Rental Application – Golden Ticket

1. Room Preference

Please select the room you are applying for. Rent is all-inclusive of utilities and bi-weekly professional cleaning of common areas. A security deposit equivalent to one month’s rent is required upon signing the lease.

Bedroom A

$825 / month – Furnished with 53″ bed, dresser, and standard closet.

Bedroom B

$875 / month – Furnished with queen bed, dresser, and a walk-in closet.

Master Suite (Single Occupancy)

$1,050 / month – Large furnished suite with private ensuite bathroom and walk-in closet.

Master Suite (Double Occupancy)

$1,275 / month – For two occupants. Both must complete the application.

2. Applicant Information

Full Legal Name

Date of Birth

Email Address

Phone Number

Are you a student?

If yes, which institution?

Desired Move-in Date

Desired Lease Term

3. Second Applicant Information

Full Legal Name

Date of Birth

Email Address

Phone Number

Are you a student?

If yes, which institution?

4. Rental & Employment History

Current Address

Current Landlord Name

Landlord Phone or Email

Reason for Leaving

Employment / Income Source

Total Monthly Income

5. House Rules & Lifestyle Agreement

This home is designed for a respectful, clean, and positive living environment. Please acknowledge you have read and agree to the following key house rules, which are part of the legally binding lease agreement.

I agree to observe quiet hours from 10:00 PM to 7:00 AM on weeknights to ensure a productive environment for all residents.

I understand and agree to the guest policy (max 3 consecutive overnight stays, 7 total per month, with 24-hour notice to the Landlord).

I agree to maintain daily tidiness in all shared spaces (kitchen, living areas) and clean up immediately after myself.

I understand the property boundaries and agree not to enter the Landlord’s exclusive areas (basement, garage, backyard) without invitation.

I agree that smoking, vaping, or use of cannabis is strictly prohibited on the entire property.

Briefly describe what you are looking for in a home and roommate environment.

6. Declaration & Consent

I declare that the information provided in this application is true and correct.

I authorize the Landlord, Jayotis Diggory, to contact my references and previous landlords, and to perform a credit check as part of the application process.

I understand that this is an application to rent and does not constitute a rental agreement. The Landlord is not obligated to rent to me.

Applicant Signature

Date