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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
*
1701-2968 Glen Drive, Coquitlam
6033 Nanaimo Street, Vancouver
Lower floor, 2656 Lincoln Avenue, Port Coquitlam Port Coquitlam
23-19628 55A Avenue, Langley
12273 228th Street, Maple Ridge Maple Ridge
1-19097 64 Avenue, Surrey
2504-2980 Atlantic Avenue, Coquitlam
307-1148 Heffley Crescent, Coquitlam
Upper Floor 19489 116B Avenue, Pitt Meadows Pitt Meadows
6278 194B Street, Surrey
41-17555 57A avenue, Surrey
2498 East Road, Anmore (Upper and Main) Maple Ridge
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
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