Rental Application

Residential
Form 410
for use in the Province of Ontario

570 Linden Drive, Unit 13

l/We hereby make application to rent ....................................................................................................................................................................

1st
from the ............................ June
day of .......................................... 22
20............ 2,500.00
at a monthly rental of $.........................................................................

1st
to become due and payable in advance on the ...................................... day of each and every month during my tenancy.

1. Kinresh Patel
Applicant #1 .................................................................. 24 Sept 1997 SIN No. (Optional) .........................................
Date of birth ...............................

P0795-43589-70924
Drivers License No ......................................................... Software Developer
Occupation .........................................................................................................

2. Vatsal Bhuva
Applicant #2 .................................................................. 14 March 1997 SIN No. (Optional)..........................................
Date of birth ..............................

B3712-76359-70314
Drivers License No ......................................................... Mainframe Developer
Occupation .........................................................................................................

3. Kalrav Shah
Other Occupants: Name ............................................................................ Friend
Relationship ............................................. 27
Age ...................

Smit Patel
Name ............................................................................ Friend
Relationship ............................................. 24
Age ....................

Jishan Pathan
Name ............................................................................ Friend
Relationship ............................................. 26
Age ....................

No
Do you have any pets? ....................... If so, describe ..................................................................................................................................

Lease ending and the house to be sold

Why are you vacating your present place of residence? ................................................................................................................................

APPLICANT #1 LAST TWO PLACES OF RESIDENCE APPLICANT #2 LAST TWO PLACES OF RESIDENCE

72 Knotty Pine Avenue, Cambridge ON N3H Present

Present Address ................................................................................. 0E2 Address ..................................................................................
72 Knotty Pine Avenue, Cambridge ON N3H 0E2

........................................................................................................ .........................................................................................................

From ............................................... To ............................................ From ............................................... To .............................................

Piyush Patel
Name of Landlord ............................................................................. Piyush Patel
Name of Landlord ..............................................................................

519-778-1850
Telephone: ........................................................................................ 519-778-1850
Telephone: .........................................................................................

3070 Tokala Trail, London ON N6G 0S7

Prior Address .................................................................................... 72 Knotty Pine Avenue, Cambridge ON N3H 0E2
Prior Address .....................................................................................

....................................................................................................... .........................................................................................................

From ............................................... To ............................................ From ............................................... To .............................................

Kinjal Patel(Sister)
Name of Landlord ............................................................................. Piyush Patel
Name of Landlord ..............................................................................

519-701-7787
Telephone: ........................................................................................ 519-778-1850
Telephone: .........................................................................................

APPLICANT #1 PRESENT EMPLOYMENT APPLICANT #2 PRESENT EMPLOYMENT

TCS North America

Employer .......................................................................................... HCL Canada Inc.
Employer ...........................................................................................

400 University Ave, Toronto, ON

Business address ............................................................................... 7125 Mississauga Rd, Mississauga, ON
Business address ................................................................................

647-790-7200
Business telephone ............................................................................ 289-729-1122
Business telephone ............................................................................

Software Developer
Position held ..................................................................................... Mainframe Developer
Position held .....................................................................................

Jan 2022 - Present

Length of employment ........................................................................ Dec 2021 - Present
Length of employment ..........................................................................

Sirisha Mandava
Name of supervisor ........................................................................... Ankita Tickoo
Name of supervisor ...........................................................................

65,000.00
Current salary range: Monthly $ ......................................................... 60,000.00
Current salary range: Monthly $ ...........................................................

The trademarks REALTOR®, REALTORS®, MLS®, Multiple Listing Services® and associated logos are owned or controlled by
The Canadian Real Estate Association (CREA) and identify the real estate professionals who are members of CREA and the
quality of services they provide. Used under license.
© 2022, Ontario Real Estate Association (“OREA”). All rights reserved. This form was developed by OREA for the use and reproduction
by its members and licensees only. Any other use or reproduction is prohibited except with prior written consent of OREA. Do not alter
when printing or reproducing the standard pre-set portion. OREA bears no liability for your use of this form. Form 410 Revised 2022 Page 1 of 2
APPLICANT #1 PRIOR EMPLOYMENT APPLICANT #2 PRIOR EMPLOYMENT

BlackBerry Ltd.
Employer .......................................................................................... Redswan Pizza(Part-time)
Employer ...........................................................................................

