Form 410 Revised 2022 Page 1 of 2
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Rental Application
Residential
Form 410
for use in the Province of Ontario
l/We hereby make application to rent ....................................................................................................................................................................
from the ............................ day of .......................................... 20............ at a monthly rental of $.........................................................................
to become due and payable in advance on the ...................................... day of each and every month during my tenancy.
1. Applicant #1 .................................................................. Date of birth ............................... SIN No. (Optional) .........................................
Drivers License No ......................................................... Occupation .........................................................................................................
2. Applicant #2 .................................................................. Date of birth .............................. SIN No. (Optional)..........................................
Drivers License No ......................................................... Occupation .........................................................................................................
3. Other Occupants: Name ............................................................................ Relationship ............................................. Age ...................
Name ............................................................................ Relationship ............................................. Age ....................
Name ............................................................................ Relationship ............................................. Age ....................
Do you have any pets? ....................... If so, describe ..................................................................................................................................
Why are you vacating your present place of residence? ................................................................................................................................
APPLICANT #1 LAST TWO PLACES OF RESIDENCE APPLICANT #2 LAST TWO PLACES OF RESIDENCE
Present Address ................................................................................. Present Address ..................................................................................
........................................................................................................ .........................................................................................................
From ............................................... To ............................................ From ............................................... To .............................................
Name of Landlord ............................................................................. Name of Landlord ..............................................................................
Telephone: ........................................................................................ Telephone: .........................................................................................
Prior Address .................................................................................... Prior Address .....................................................................................
....................................................................................................... .........................................................................................................
From ............................................... To ............................................ From ............................................... To .............................................
Name of Landlord ............................................................................. Name of Landlord ..............................................................................
Telephone: ........................................................................................ Telephone: .........................................................................................
APPLICANT #1 PRESENT EMPLOYMENT APPLICANT #2 PRESENT EMPLOYMENT
Employer .......................................................................................... Employer ...........................................................................................
Business address ............................................................................... Business address ................................................................................
Business telephone ............................................................................ Business telephone ............................................................................
Position held ..................................................................................... Position held .....................................................................................
Length of employment ........................................................................ Length of employment ..........................................................................
Name of supervisor ........................................................................... Name of supervisor ...........................................................................
Current salary range: Monthly $ ......................................................... Current salary range: Monthly $ ...........................................................