Name
Present Address
Employed By
How Long
Occupation
Salary / Month
Bank
Name
SIN
Employed by
Occupation
Salary / Month
Financed with
Bank
Name:
Relationship
Address/Phone
Note:  The term of occupancy to begin and end on a calender month basis.  ALL REGULAR RENTAL PAYMENTS ARE
PAYABLE IN ADVANCES ON THE FIRST OF EACH MONTH:
I agree that all information is accurate to the best of my knowledge. You are hereby given
permission to perform whatever checks you deem necessary and I/we authorize anyone
contacted by Helm Property Management to release any information requested.
Copyright © 2004 Helm Property Management and
Realty Ltd.  All Rights Reserved.
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Rental Application
Property Number
Property Address
Date of Occupancy
Principal Applicant
Phone #
SIN
Date of Birth
Number of Children
 Ages
Present Landlord
 Phone #
Reason for Moving
Previous Address
 How Long
Phone #
Bank Address
Co-Applicant
Date of Birth
Phone #
Make / Year of Vehicle
 License No.
Balance Owing
Bank Address
Credit References
1. Name of Reference
Name/Address/Phone
of Reference
2. Name of Reference
Name/Address/Phone
of Reference
In Case of Emergency Notify
Payment Information