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Rental Application
Rental Application
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Full name
*
Age
Driving license or Passport No.
Phone number
*
Email address
*
Current address
*
Current rent
*
Address of premise to be rented
*
Basement 3336 Hockaday Place, Coquitlam
3786 Killarney Street, Port Coquitlam Port Coquitlam
92-5790 East Hastings Street, Burnaby
311-6328 Larkin Drive, U.B.C. Vancouver
2305-2975 Atlantic Avenue, Coquitlam
3009-668 Citadel Parade, Vancouver
1201-7380 Elmbridge Way, Richmond
Basement 8455 207 Street, Langley
Basement#1 – 5439 Gilpin Street, Burnaby
Date required
*
Adults
*
0
1
2
3
4
5
6
7
8
9
10
Children
*
0
1
2
3
4
5
6
7
8
9
10
Under 18
Ages of Children
Pets
*
Yes
No
Employer
*
Occupation
*
Annual income
*
Employed since
*
Phone number
Former employer
Phone number
Period
to
Spouse full name
Phone number
Employed by
Annual income
Credit reference
1.
2.
List bank, credit union, charge accounts, or other credit references.
Personal references
*
1.
Phone
2.
Phone
Landlords or employers
Referred to landlord by
I hereby authorize the person or firm to whom this application is submitted to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or for any other direct business requirement. This consent is given pursuant to chapter 78, section 12, of the Credit Reporting Act, R.S.B.C. 1979
Submit Application