2200 University Ave E, Waterloo, ON

Business address ............................................................................... 545 Hespeler Rd, Cambridge, ON
Business address ................................................................................

519-888-7465
Business telephone ............................................................................ 519-267-4600
Business telephone ............................................................................

Cyber Security Compliance Analyst

Position held ..................................................................................... Manager
Position held .....................................................................................

8 months
Length of employment ........................................................................ 1.5 year
Length of employment ..........................................................................

Steve McMichael
Name of supervisor ........................................................................... Bharat Patel
Name of supervisor ...........................................................................

50,000.00
Salary range: $ ................................................................................ 30,000.00
Salary range: $ ..................................................................................

Scotiabank
Name of Bank ............................................... London ON
Branch ................................. 1430 Fanshaw Park Rd W, London
Address ...................................................................................

0400823
Chequing Account # ......................................................................... Savings Account # ..............................................................................

FINANCIAL OBLIGATIONS

None
Payments to ................................................................................................................................................... Amount: $ ..................................

None
Payments to ................................................................................................................................................... Amount: $ ..................................

PERSONAL REFERENCES

Bharat Patel
Name ............................................................. 207 Cranbrook St, Kitchener, ON N2P 2X4
Address ...................................................................................................................................

548-255-0362
Telephone: ................................................. 2 years
Length of Acquaintance ............................. Businessman
Occupation ...................................................................

Bhavesh Patel
Name ............................................................. 3070 Tokala Trail, London ON N6G 0S7
Address ...................................................................................................................................

416-529-9928
Telephone: ................................................. 5 years
Length of Acquaintance.............................. Businessman
Occupation....................................................................

AUTOMOBILE(S)

Hyundai
Make ................................................. Elantra
Model .................................... 2013
Year ............................ CSKB451
Licence No ........................................................

Make ................................................. Model .................................... Year ............................ Licence No ........................................................

The Applicant consents to the collection, use and disclosure of the Applicant’s personal information by the Landlord and/or agent of the Landlord, from
time to time, for the purpose of determining the creditworthiness of the Applicant for the leasing, selling or financing of the premises or the real property,
or making such other use of the personal information as the Landlord and/or agent of the Landlord deems appropriate.

The Applicant represents that all statements made above are true and correct. The Applicant is hereby notified that a consumer report
containing credit and/or personal information may be referred to in connection with this rental. The Applicant authorizes the verification
of the information contained in this application and information obtained from personal references. This application is not a Rental or Lease Agreement. In
the event that this application is not accepted, any deposit submitted by the Applicant shall be returned.

........................................................................... ......................... .............................................................................. ........................

(Signature of Applicant #1) Kinresh V. Patel (Date) (Signature of Applicant #2) Vatsal K. Bhuva (Date)

5199197144 3 May, 2022

Telephone: ....................................................................................... 647-382-1439 3 May, 2022
Telephone: .........................................................................................

kinreshvpatel@gmail.com
Email Address: ................................................................................. vbhuva711@gmail.com
Email Address: ...................................................................................

The trademarks REALTOR®, REALTORS®, MLS®, Multiple Listing Services® and associated logos are owned or controlled by
The Canadian Real Estate Association (CREA) and identify the real estate professionals who are members of CREA and the
quality of services they provide. Used under license.
© 2022, Ontario Real Estate Association (“OREA”). All rights reserved. This form was developed by OREA for the use and reproduction
by its members and licensees only. Any other use or reproduction is prohibited except with prior written consent of OREA. Do not alter
when printing or reproducing the standard pre-set portion. OREA bears no liability for your use of this form. Form 410 Revised 2022 Page 2 of 2