EmailMe Form - Bloom Property Management

GENERAL INFORMATION

APPLICANT/PRIMARY TENANT INFORMATION

ADDITIONAL TENANT INFOMRATION

LEASE TERM | PARKING | PETS | OTHER

The submission and acceptance of this application DOES NOT ensure accommodation. An accommodation is reserved only upon execution of the lease agreement by all parties. *

I understand

Legal Name *

First Last

Preferred Name

First Last

Current Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone *

### - ### - ####

Email *

Other Phone

### - ### - ####

Date of Birth *

MM / DD / YYYY

Gender *

Primary Tenant - Government Issued
Photo Identification *

Passport or Driver's License Number

Social Insurance Number (SIN)

Are you a Canadian Citizen? *

Yes

No

Have your ever filed for bankruptcy? *

No

Yes - Please clarify what year

Are you currently working? *

Yes

No

Self-Employeed

Other

Current Employer Name? *

Employer Phone *

### - ### - ####

Salary *

$ Dollars . Cents

Primary Tenant - Proof of Income 1 *

Primary Tenant - Proof of Income 2 *

Are you currently renting? *

Yes

No

Why are you moving? *

Current Landlord Name *

First Last

Current Landlord Phone *

### - ### - ####

Other person(s) living in the unit:

Tenant 1 - Government Issued
Photo Identification

Tenant 1 - Proof of Income

If this person is a minor and does not have any proof of income please upload a blank page.

Tenant 2 - Government Issued
Photo Identification

Tenant 2 - Proof of Income

If this person is a minor and does not have any proof of income please upload a blank page.

Tenant 3 - Government Issued
Photo Identification

Tenant 3 - Proof of Income

If this person is a minor and does not have any proof of income please upload a blank page.

Tenant 4 - Government Issued
Photo Identification

Tenant 4 - Proof of Income

If this person is a minor and does not have any proof of income please upload a blank page.

Date of Birth

Relationship

Address of desired rental: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Desired move-in date:

MM / DD / YYYY

For a term of: *

1 year

More than 1 year; how long?

Vehicle Details

	Make	Model	Colour	Plate #
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4

Do you have any pets? *

No

Yes - Please clarify the type and breed

Example: Dog, Chihuahua

Will you have a guarantor or co-signer? *

Yes

No

1 / 3