Optimal Property Management

3-35 Stone Church Rd., Ancaster, On L9K 1S5
Tel: 905-648-6440 | Fax: 905-296-5970
Email:

Submit a Rental Application

Please complete the form below and a representative will contact you as soon as possible.
Fields marked with * are required.

Primary Applicant

Secondary Applicant

PERSONAL INFORMATION

First Name *:
First Name:
Last Name *:
Last Name:
Email Address *:
Email Address:
SIN:
SIN:
DOB(yyyy/mm/dd) *:
DOB(yyyy/mm/dd):
Phone *:
Phone:

RENTAL HISTORY

Current Address *:
Current Address:
No. of Years *:
No. of Years:
Housing Provider's Name *:
Housing Provider's Name:
Housing Provider's No. *:
Housing Provider's No.:

EMPLOYMENT HISTORY

Present Employer's Name *:
Present Employer's Name:
Job Title *:
Job Title:
Length of Employment (yrs., mos.) *:
Length of Employment (yrs., mos.):
Annual Income *:
Annual Income:
Contact No. *:
Contact No.:

INFORMATION

The word “Information” means credit information, personal information,information about the services you use that are supplied by the Housing Provider and information relating to your tenancy at the Premises applied for in this application including information regarding the duration of your tenancy, monthly rent, emergency contacts and any matters relating to your lease/tenancy agreement, including misrepresentations relating to, defaults under and/or breaches of your lease/tenancy agreement.

“Credit Information” means information about you, including your name, age, date of birth, occupation, place of residence, previous places of residence, occupancy length, marital status, co-occupant’s/spouse’s/same-sex partner’s name and age, number of dependants, particulars of education or professional qualifications, places of employment, previous places of employment, employment duration, estimated income, paying habits, outstanding debt obligations, cost of living obligations, involvement in bankruptcy proceedings or Housing Provider and tenant disputes, assets, and banking information (including account and credit card information).

“Personal Information” means information about you other than credit information that is relevant to your suitability as a tenant, including your social insurance number (optional), driver’s license number, vehicle license plate number, vehicle make and year, and information from references which you provide about your character, reputation, physical or personal characteristics or mode of living or about any other matter concerning you that is relevant to your suitability as a tenant.

Collection, Use and Disclosure of Information:

In consideration for the Housing Provider accepting you as a resident and entering into a lease/tenancy agreement with you, you expressly consent to and authorize the following:

1. The Housing Provider may obtain Information about you through a tenant check and/or credit or consumer report conducted by Rent Check Credit Bureau and as permitted or required by law. You expressly authorize Rent Check Credit Bureau to provide Information regarding you to the Housing Provider.
2. The Housing Provider may use Information about you to determine your suitability as a tenant and as permitted or required by law.
3. The Housing Provider may disclose Information about you as permitted or required by law and to Rent Check Credit Bureau in order to be included within a database of rent roll information, and/or within atenancy file on you, for purposes of:
• tenant reporting and credit reporting in accordance with the Consumer Reporting Act (Ontario);
• establishing a credit history and a rental history;
• comparing with aggregate statistical data for purposes of tenancy and credit scoring; and
• supporting the credit approval process
4. You expressly authorize Rent Check Credit Bureau to retain Information regarding you indefinitely for the purposes outlined in section 3 above, subject to any applicable legal restrictions.
5. You expressly authorize Rent Check Credit Bureau to disclose Information regarding you to its members and subscribers as required or permitted by law and for the purposes outlined in section 3 above.
6. You agree that you will not withdraw your authorization and consent to the collection, use and disclosure of Information about you by Rent Check Credit Bureau as outlined in sections 1 to 5 above.
7. You agree that all statements on this Residential Rental Application are true and you expressly authorize all references given to release information about you to the Housing Provider for verification subject to sections 1 to 5.

The undersigned applicant hereby confirms the “Information” set out in this Application. I/We hereby deposit with the Housing Provider the sum of $ . I/We understand and agree that payment of the deposit and the Housing Provider’s acceptance of it do not, in and of itself, constitute a tenancy agreement. I further understand that upon acceptance of this application by the Housing Provider, whether conveyed to me verbally or in writing, I shall be deemed to have entered into a tenancy agreement with the Housing Provider in the terms of the Housing Provider’s usual form, which I have had the opportunity to read and understand. I further agree that upon acceptance of this application by the Housing Provider, I will execute the same written tenancy agreement. In the event that I refuse or neglect to do so, I agree to be bound by its terms jointly and severally with all co-applicants and the deposit above is deemed as part of the rent forfeited.

EXPRESS CONSENT

Yes, I have read, understood and voluntarily consent to the above terms and content. *
Yes, I have read, understood and voluntarily consent to the above terms and content.
Applicant Name *:
Applicant Name:
Date (yyyy/mm/dd) *:
Date (yyyy/mm/dd):
Enter Security Code *:
security code