Name(Required) First Last Email(Required) Phone(Required)Birth Date(Required) MM slash DD slash YYYY What type of unit are you interested in?(Required)– SELECT –Studio1 BedroomNumber of Occupants(Required)– SELECT –1234OccupantsPlease list who else will be living with you.Name(Required) First Last Name(Required) First Last Do you require a pet friendly unit?(Required) Yes NoDo you require an accessible unit?(Required) Yes NoWhat is your preferred move in date?(Required) MM slash DD slash YYYY Previous AddressesPlease include your present and at least one (1) previous address.Address(Required)Landlord/Company Name(Required)Landlord Phone Number(Required)Landlord Email(Required)Reason for Leaving(Required)Address(Required)Landlord/Company Name(Required)Landlord Phone Number(Required)Landlord Email(Required)Reason for Leaving(Required)Do you rent or own your current residence?(Required) Rent OwnDo you have pets?(Required) Yes NoNumber of vehicles to be parked on premises?(Required)– SELECT –012Have you been delinquent in paying rent or financial obligations in the past?(Required) Yes NoHave you failed to fulfill any obligations of a rental agreement in the past or been issued a Form 4 Notice of Termination?(Required) Yes NoReferencesProvide at least two (2) references that we can contact.Reference #1(Required) First & Last Name RelationshipPhone(Required)Email(Required) Reference #2(Required) First & Last Name Relationship(Required)Phone(Required)Email(Required) Please tell us why you are interested in this property or any additional information you think is relevant.Confirm Information(Required)The information on this application is true and correct to the best of my knowledge. I consent to Urban Residences Charlottetown obtaining consumer or investigative credit reports, criminal background reports, and/or eviction records if they deem it necessary for my application. I agreeΔ
