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Location
Select the location you are applying for?
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Blumenort
Landmark
Ste. Anne
Blumenort floor plans
Bailey (3 bed, 1.5 bath)
Champ (3 bed, 1.5 bath)
Charlie (1 bed, 1 bath)
Duke (1 bed, 1 bath)
Landmark floor plans
Champ (3 bed, 1.5 bath)
Charlie (1 bed, 1 bath)
Kona (2 bed, 1 bath)
Diesel (2 bed, 1 bath)
Nala (2 bed, 1 bath)
Harley (2 bed, 1 bath)
Chief (2 bed, 1 bath)
Kobe ( 3 bed, 1 bath)
Axel (1 bed, 1 bath)
Ste. Anne floor plans
Axel (1 bed, 1 bath)
Max (2 bed, 1 bath)
Champ (3 bed, 1.5 bath)
Duke (1 bed, 1 bath)
Charlie
Chief
Diesel
Harley
Nala
Kona
Kobe
What date you are looking to move for?
MM slash DD slash YYYY
Applicant
First Name
*
Last Name
*
Date of Birth
YYYY dash MM dash DD
Phone Number
Email Address
*
Driver License
Vehicle Make
Vehicle Model
Vehicle Plate Number
Monthly Vehicle Payment
Present Address
Home Address
City / Town
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Yukon
Nunavut
Length of Time
Landlord's Name / Business
Landlord's Phone Number
Rent Amount (Monthly)
Has your rent been up to date?
Reason for leaving?
Previous Address
Home Address
City / Town
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Yukon
Nunavut
Length of Time
Landlord’s Name / Business
Landlord’s Phone Number
Rent Amount (Monthly)
Was your rent up to date?
Reason for leaving?
Employment
Current Employer
Occupation
Supervisor's Name
Contact Number
Year’s Employed
Monthly Income
Other Income
Other Occupants
Occupants
Name
Age
Relationship
Personal Reference
Personal Reference
Name
Age
Relationship
Phone number
Pet Information
Number of Pets
Pets
Name
Age
Type of Animal
Breed
Pet Reference #1
*
Pet Reference #1
Phone Number
Relationship
General references accepted. Both references can be for all pets.
Pet Reference #2
*
Pet Reference #2
Phone Number
Relationship
Is your Pet Spayed or Neutered? (Proof of such will be required prior to rental agreement being executed)
Yes
No
Is your Pet up to date on all vaccinations? (Proof of such will be required prior to rental agreement being executed)
Yes
No
*Note Pet Policy: A Pet Policy rental agreement stating rules will be required to be signed prior to rental agreement being executed. There is a maximum of 3 Pets with a 2 Dog limit.
Proof of vaccination and spay / neuter
Pet Spay / Neutered Proof
Please upload proof of your pet's spay / neuter status.
Max. file size: 16 MB.
Pet Vaccination Proof
Please upload proof of your pet's vaccination status.
Max. file size: 16 MB.
Questionnaire
Have you ever been treated for bedbugs?
*
Yes
No
Do you smoke?
*
Yes
No
Has applicant ever been guilty of a felony?
*
Yes
No
Has applicant ever been brought to court by another landlord?
*
Yes
No
Has applicant ever moved owning rent or damaged an apartment?
*
Yes
No
Is the total move-in-amount available now? (Rent + Deposit)?
*
Yes
No
Proof of Income
*
Please upload documentation showing proof of your income. Applicants with jobs are encouraged to submit their most recent pay stubs showing a full month of income. Applicants that are retired or on EIA (receive their income from the government) are required to submit documentation showing proof of their income. Self-employed applicants please provide one recent month of invoices, and your most recent Notice of Assessment.
Max. file size: 16 MB.
Proof of Income #2
*
Max. file size: 16 MB.
Additional Proof of Income
Drop files here or
Select files
Max. file size: 16 MB, Max. files: 2.
Government Issued ID
*
Please upload a valid government issued ID.
Max. file size: 16 MB.
Applicant’s Signature
Name
*
Date
*
MM slash DD slash YYYY
Additional Information
I give Provider Homes permission to obtain information from my previous Property Managers/ Landlords regarding my tenancy.
Yes
No
Signature
*
Name
This field is for validation purposes and should be left unchanged.
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