The applicant(s) acknowledges that the Agent is acting for the Owner of this property in connection with this Real Estate Transaction and that all duties performed shall be for and on behalf of the Owner. By signing below I am confirming I have been presented and understand the Disclosure Form, Renting Residential Property: What Tenants Need to Know.Number of Tenants*12Contact Email* First Tenant Primary InformationFirst Tenant's Name* First Middle Last Home/Cell No.*Work No.*Birthday (MM/DD/YY)*S.I.N.Second Tenant Primary InformationSecond Tenant's Name* First Middle Last Home/Cell No.*Work No.*Birthday (MM/DD/YY)*S.I.N.General InformationTotal number of people that will occupy the premises:*Residence Desired*Rate $Present Residence*Agent/Owner of Residence*Phone number for reference*Have you given notice?*NoYesHow long have you lived at the present address?*First Tenant Employment InformationFirst tenant's employer*Immediate supervisor's name (for reference)*Phone number*How long employed?*Salary $*Second Tenant Employment InformationSecond tenant's employer*Immediate supervisor's name (for reference)*Phone number*How long employed?*Salary $*General QuestionsHave either of you ever presented a NSF cheque?*NoYesIf so, how many in the past year?*Are you prepared to issue post-dated cheques for your rent?*YesNoDo you own any pets?*NoYesWhat kind of pet?*Would you be willing to pay a pet deposit?*YesNoEvidence of insurance coverage is a term of our lease. Do you currently have tenant's insurance or will you be willing to have such insurance in place?*YesNoAre you prepared to maintain the yard and garden? (if applicable)*YesNoA non smoking/non vaping clause is a condition of our lease agreement. Do you agree if you enter into a tenancy agreement that you will not smoke or allow any guests to smoke within or on the property of the premises you are renting?*YesNoDate you would like to occupy the premises?*Captcha and DisclaimerCAPTCHAI (We) verify that all of the above information is correct and permit a credit check to be done and permit ACD Realty Corporation to contact any of my (our) references, previous landlords, employers or creditors and to take reasonable steps to assess the credit worthiness of the applicants. I understand that all tenancies unless otherwise stated are for a minimum of one year. This iframe contains the logic required to handle Ajax powered Gravity Forms.