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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
*
1011-7303 Noble Lane, Burnaby
5004-4650 Brentwood Boulevard, Burnaby
205-20460 Douglas Crescent, Langley
Main and part of basement 10879 144A Street, Surrey
15497 Rosemary Heights Crescent, South Surrey
1005-1618 Quebec Street, Vancouver
204-3833 Evergreen Place, Burnaby
1006-2980 Atlantic Avenue, Coquitlam
1904-2980 Atlantic Avenue, Coquitlam
23136 121A Avenue, Maple Ridge Maple Ridge
Lower Floor 1308 Shaughnessy Street, Coquitlam
Basement 1269B Johnson Street, Coquitlam
2006-18505 Laurensen Place, Surrey
25- 5812 Tisdall Street, Vancouver
Upper floor house in Port Coquitlam Port Coquitlam
1407-1182 Westwood Street, Coquitlam
8860 Sierpina Drive, Richmond
G02-3085 Primrose Lane, Coquitlam
Basement 1612 Parkway Blvd. Coquitlam
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
