expense before proceeding. Available Sep 1st, 2022 Offered Monthly Rent * $ You may enter a higher amount Move In Date (must be earlier than available date above) * Main Applicant Information First Name * Last Name * Email Address * Confirm Email Address * Mobile Number * (xxx)xxx-xxxx Main Applicant's Employment Information Applicant Employment Status: * Full-Time Part-Time Self-Employed Student Unemployed Retired Other Applicant Employment Status: Applicant Company Name Applicant Employer/Supervisor Name * Applicant Employer/Supervisor Phone Number * (xxx)xxx-xxxx Applicant Employer Address * Applicant Employer Address Number & Street Number & Street City Quadrant / Suburb / Community City Quadrant / Suburb / Community City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Applicant Ocupation * Applicant Years In Position * Less than 1 year 1-2 years 2-3 years 3-4 years 4-5 years More than 5 years Applicant Current Salary * $0 - $25,000 $25,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 + Add Employer Remove Employer Current Rental/Residence History Address * Address House Number & Street House Number & Street City Quadrant / Suburb / Community City Quadrant / Suburb / Community City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Move Out Date (If Applicable) Reason For Vacating Previous Accommodation * Current Landlords Name * Current Landlords Phone * (xxx)xxx-xxxx Previous Landlords Name Previous Landlords Phone (xxx)xxx-xxxx Add Co-Applicants? * Yes No Co-Applicant Information Co-Applicant First Name * Co-Applicant Last Name * Co-Applicant Email Address * Confirm Co-Applicant Email Address * Co-Applicant Mobile Number * (xxx)xxx-xxxx Co-Applicant Employement Status: * Full-Time Part-Time Student Unemployed Retired Other Co-Applicant Employement Status: Co-Applicant Company Name Co-Applicant Employers Name * Co-Applicant Employers Phone Number * (xxx)xxx-xxxx Co-Applicant Employers Address * Co-Applicant Employers Address Number & Street Number & Street City Quadrant / Suburb / Community City Quadrant / Suburb / Community City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Co-Applicant Ocupation * Co-Applicant Yrs In Position * Less than 1 year 1-2 years 2-3 years 3-4 years 4-5 years More than 5 years Co-Applicant Current Salary * $0 - $25,000 $25,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 + Add Co-Applicant Remove Co-Applicant List All Additional Tenants First Name Last Name Relationship Spouse Son Daughter Mother Father Friend Other Relationship Age Add Tenant Remove Tenant Emergency Contact Full Name * Relationship * Phone * (xxx)xxx-xxxx Email (optional) Confirm Email (optional) Pets Do you have pets? * Yes No Size? * Small Medium Large Describe your pets * Credit History ('you' refers to Main Applicant AND Co-Applicants) Have you declared bankruptcy in the past 7 years? * Yes No Have you every been evicted from a rental residence? * Yes No Have you had two or more late rental payments in past 12 months? * Yes No Have you ever refused to pay rent when due? * Yes No If you have answered YES to any of the above, please state your reasons and/or circumstances Additional Documentation The Applicant and/or Co-Applicant acknowledges that pets, barbeques, waterbeds and aquariums are not permitted without the advance written permission of the Landlord. The Applicant(s) do(es) hereby state that the information contained herein is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential tenancy agreement is entered into with the Applicant and/or Co-Applicant, the Landlord shall have the option to terminate the residential tenancy agreement and seek all available remedies. The Applicant(s) and/or Co-Applicant authorize the Landlord to obtain tenant history, credit, personal and employment information from one or more consumer reporting agencies, previous landlords, employers or previous employers and from other sources of such information, to verify the information provided by the Applicant[s] and/or Co-Applicant. The Applicant[s] and/or Co- Applicant authorize(s) the reporting agencies, and any other person, including personnel from any governmental ministry or agency, to disclose relevant information about the Applicant[s] and/or Co- Applicant to the Landlord. If the parties enter into a Residential tenancy agreement, the Applicant[s] and/or Co-Applicant authorize the above information to be used and disclosed for responding to emergencies, ensuring the orderly management of the tenancy and complying with legal requirements. Credit Report/Score (required) * Drop a file here or click to upload Choose File Maximum upload size: 20.97MB Recent Paystub and other documents Drop a file here or click to upload Choose File Maximum upload size: 20.97MB Additional Information/Comments By signing below and submitting this form you consent to the collection, use, and disclosure of your personal information for the purpose of determining the creditworthiness of the Applicant for the leasing, selling, or financing of the premises, or making use of the personal information as the Landlord and/or agent of the Landlord deems appropriate. By submitting this form, The Applicant represents that all statements made above are true and correct. The Applicant is hereby notified that a consumer report containing credit and/or personal information may be referred to in connection with this rental. The Applicant authorizes the verification of the information contained in this application and information obtained from personal references. This application is not a Rental or Lease Agreement. In the event that this application is not accepted, any deposit submitted by the Applicant shall be returned. Applicant Signature * Clear Co-Applicant Signatures Clear Date Of Application reCAPTCHA If you are human, leave this field blank. Submit