All information with a red label is required.
Property Information
Property Address:
Suite No.:

Parking requested: Yes No
How did you hear about us?
Date you will take occupancy:
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Date Submitted

06-20-2021


How long do you plan to live here?
Applicant type: Individual   Co-Applicant

Applicant Information
First:
Middle:
Last:
Date of Birth:
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Home Number:
Cell Number:
Email:
Driver License #:
Province:
Expires: Click Here
Automobile Information
Make:
Model:
Year:
Color:
License plate#:
Province:

Make:
Model:
Year:
Color:
License plate#:
Province:

Any other name(s) used (including maiden name):
Are you a legal resident or citizen of Canada? Yes   No
Do you smoke? Yes   No
Residential History
Current Address
Street1:
Street2:
City:
Province: Postal Code:
Residency: Rent   Own Living with family
Previous Address
Street1:
Street2:
City:
Province:
Postal Code:
Residency:
Rent   Own Living with family
Employment Information
Employment Status:   Full-Time   Part-Time   Self Employed   Not Employed   Retired   Full-Time Student
Current Employer
Employer:
Address:
City:
Province:
Postal Code:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Income Status:
Hourly   Salary
Monthly Income:
Start Date:
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Previous Employer
Employer:
Address:
City:
Province:
  Postal Code: 
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Income Status:
Hourly   Salary
Monthly Income:
Start Date:
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End Date:
Click Here
Applicant Questions
Have you ever been asked to move out of a residence?
Yes   No

Have you ever been party to an eviction?
Yes   No
Have you broken a lease or rental agreement?
Yes   No
Have you been sued for non-payment of rent?
Yes   No

Have you been sued for damage to rental property?
Yes   No


Do you have liquid furniture? (i.e. waterbed)
Yes   No

Do you have renter insurance?
Yes   No
Have you ever filed bankruptcy?
Yes   No
Have you ever had any collections?
Yes   No
Other Occupants (Type a last name then hit Tab to add another occupant.  The maximum is six.)
Please list all people who will reside in the residence:
First: MI: Last:   Relation: Date of Birth: Click Here Gender:
Emergency Contacts
Emergency Contact:
First:
Middle:
Last:
Home Phone:
Cell Phone:
Work Phone:
Street1:
Street2:
City:
Province: Postal Code:
Email:
Nearest Relative (Not residing in the property.):
First:
Middle:
Last:
Home Phone:
Cell Phone:
Work Phone:
Street1:
Street2:
City:
Province: Postal Code:
Email:

Financial Information
Bank NameAccount TypePhone
Credit Reference NameAccount TypeBalance




Do you own a home or other real estate? Yes   No

Additional Income SourceMonthly Income
Pension
Social Security
Alimony
Child Support
Government Assistance
Unemployment Compensation
Other
Additional Comments or Notes

Application Completion

AUTHORIZATION

I, the undersigned:

Certify the above information to be correct.

Hereby offer to lease jointly and severally, from Menke Holdings Ltd.:  Property Address:
Suite No.: commencing on the day of , :  with a monthly rent of $, on or before the first day of each month and every month thereafter without any deductions whatsoever. I understand that failure to pay rent upon the first of the month will result in late charges.

Hereby voluntarily make a deposit of $ to be refunded if this application is not accepted and to be retained as a security deposit if my offer is accepted.

When the application is approved and accepted I agree to enter into a rental agreement for the suite.

I authorize the verification of the information provided on this form as to my credit, employment and background. I also authorize and instruct Menke Holdings Ltd. to obtain such credit reports and tenant screening reports from your credit-reporting agency and periodically re-run this check at any time in the future to verify the truth and accuracy of any information given on this application.

I understand that the approval is based on the merits of this application and I am not entitled to a reconsideration of deficiencies based on any other merits than my own information.

I acknowledge this application will become part of the rental agreement when approved. If any information is found to be incorrect, the application will be rejected and any subsequent rental agreement becomes void. False and misleading statements will be sufficient reason for immediate eviction and loss of security deposit.

I, the undersigned, by clicking APPLY NOW agree to the above stated terms. Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements.


APPLICANT SIGNATURE: 




   
Web:  www.menkesuites.ca       E-mail:  info@menkesuites.ca