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*

Date required*

Adults*

Children* Under 18

Ages of Children

Pets*

Employer*

Occupation*

Annual income*

Employed since*

Phone number

Former employer

Phone number

Period

Spouse full name

Phone number

Employed by

Annual income

Credit reference

List bank, credit union, charge accounts, or other credit references.

Personal references*

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