| APPLICANT'S FULL NAME:
|
DATE OF BIRTH Day: Month: Year: |
| Present Address:
| |
| Telephone Number(s):
| |
| How Long at Present Address:
| |
| Rent or Own?
|
Reason for Leaving: |
| Building Manager or Landlord Name and Telephone number:
| |
| Previous Address:
| |
| How Long at Previous Address? | |
| Rent or Own? | Reason for Leaving:
|
| Building Manager or Landlord Name and Telephone Number:
| |
| Present Employer Name, Address, and Telephone Number:
| |
| Position, Salary Range, and How Long Employed at Present Employer:
| |
| Previous Employer Name, Address, and Telephone Number:
| |
| Position, Salary Range, and How Long Employed at Previous Employer:
| |
| Social Insurance Number: | |
| Marital Status: | |
| Driver License Number: | |
F. INSURANCE Do you presently insure your personal belongings and third party liability? G. CONSENT. FOR THE PURPOSE OF DETERMINING WHETHER MY/OUR APPLICATION FOR TENANCY IS ACCEPTABLE, I/WE HEREBY CONSENT TO THE LANDLORD OBTAINING CREDIT/PERSONAL INFORMATION REPORTS ON ME/US (INCLUDING A SPOUSE) FROM ONE OR MORE CONSUMER REPORTING AGENCIES OR FROM OTHER SOURCES OF SUCH INFORMATION. I/WE AUTHORIZE THE REPORTING AGENCIES AND OTHER PERSONS TO DISCLOSE INFORMATION ON ME/US TO THE LANDLORD OR LANDLORD'S AUTHORIZED AGENT. H. DATED at ____________________________
B.C., this________ day________of___________2004 _____________________ _______________________ Signed Adult Applicant (s) I. ACCEPTANCE. The above applicant(s) are accepted for tenancy, providing all adult applicants sign the Residential Tenancy Agreement presented by the Landlord/Landlord's Authorized Agent. Dated at: _________________
B.C., this _____ day of____________,2004
Landlord/or Landlords Authorized Agent Resident Manager's Phone Number _______________________
Bank Branch Name, Address, and Telephone Number:
Type of Account(s):
Account Number(s):
Please Give Two Credit References (Credit Card(s) or Financial:
1 - Name and Account Number:
2 - Name and Account Number:
Please Give Two Personal or Family References (For Emergency Contact)
1 - Next of Kin Name, Address, and Telephone Number(s):
2 - Name, Address, and Telephone Number(s):
Vehicle Make, Model, Color, and License Number:
YES ____________ NO _________________