Rental Application

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

- Step 1 of 9

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)
Fish
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

Click or drag a file to this area to upload.

All rental applications require verification through photo identification. 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 EMAIL ADDRESS *

CO-APPLICANT SOCIAL INSURANCE NUMBER

Not required, but encouraged for credit reporting accuracy.

CO-APPLICANT IDENTIFICATION TYPE *

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 YOUR IDENTIFICATION

Click or drag a file to this area to upload.

All rental applications require verification through photo identification. If you would prefer to submit via email, you can email it to info@wbplace.ca

OTHER RESIDENTS

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

TOTAL NUMBER OF OCCUPANTS

Selected Value: 0

Including applicant, co-applicant, and any other residents including children 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
5-10 years
10+ years

DO YOU RENT/OWN? *

Rent
Own

LANDLORD NAME *

First

Last

LANDLORD PHONE NUMBER *

TOTAL MONTHLY COST *

If you own, please include any mortgage, line of credit, house insurance, property tax, and utility payments.

PREVIOUS ADDRESS #1

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
5-10 years
10+ years

DID YOU RENT/OWN? *

Rent
Own

LANDLORD NAME *

First

Last

LANDLORD PHONE NUMBER *

TOTAL MONTHLY COST *

If you owned, please include any mortgage, line of credit, house insurance, property tax, and utility payments.

WHY DID YOU LEAVE? *

PREVIOUS ADDRESS #2

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
5-10 years
10+ years

DID YOU RENT/OWN?

Rent
Own

LANDLORD NAME

First

Last

LANDLORD PHONE NUMBER

TOTAL MONTHLY COST

If you own, please include any mortgage, line of credit, house insurance, property tax, and utility payments.

WHY DID YOU LEAVE?

EMPLOYMENT HISTORY

APPLICANT'S CURRENT EMPLOYMENT STATUS *

Full Time
Part Time
Student
Retired
Unemployed
Other

APPLICANT'S EMPLOYER

Company Name

APPLICANT'S EMPLOYER ADDRESS

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

APPLICANT'S OCCUPATION/TITLE

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 an pension amounts, annuities, CPP, OAS, etc.

SUPERVISOR/MANAGER NAME

First

Last

SUPERVISOR/MANAGER PHONE NUMBER

EMPLOYMENT START DATE//

CO-APPLICANT'S EMPLOYMENT HISTORY

CO-APPLICANT'S CURRENT EMPLOYMENT STATUS *

Full Time
Part Time
Student
Retired
Unemployed
Other

CO-APPLICANT'S EMPLOYER

Company Name

CO-APPLICANT'S EMPLOYER ADDRESS

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

CO-APPLICANT'S OCCUPATION/TITLE

CO-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.

CO-APPLICANT'S SUPERVISOR/MANAGER NAME

First

Last

CO-APPLICANT'S SUPERVISOR/MANAGER PHONE NUMBER

CO-APPLICANT'S EMPLOYMENT START DATE//

FINANCIAL INFORMATION

OTHER INCOME AND/OR ASSETS *

Please include any assets of income not included in employment income. For each item indicate the asset/income type and approximate value.

FINANCIAL OBLIGATIONS *

Please include any financial obligations you may have. For each item include a description, remaining balance, and approximate monthly payment.

COMMENTS

EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT NAME *

First

Last

EMERGENCY CONTACT PHONE NUMBER *

EMERGENCY CONTACT RELATIONSHIP *

Parent
Child
Friend
Sibling
Other

How do you know your emergency contact person?

REFERENCES

Please include at least 2 references - can be personal or professional.

REFERENCE #1 NAME *

First

Last

REFERENCE #1 PHONE NUMBER *

REFERENCE #1 RELATIONSHIP *

REFERENCE #1 LENGTH OF TIME KNOWN *

REFERENCE #2

REFERENCE #2 NAME *

First

Last

REFERENCE #2 PHONE NUMBER *

REFERENCE #2 RELATIONSHIP *

REFERENCE #2 LENGTH OF TIME KNOWN *

REFERENCE #3

REFERENCE #3 NAME

First

Last

REFERENCE #3 PHONE NUMBER

REFERENCE #3 RELATIONSHIP

REFERENCE #3 LENGTH OF TIME KNOWN

APPLICANT CONSENT

Ture & 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

Ture & 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) *

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Visit Us

850 Wyandotte St W.
Windsor, ON
N9A 0E1

Contact Us

info@wbplace.ca
1.866.755.0575