Rental Application Step 1 of 4 25% Clover Residential Application for TenancyTHIS APPLICATION HAS 4 (four) PARTS. Information is required for the past 5 (five) years. If there is more than one person (including spouse) applying for tenancy, EACH ADULT RESIDENT MUST COMPLETE A SEPARATE APPLICATION. All applications must be signed. Fields marked “required” need to be filled out. If something does not apply to you, please type “n/a”Personal InformationFull Legal Name(Required)FirstMiddleLast Add RemovePreferred first name (if different from legal name) First Identification Information(Required)Date of Birth mm/dd/yyyyGovernment Issued ID or Driver's License # (Optional) Add RemovePhone Number(s)(Required)CellHomeWork Add RemoveYour Email Address(Required) Enter Email Confirm Email Rental Property InformationAddress of Rental Property(Required)I have viewed the property(Required)I – or someone I trust – have already viewed the property (if NO do not proceed with application)Date I viewed the propertyName of Clover Residential Agent I met at the property Add RemoveOccupancy Information(Required)Desired Occupancy DateMonthly RentSecurity deposit (1/2 month's rent)Move In and/or Out FeesI agree to Minimum 1 Year Term Add RemoveHousehold Snapshot(Required)Names of other applicants (note: all individuals 19+ must fully fill out their own separate application. Type n/a if you are the only applicant)Names & ages of other occupants who are minors (under 19 including infants) Add RemovePetsHow many pets do you have?TypeGenderAge Add RemoveVehicle InformationHow many vehicles?MakeModelLicense Plate Number(s) Add Remove Address InformationCurrent Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Details(Required)How long did you live here?Rent or Own?Monthly RentReason for Leaving Add RemoveBuilding Manager/Landlord/Listing Realtor(Required)Name of Individual or CompanyPhoneEmail Add RemovePrevious Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands DetailsHow long did you live here?Rent or Own?Monthly RentReason for Leaving Add RemoveBuilding Manager/Landlord/Listing RealtorName of Individual or CompanyPhoneEmail Add Remove Employment & Financial InformationInformation is required for the past five (5) years. If you are self-employed, please provide a short description of your business, plus provide T4’s from the last 2 years. Fields marked “required” need to be filled out. If something does not apply to you, please type “n/a” or “self-employed”Income Details(Required)Gross Monthly IncomeSelf-Employed? If Yes, I will provide the required proof of income (2 years of t4s & description of my business) Add RemoveYour Current Employer(Required)EmployerDurationPositionSupervisor NamePhoneEmail Add RemoveYour Previous EmployerEmployerDurationPositionSupervisor NamePhoneEmail Add RemoveFor Self-Employed Only – Upload Your T4s and any other supporting documentsUpload your T4s in .pdf, .doc or .docx format OR email them to rentals@cloverresidential.comAccepted file types: pdf, doc, docx, Max. file size: 25 MB. References and ConsentPersonal or Business (Non-Family) Reference(Required)NamePhoneEmailRelationship Add RemovePersonal or Business (Non-Family) Reference(Required)NamePhoneEmailRelationship Add RemoveEmergency Contact(Required)NameAddressPhoneEmailRelationship Add RemoveInsurance(Required)Do you agree to insure all your personal belongings and to carry third party liability insurance? I agreeBusiness(Required)Do you intend to operate a business from the premises? No Yes, and I will provide all relevant details with my application Consent (terms & conditions)(Required)For the purpose of determining whether this Application for Tenancy is acceptable, the Applicant consents to the Landlord obtaining personal and employment information on the Applicant from one or more consumer reporting agencies and from other sources of such information. The Applicant authorizes the reporting agencies and any other person, including personnel from any government ministry or agency, to disclose relevant information about the Applicant to the Landlord. If this application is accepted, the Applicant understands that the above information will also be used and disclosed for responding to emergencies, ensuring the orderly management of the tenancy and complying with legal requirements. I agree to the terms and conditions.Signature(Required)Date(Required) MM slash DD slash YYYY CAPTCHA