Rental Application Form

To submit your application on-line - complete the following form

If you wish to print out a form to fax or drop off - Click Here

Address of rental property you are applying for
*Tenant #1* (please fill out completely)	*Tenant #2* (if applicable)
Name:	Name:
Date of Birth:	Date of Birth:
Present Address:	Present Address:
Present Phone #:	Present Phone #:
Cell Phone:	Cell Phone:
Present Landlord's Name:	Present Landlord's Name:
Present Landlord's Phone #:	Present Landlord's Phone #:
How Long At This Address:	How Long At This Address:
Current Rent:	Current Rent:
Employer:	Employer:
Employer Address:	Employer Address:
Employer Phone #:	Employer Phone #:
Length of Employment:	Length of Employment:
Gross Monthly Income:	Gross Monthly Income:
Social Insurance #	Social Insurance #
How many people will be living in the house? Adults - Kids - Teenagers Do you have a pet ? Dog - Cat - Other pets hereby authorize the above listed landlord (s) employer(s) and management company(s) authorize Regency Property Management & Real Estate to release information regarding my tenancy as a reference to future landlords. hereby authorize the above listed to do a credit check
Comments: