RENTAL APPLICATION
EMAIL COMPLETED FORM TO: rent@[Link]
PERSONAL INFORMATION (PRINT CLEARLY)
APPLICANT 1 FIRST NAME INITIAL SURNAME Birthdate: dd/mm/yyyy Marital Status Cell
Jesse A Lozier 03 03 1987
_______/_______/_______ Married 416-805-4559
Current Address City Province Postal Code Rent Amount Home
1-121 Emerald Street S Hamilton ON L8N 2V4 1535
Driver License / Photo ID Email Work
L6929-40018-70303 jessealozier@[Link]
Emergency Contact Name Emerg. Contact Phone Emerg. Contact Email Emerg. Contact Relationship Bank Account Balance
Rob Lozier 705-849-3653 [Link]@[Link] Father $3,300
APPLICANT 2 FIRST NAME INITIAL SURNAME Birthdate: dd/mm/yyyy Marital Status Cell
Petra Ascic 30 01 1996
_______/_______/_______ Married 905-519-5760
Current Address City Province Postal Code Rent Amount Home
1-121 Emerald Street S Hamilton L8N 2V4 L8N 2V4 1535
Driver License / Photo ID Email Work
A8014-62609-95130 petra.ascic4@[Link]
Emergency Contact Name Emerg. Contact Phone Emerg. Contact Email Emerg. Contact Relationship Bank Account Balance
Kittie Wensley 905-808-1254 [Link].20@[Link] Friend $2,800
✔
Relationship between Applicants: ___married ___partner ___family ___friend How long have you known each other? _____yrs
SOURCES OF INCOME
APPLICANT 1 EMPLOYER / COMPANY NAME Contact Person & Position Telephone
Vendasta Technologies Andrew Bastian 306-381-3241
Position/Occupation: # Years/Mths Monthly Pay
✔
___F/T ___P/T
Senior Web Designer - Remote 0/9 $ 6083
Other Income: $__________Child support $__________Disability $__________Student Loan $__________Welfare $__________Pension $__________Other (specify):______________
APPLICANT 2 EMPLOYER / COMPANY NAME Contact Person & Position Telephone
SVN Rock Advisors Inc., Brokerage Margo Saleh 289-308-7509
Position/Occupation: # Years/Mths Monthly Pay
___F/T
✔ ___P/T
Social Media Content Specialist - Remote 1/5 $ 3583
Other Income: $__________Child support $__________Disability $__________Student Loan $__________Welfare $__________Pension $__________Other (specify):______________
RENTAL INFORMATION
What type of suite do you need? Desired Move-in Date: Would you like to rent a storage space? ✔
_____Yes _____No
___Bach ___1bd ✔
___2bd ___3bd ___TH Jan 1, 2024
Age of Children: How many parking spots do you need? ✔
___0 ___1 ___2 ___3
How many Adults will live in unit? 2
_______
How many Children will live in unit? 0
_______ Type of Vehicle(s):
Do you have any pets? What type of Pets & How many? 2015 Mazda 3
✔
_____Yes _____No _____Maybe in future 1 dog Do any of the occupants smoke? ✔
_____Yes _____No
REFERENCES & RENTAL HISTORY
APPLICANT 1
CURRENT Landlord Phone Current Rent Amount How long living here?
Greenwin Corp 289-237-5810 $1535 0
______yrs 6
______mths
PREVIOUS Landlord Phone Address/Province How long living here?
GWL Residential 833-330-7030 360 Torrance, Burlington, ON 2
______yrs ______mths
WHY ARE YOU MOVING FROM CURRENT RESIDENCE? ______________________________________________________________________________________________________________
APPLICANT 2
CURRENT Landlord Phone Current Rent Amount How long living here?
Greenwin Corp 289-237-5810 $1535 0
______yrs 6
______mths
PREVIOUS Landlord Phone Address/Province How long living here?
GWL Residential 833-330-7030 360 Torrance, Burlington, ON 2
______yrs ______mths
Relocating to Elliot Lake for family reasons.
WHY ARE YOU MOVING FROM CURRENT RESIDENCE? _____________________________________________________________________________________________________________
By signing below, I hereby consent to the use of my personal information in order to verify my credit & rental history & to administer my tenancy, if the herein application is accepted. I also hereby agree that all
information stated in this application is concise & true and that my lease would terminate if I omitted or provided inaccurate or misleading information.
October 27, 2023
___________________________ X_______________________________________ X_______________________________________
Date APPLICANT 1 APPLICANT 2
EMAIL COMPLETED FORM TO: rent@[Link]
OFFICE USE ONLY
Rent: $_______________
Parking: $_______________ DATE RECEIVED: _______/_______/_______
Birchwood Terrace
Building #: _______________ Storage: $_______________
Hillcrest Place DATE APPROVED: _______/_______/_______
Windermere Apartments Suite #: _______________ TOTAL: $_______________ APPROVED BY: ________________________
v. 2022.07.25