Application Application Form If you are a human and are seeing this field, please leave it blank. Fields marked with an asterisk * are required How did you hear about The Dockyards? THE UNDERSIGNED, (hereinafter the "Applicant"), MAKES APPLICATION TO LEASE FROM PORT ROYAL VILLAGE DEVELOPMENTS INC. (hereinafter the "Landlord"), AT THE FOLLOWING PREMISES: Project Suite # Address 1 Term of Lease Type of Lease City / Prov Rent is payable in advance on the 1st of each month. The Tenant will be responsible to pay the following marked utilities HYDRO TELEPHONE CABLE GAS WATER HOT WATER Applicant 1 Name * Street Address * Apt / Bldg / Floor / Room / Suite # City * Province / Territory or US State * ----- Canadian Provinces ----- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon ----- US States ----- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Date of Birth * Social Ins # * Home Phone * Cell Phone * Work Phone Email * Pet * Yes No Pet Type Present Landlord * Telephone * How Long? * Reason for Leaving Previous Landlord Telephone How Long? Address Reason for Leaving EMPLOYMENT Employer * Position Held * How Long? Annual Income Supervisor * Phone * IF SELF EMPLOYMENT Name of Business Type of Business Registration # Phone IN CASE OF EMERGENCY (Please state your next of kin) Name Phone Applicant 2 Name Street Address Apt / Bldg / Floor / Room / Suite # City Province / Territory or US State --- Canadian Provinces --- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon --- US States --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Date of Birth Social Ins # Home Phone Cell Phone Work Phone Email Pet Yes No Pet Type Present Landlord Telephone How Long? Reason for Leaving Previous Landlord Telephone How Long? Address Reason for Leaving EMPLOYMENT Employer Position Held How Long? Annual Income Supervisor Phone IF SELF EMPLOYMENT Name of Business Type of Business Registration # Phone IN CASE OF EMERGENCY (Please state your next of kin) Name Phone Please read the following carefully: It is understood that once becoming a Tenant of the rented premises, I/We will comply with all of the terms, conditions and rules as specified in the lease and addendum to the lease. Tenants are required to have adequate insurance on the contents of their rented premises. I/We, the Applicant (s) understand and agree that: The offer to lease the above premises is subject to acceptance by the Landlord. The keys to the said premises will be available only on the date of occupancy. If in the event, I/We: fail to pick up the key package on the date of occupancy without prior written notice to the Landlord. And/or notify the Landlord of my/our intention not to take occupancy, and/or provide a dishonoured cheque, the premises will be placed on the available list and I/We agree to pay a non-occupancy fee and/or cancellation fee equal to one month's rent, or in the event of the suite being leased for the same time period, an administration fee of seven hundred and fifty dollars. Move-in hours for the premises shall be between 8:00 am and 9:00 pm - or as building regulations permit. In connection with this application and by pressing SUBMIT, the applicant consents to the Landlord conducting a credit investigation. NOTE: Upon acceptance of this application and notification thereof, the applicant is required to provide to the Landlord with a pre-authorized debit form or post dated cheques for the entire term of the tenancy at the time of lease signing. When said cheques run out, the tenant is required to provide a new group of post dated cheques. If you are a human and are seeing this field, please leave it blank.
