Rental application · OREA Form 410 format

Online rental application.

Complete the form below to apply for a rental property in Oakville, Burlington, Milton, Mississauga or the GTA. Submission is encrypted and sent directly to your REALTOR®.

Property applied for

Property address *Tenancy start date *Monthly rent ($) *Payment day of month

Applicant #1

Full name *Date of birth *Email *Phone *Occupation *Driver's licence # SIN (optional)

Applicant #1 — Present residence

Present address *From To Landlord name Landlord phone

Applicant #1 — Prior residence

Prior address From To Landlord name Landlord phone

Applicant #1 — Present employment

Employer *Position *Business address Business phone Length of employment Supervisor Monthly salary ($) *

Applicant #1 — Prior employment

Employer Position Business address Business phone Length of employment Supervisor Salary ($)

Applicant #2 (optional — co-applicant)

Full name Date of birth Email Phone Occupation Driver's licence # SIN (optional)

Applicant #2 — Present residence

Present address From To Landlord name Landlord phone

Applicant #2 — Prior residence

Prior address From To Landlord name Landlord phone

Applicant #2 — Present employment

Employer Position Business address Business phone Length of employment Supervisor Monthly salary ($)

Applicant #2 — Prior employment

Employer Position Business address Business phone Length of employment Supervisor Salary ($)

Other occupants

Name Relationship Age Name Relationship Age Name Relationship Age Pets (type, breed, size)Why are you vacating your present residence?

Banking

Bank name Branch Branch address Chequing account (last 4) Savings account (last 4)

Financial obligations

Payment to Amount ($) Payment to Amount ($)

Personal references

Name Phone Occupation Address Length of acquaintance Name Phone Occupation Address Length of acquaintance

Vehicle

Make Model Year Plate #

Consent & signature

I authorise the landlord and their REALTOR® to verify the information provided (employment, references, credit history) for the purpose of assessing this rental application. Information will be used only for this purpose and handled in accordance with Ontario privacy laws.Electronic signature — type your full legal name *Date *

Your application is transmitted securely to your REALTOR®. You do not need our email address — it stays private.