Rental Application

Please complete the form below, or you can download a PDF version of this form.

- Step 1 of 7

RENTAL INFORMATION

UNIT STYLE *

1 Bedroom
1 Bedroom + Den
2 Bedroom

UNIT NUMBER

NUMBER OF PARKING SPACES REQUIRED *

None
1 (included in rent)
2 (extra $25/mo)

DESIRED MOVE-IN DATE *

DO YOU HAVE ANY PETS? *

NUMBER OF PETS *

MY PETS ARE *

Dog(s)
Cat(s)
Other

Check all that apply.

APPLICANT INFORMATION

Name *

First

Last

DATE OF BIRTH *

PHONE NUMBER *

EMAIL ADDRESS *

Confirm Email

SOCIAL INSURANCE NUMBER

Not required, but encourage for credit reporting accuracy.

IDENTIFICATION TYPE *

Driver's License
Passport
Health Card
Other

IDENTIFICATION NUMBER *

Please supply your ID number (ie. if you selected driver's license above, input your driver's license number.)

UPLOAD A PHOTO OF YOUR IDENTIFICATION

Drag & Drop Files, Choose Files to Upload

All rental applications require verification through photo identification. We ask that you submit a copy of the identification that you used in the above questions (ie. Driver's License, Passport, Health Card etc.) If you would prefer to submit through email, you can email it to info@wbplace.ca.

IS THERE A SECOND APPLICANT? *

CO-APPLICANT INFORMATION

CO-APPLICANT NAME *

First

Last

CO-APPLICANT DATE OF BIRTH *

CO-APPLICANT PHONE NUMBER *

CO-APPLICANT SOCIAL INSURANCE NUMBER

Not required, but encouraged for credit reporting accuracy.

CO-APPLICANT IDENTIFICATION *

Driver's License
Passport
Health Card
Other

CO-APPLICANT IDENTIFICATION NUMBER *

Please supply your ID number (ie. if you selected driver's license above, input your driver's license number.)

UPLOAD A PHOTO OF THE CO-APPLICANT'S IDENTIFICATION

Drag & Drop Files, Choose Files to Upload

OTHER RESIDENTS

WILL ANYONE ELSE LIVE IN THE UNIT NOT ALREADY INDICATED? *

TOTAL NUMBER OF OCCUPANTS

Selected Value: 1

Including applicant, co-applicant, and any other residents (including children or dependents of any age.)

OTHER RESIDENT #1 *

First

Last

OTHER RESIDENT #2 *

First

Last

RESIDENTIAL HISTORY

CURRENT ADDRESS *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

HOW LONG HAVE YOU LIVED HERE *

Less than 1 year
1-3 years
3-5 years
5+ years

DO YOU RENT/OWN? *

Rent
Own

TOTAL MONTHLY COST *

If you own your home, please include any mortgage payments, line of credits, house insurance, property taxes, and utility payments.

PREVIOUS ADDRESS

PREVIOUS ADDRESS *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

HOW LONG DID YOU LIVE HERE? *

Less than 1 year
1-3 years
3-5 years
5+ years

DID YOU RENT OR OWN? *

Rent
Own

TOTAL MONTHLY COST *

If you owned this home, please include any mortgage payments, line of credits, house insurance, property taxes, and utility payments.

WHY DID YOU LEAVE? *

EMPLOYMENT HISTORY

APPLICANT'S CURRENT EMPLOYMENT STATUS *

Full Time
Part Time
Student
Retired
Unemployed
Other

APPLICANT'S OCCUPATION/TITLE *

For student's input the program you are enrolled in.

APPLICANT'S SALARY/INCOME *

Please input your PRE-TAX income, and indicate if it is a weekly, bi-weekly, semi-monthly, monthly, or annual amount. If you are retired please include any pension amounts, CPP, OAS, etc. If you are a student, please include any student loans/lines of credit/scholarships/bursaries etc.

APPLICANT'S EMPLOYMENT START DATE *

APPLICANT'S EMPLOYER *

For student's input the school you are enrolled at.

APPLICANT'S EMPLOYER ADDRESS

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

CO-APPLICANT'S EMPLOYMENT HISTORY

CO-APPLICANT'S CURRENT EMPLOYMENT STATUS *

Full Time
Part Time
Student
Retired
Unemployed
Other

CO-APPLICANT'S OCCUPATION/TITLE *

For students, input the program you are enrolled in.

CO-APPLICANTS SALARY/INCOME *

Please input your PRE-TAX income, and indicate if it is a weekly, bi-weekly, semi-monthly, monthly, or annual amount. If you are a student, please include any student loans/lines of credit/scholarships/bursaries etc. If you are retired please include any pension amounts, CPP, OAS, etc.

CO-APPLICANT'S EMPLOYMENT START DATE *

CO-APPLICANT'S EMPLOYER *

For student's input the school you are enrolled at.

CO-APPLICANT'S EMPLOYER ADDRESS

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

FINANCIAL INFORMATION

Income/Asset #1 Type

Ie. TFSA/RRSP/LIF/RIF/Pension/Savings Accounts/Property Owned etc.

Income/Asset #1 Value

Income/Asset #1 Owner

Income/Asset #2 Type

Ie. TFSA/RRSP/LIF/RIF/Pension/Savings Accounts/Property Owned etc.

Income/Asset #2 Value

Income/Asset #2 Owner

Income/Asset #3 Type

Ie. TFSA/RRSP/LIF/RIF/Pension/Savings Accounts/Property Owned etc.

Income/Asset #3 Value

Income/Asset #3 Owner

Income/Asset #4 Type

Ie. TFSA/RRSP/LIF/RIF/Pension/Savings Accounts/Property Owned etc.

Income/Asset #4 Value

Income/Asset #4 Owner

FINANCIAL OBLIGATIONS

Type of Obligation #1

Outstanding Balance #1

Payee #1

Type of Obligation #2

Outstanding Balance #2

Payee #2

Type of Obligation #3

Outstanding Balance #3

Payee #3

Type of Obligation #4

Outstanding Balance #4

Payee #4

COMMENTS

Please use this space to provide additional information that may be relevant to your rental application, including, but not limited to, any liens against your assets, if you have declared bankruptcy, or had a consumer proposal in the past 7 years, or any personal or property taxes in arrears.

EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT NAME *

First

Last

EMERGENCY CONTACT PHONE NUMBER *

EMERGENCY CONTACT RELATIONSHIP *

Cannot be someone indicated in this rental application as an applicant or co-applicant.

APPLICANT CONSENT

True & Complete Information Consent (APPLICANT) *

I hereby certify that the above information is true and complete, and I have not withheld any information relevant to this application. It is also understood that the property management group and/or owner reserve the right to reject this application. I have read and understood these conditions.

Consumer & Credit Reporting (APPLICANT) *

I know that I have the right to verify the information about me held by credit reporting agencies, that the Landlord and its agents are entitled to rely on such credit reports as being correct, and I release any claim I may have arising from reliance on that information. I hereby give my irrevocable permission to the Landlord or its agents to obtain at any time a consumer/credit report about me, to contact previous landlords to obtain information about my previous tenancies, to contact agencies that provide landlord information, to contact my references, and to take any other reasonable steps necessary to assess this rental application or for any amendment or renewal of my tenancy. I provide my irrevocable consent to the Landlord and/or their agents to disclose information from my rental application and the information arising from the tenancy between us to any third party for the purpose of contributing information to a database of tenant information to be used in providing consumer/credit reports.

I agree to allow Piroli Group Developments to share my personal information with third party service providers such as BELL and Cogeco. (APPLICANT) *

CO-APPLICANT CONSENT

True & Complete Information Consent (CO-APPLICANT) *

I hereby certify that the above information is true and complete, and I have not withheld any information relevant to this application. It is also understood that the property management group and/or owner reserve the right to reject this application. I have read and understood these conditions.

Consumer & Credit Reporting (CO-APPLICANT) *

I know that I have the right to verify the information about me held by credit reporting agencies, that the Landlord and its agents are entitled to rely on such credit reports as being correct, and I release any claim I may have arising from reliance on that information. I hereby give my irrevocable permission to the Landlord or its agents to obtain at any time a consumer/credit report about me, to contact previous landlords to obtain information about my previous tenancies, to contact agencies that provide landlord information, to contact my references, and to take any other reasonable steps necessary to assess this rental application or for any amendment or renewal of my tenancy. I provide my irrevocable consent to the Landlord and/or their agents to disclose information from my rental application and the information arising from the tenancy between us to any third party for the purpose of contributing information to a database of tenant information to be used in providing consumer/credit reports.

I agree to allow Piroli Group Developments to share my personal information with third party service providers such as BELL and Cogeco. (CO-APPLICANT) *

Visit Us

850 Wyandotte St W.
Windsor, ON
N9A 0E1

Contact Us

info@wbplace.ca
1.866.755.0575